| Southern Arizona Internal Medicine Pllc | |
|
5210 E Farness Dr Tucson AZ 85712-2140 | |
| (520) 795-4100 | |
| (520) 795-4224 |
| Full Name | Southern Arizona Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5210 E Farness Dr, Tucson, Arizona |
| Authorized Official Name and Position | Steven A Wool (PRESIDENT) |
| Authorized Official Contact | 5207954100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Arizona Internal Medicine Pllc 5210 E Farness Dr Tucson AZ 85712-2140 Ph: (520) 795-4100 | Southern Arizona Internal Medicine Pllc 5210 E Farness Dr Tucson AZ 85712-2140 Ph: (520) 795-4100 |
| NPI Number | 1275565509 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/17/2016 |
| Medicare PECOS PAC ID | 6002880044 |
|---|---|
| Medicare Enrollment ID | O20040824001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275565509 | NPI | - | NPPES |
| 869365 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12805 (Arizona) | Primary |
| Provider Name | Steven A Wool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780789800 PECOS PAC ID: 0345141461 Enrollment ID: I20040827000288 |
| Provider Name | Kathleen Bella Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720054992 PECOS PAC ID: 1850485277 Enrollment ID: I20070917000199 |
| Provider Name | Terra Karma Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914907 PECOS PAC ID: 4183940968 Enrollment ID: I20150313002277 |
| Provider Name | Christine Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774707 PECOS PAC ID: 6204144660 Enrollment ID: I20151005001103 |
| Provider Name | Aldine Sinclair Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699040709 PECOS PAC ID: 0143440867 Enrollment ID: I20151019001394 |
| Provider Name | Sylvia A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457748147 PECOS PAC ID: 3274825179 Enrollment ID: I20160713002742 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20161109001990 |
| Provider Name | Ingrid E Patsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184673279 PECOS PAC ID: 6204809882 Enrollment ID: I20180110002363 |
| Provider Name | Virag Y Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700834140 PECOS PAC ID: 8123090859 Enrollment ID: I20190826001658 |
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