| Siren Medical Pc | |
|
14631 N Cave Creek Rd Ste 104 Phoenix AZ 85022-4100 | |
| (623) 624-7425 | |
| (623) 624-7158 |
| Full Name | Siren Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14631 N Cave Creek Rd Ste 104, Phoenix, Arizona |
| Authorized Official Name and Position | John Geiss (OWNER) |
| Authorized Official Contact | 6239860500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siren Medical Pc Po Box 6135 Sun City West AZ 85376-6135 Ph: (623) 624-7425 | Siren Medical Pc 14631 N Cave Creek Rd Ste 104 Phoenix AZ 85022-4100 Ph: (623) 624-7425 |
| NPI Number | 1073148326 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 04/25/2025 |
| Medicare PECOS PAC ID | 6608298419 |
|---|---|
| Medicare Enrollment ID | O20200624002619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073148326 | NPI | - | NPPES |
| Provider Name | Catherine Lacourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942232988 PECOS PAC ID: 8123080637 Enrollment ID: I20050923000304 |
| Provider Name | Leanne J Koleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209392 PECOS PAC ID: 0840328852 Enrollment ID: I20100512000978 |
| Provider Name | Nicole Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497066 PECOS PAC ID: 0042576175 Enrollment ID: I20171106003166 |
| Provider Name | Myungran Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639687684 PECOS PAC ID: 8921358086 Enrollment ID: I20180911001913 |
| Provider Name | Nicole Marie Musabelliu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457772311 PECOS PAC ID: 8628297900 Enrollment ID: I20191025001818 |
| Provider Name | Eunmee Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981593 PECOS PAC ID: 0749613065 Enrollment ID: I20191127000654 |
| Provider Name | Renee Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946071 PECOS PAC ID: 6002242351 Enrollment ID: I20200204002016 |
| Provider Name | Mikaela Ariel Deans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109746 PECOS PAC ID: 1153715586 Enrollment ID: I20220301002589 |
| Provider Name | Katherine Priscilla Garfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922717255 PECOS PAC ID: 2567834005 Enrollment ID: I20230210000571 |
| Provider Name | Micah Ruben Ruybalid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619695277 PECOS PAC ID: 7911370127 Enrollment ID: I20230308001468 |
| Provider Name | Kari Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568159226 PECOS PAC ID: 0345697330 Enrollment ID: I20231113003350 |
| Provider Name | Teryn Lies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558141796 PECOS PAC ID: 0446691067 Enrollment ID: I20240514003389 |
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