| Providence General Medicine, Pc | |
|
9220 N. Central Avenue Phoenix AZ 85020-2416 | |
| (602) 254-7077 | |
| (602) 254-7078 |
| Full Name | Providence General Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9220 N. Central Avenue, Phoenix, Arizona |
| Authorized Official Name and Position | Gerardo Sicalo Oborsky (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6022547077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence General Medicine, Pc 9220 N. Central Avenue Phoenix AZ 85020-2416 Ph: (602) 254-7077 | Providence General Medicine, Pc 9220 N. Central Avenue Phoenix AZ 85020-2416 Ph: (602) 254-7077 |
| NPI Number | 1164693974 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 4981500287 |
|---|---|
| Medicare Enrollment ID | O20031209000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164693974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31836 (Arizona) | Primary |
| Provider Name | Gerardo Sicalo Oborsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737367 PECOS PAC ID: 4082510391 Enrollment ID: I20031216000341 |
| Provider Name | William Zamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053305185 PECOS PAC ID: 0345211314 Enrollment ID: I20040803001362 |
| Provider Name | Rosalia J Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023267200 PECOS PAC ID: 6204999170 Enrollment ID: I20090120000677 |
| Provider Name | Rosa H Del Aguila Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487293064 PECOS PAC ID: 7012335557 Enrollment ID: I20210525000005 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |