| Total Medical Care, LLC | |
|
5048 W. Northern Avenue Suite 106 Glendale AZ 85301 | |
| (623) 435-0190 | |
| (623) 435-0193 |
| Full Name | Total Medical Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5048 W. Northern Avenue, Glendale, Arizona |
| Authorized Official Name and Position | Ahmad Z. Qasimyar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7036283149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Medical Care, LLC 5048 W Northern Ave Ste 106 Glendale AZ 85301-1558 Ph: (623) 435-0190 | Total Medical Care, LLC 5048 W. Northern Avenue Suite 106 Glendale AZ 85301 Ph: (623) 435-0190 |
| NPI Number | 1639306731 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 2860538790 |
|---|---|
| Medicare Enrollment ID | O20091007000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639306731 | NPI | - | NPPES |
| 441696 | Medicaid | AZ | |
| 823215 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (NU) | Secondary |
| Provider Name | Valerie a Brodsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720049117 PECOS PAC ID: 6204824691 Enrollment ID: I20051104000573 |
| Provider Name | Scott R Owen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265614275 PECOS PAC ID: 3678663812 Enrollment ID: I20071212000284 |
| Provider Name | Ahmad Z Qasimyar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366546665 PECOS PAC ID: 6103880281 Enrollment ID: I20091007000330 |
| Provider Name | Lisa M Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245342930 PECOS PAC ID: 5597802736 Enrollment ID: I20091021000261 |
| Provider Name | Nathan W Rousu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386894517 PECOS PAC ID: 8729126941 Enrollment ID: I20091109000624 |
| Provider Name | Joanne K Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427457878 PECOS PAC ID: 8729301924 Enrollment ID: I20141218002593 |
| Provider Name | Romelda L Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083018345 PECOS PAC ID: 6002130614 Enrollment ID: I20150129002597 |
| Provider Name | Gina Suzanne Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063524791 PECOS PAC ID: 9436257201 Enrollment ID: I20150807015686 |
| Provider Name | Jeannie Kosint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154615 PECOS PAC ID: 9234431297 Enrollment ID: I20160107001381 |
| Provider Name | Laura B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476520 PECOS PAC ID: 8628346459 Enrollment ID: I20170619002332 |
| Provider Name | Cara L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407280183 PECOS PAC ID: 5395068472 Enrollment ID: I20170718000876 |
| Provider Name | Patricia I Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
| Provider Name | Rochelle Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598235269 PECOS PAC ID: 2466790274 Enrollment ID: I20190220001404 |
| Provider Name | Emma R Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053971796 PECOS PAC ID: 5092045104 Enrollment ID: I20191002001519 |
| Provider Name | Steven Joel Schlink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699390039 PECOS PAC ID: 1850714544 Enrollment ID: I20200714002045 |
| Provider Name | Taylor Piontek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912554817 PECOS PAC ID: 7517385875 Enrollment ID: I20200914002879 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
| Provider Name | Kristine Malcomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609457027 PECOS PAC ID: 7810396728 Enrollment ID: I20210526001515 |
| Provider Name | Anabil Frisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124700463 PECOS PAC ID: 3476917758 Enrollment ID: I20230920000482 |
| Provider Name | Shirlee Mae Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264436 PECOS PAC ID: 0941640262 Enrollment ID: I20240502002797 |
| Provider Name | Shiara P Espiritu Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558143099 PECOS PAC ID: 2466997473 Enrollment ID: I20240715002485 |
| Provider Name | Natalie C Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235024308 PECOS PAC ID: 6608389838 Enrollment ID: I20250701002767 |
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