| Sonoran Medical Centers | |
|
19875 N 51st Ave Glendale AZ 85308-5114 | |
| (623) 581-8998 | |
| (623) 581-5035 |
| Full Name | Sonoran Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 19875 N 51st Ave, Glendale, Arizona |
| Authorized Official Name and Position | Paul Lankford (MANAGING MEMBER) |
| Authorized Official Contact | 6235818998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Medical Centers 19875 N 51st Ave Glendale AZ 85308-5114 Ph: (623) 581-8998 | Sonoran Medical Centers 19875 N 51st Ave Glendale AZ 85308-5114 Ph: (623) 581-8998 |
| NPI Number | 1417053885 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 0648260364 |
|---|---|
| Medicare Enrollment ID | O20040514000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417053885 | NPI | - | NPPES |
| Provider Name | Clark Bennett Wysong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861469165 PECOS PAC ID: 6507756319 Enrollment ID: I20040316001418 |
| Provider Name | Bindu E Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245287093 PECOS PAC ID: 6709823800 Enrollment ID: I20050411000684 |
| Provider Name | Tanya B Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528002441 PECOS PAC ID: 4385668078 Enrollment ID: I20060120000511 |
| Provider Name | Diane M Gronski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689624629 PECOS PAC ID: 9436164407 Enrollment ID: I20060310000241 |
| Provider Name | Deborah J Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760565774 PECOS PAC ID: 8325140270 Enrollment ID: I20070222000639 |
| Provider Name | Jacqueline Suzanne Belen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801838016 PECOS PAC ID: 8224056627 Enrollment ID: I20090424000080 |
| Provider Name | Jason J Meleth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417983610 PECOS PAC ID: 5496888471 Enrollment ID: I20100727000988 |
| Provider Name | Michaela Skelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427097021 PECOS PAC ID: 2062692726 Enrollment ID: I20110211000938 |
| Provider Name | Amy M Steinhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164763421 PECOS PAC ID: 8325265838 Enrollment ID: I20140806002664 |
| Provider Name | Amalia Craciunescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336479435 PECOS PAC ID: 9537457874 Enrollment ID: I20161019001475 |
| Provider Name | Kristin Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001259 PECOS PAC ID: 5092084103 Enrollment ID: I20170705003244 |
| Provider Name | Rebecca Jeannine Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861921371 PECOS PAC ID: 5496027625 Enrollment ID: I20170822003320 |
| Provider Name | Melanie Kristen Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215495080 PECOS PAC ID: 9234462672 Enrollment ID: I20190618000057 |
| Provider Name | Annette M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437815214 PECOS PAC ID: 9537559042 Enrollment ID: I20211123002770 |
| Provider Name | Jessica Lynn Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962034355 PECOS PAC ID: 7315330420 Enrollment ID: I20220214002254 |
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