| Sheitelman Medical PLC | |
|
13757 W. Bell Rd Suite 101 Surprise AZ 85374-2453 | |
| (623) 214-7600 | |
| (623) 214-7662 |
| Full Name | Sheitelman Medical PLC |
|---|---|
| Speciality | Physical Therapist |
| Location | 13757 W. Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | David a Sheitelman (MANAGER) |
| Authorized Official Contact | 6232147600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheitelman Medical PLC 13757 W Bell Rd Suite 101 Surprise AZ 85374-2452 Ph: (623) 214-7600 | Sheitelman Medical PLC 13757 W. Bell Rd Suite 101 Surprise AZ 85374-2453 Ph: (623) 214-7600 |
| NPI Number | 1508139429 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 06/05/2014 |
| Medicare PECOS PAC ID | 9436311719 |
|---|---|
| Medicare Enrollment ID | O20120502000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508139429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 225100000X | Physical Therapist | (NU) | Primary |
| 225400000X | Rehabilitation Practitioner | (NU) | Secondary |
| Provider Name | David a Sheitelman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972597870 PECOS PAC ID: 2264497940 Enrollment ID: I20041122000776 |
| Provider Name | Sholom M Gootzeit |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821141250 PECOS PAC ID: 2163696014 Enrollment ID: I20111111000053 |
| Provider Name | Eugenia Ursan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699025668 PECOS PAC ID: 5092966317 Enrollment ID: I20121115000073 |
| Provider Name | Derek Legg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013339233 PECOS PAC ID: 6305162504 Enrollment ID: I20150305002208 |
| Provider Name | Mary Elizabeth Braham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508176694 PECOS PAC ID: 9638497944 Enrollment ID: I20150417000595 |
| Provider Name | Brett Lange |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689053209 PECOS PAC ID: 8426366246 Enrollment ID: I20150929000246 |
| Provider Name | Keith W Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982115036 PECOS PAC ID: 7214293695 Enrollment ID: I20171117002917 |
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