| Pinnacle Family Medicine Plc | |
|
14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 | |
| (623) 935-9600 | |
| Not Available |
| Full Name | Pinnacle Family Medicine Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 14044 W Camelback Rd Ste 204, Litchfield Park, Arizona |
| Authorized Official Name and Position | David James Engstrom (MEMBER) |
| Authorized Official Contact | 6239359600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Family Medicine Plc 14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 Ph: (623) 935-9600 | Pinnacle Family Medicine Plc 14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 Ph: (623) 935-9600 |
| NPI Number | 1639208325 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 01/03/2018 |
| Medicare PECOS PAC ID | 7012015670 |
|---|---|
| Medicare Enrollment ID | O20070605000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639208325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin M Houlihan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609862697 PECOS PAC ID: 1355358094 Enrollment ID: I20060321000415 |
| Provider Name | David J Engstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710058870 PECOS PAC ID: 2365541216 Enrollment ID: I20070619000297 |
| Provider Name | Mardi L Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609182583 PECOS PAC ID: 9739357575 Enrollment ID: I20110721000183 |
| Provider Name | Krista Nicole Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518262567 PECOS PAC ID: 9638433386 Enrollment ID: I20180503001991 |
| Provider Name | Donna Suzanne Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619636628 PECOS PAC ID: 0840682514 Enrollment ID: I20220110002286 |
| Provider Name | Natalie Janel Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740906072 PECOS PAC ID: 6103288360 Enrollment ID: I20230821000382 |
| Provider Name | Lourdes Carolyne Pothast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992574768 PECOS PAC ID: 8527411933 Enrollment ID: I20240131005136 |
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