| Triad Medical Group | |
|
4729 E Sunrise Dr #126 Tucson AZ 85718-4534 | |
| (520) 258-8950 | |
| (520) 615-7802 |
| Full Name | Triad Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4729 E Sunrise Dr, Tucson, Arizona |
| Authorized Official Name and Position | William D Martz (PRESIDENT) |
| Authorized Official Contact | 5202588950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Medical Group 4729 E Sunrise Dr #126 Tucson AZ 85718-4534 Ph: (520) 258-8950 | Triad Medical Group 4729 E Sunrise Dr #126 Tucson AZ 85718-4534 Ph: (520) 258-8950 |
| NPI Number | 1679593131 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 4486659604 |
|---|---|
| Medicare Enrollment ID | O20060921000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679593131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003803461 PECOS PAC ID: 8224026513 Enrollment ID: I20040505000175 |
| Provider Name | David W Beal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831110477 PECOS PAC ID: 0244132488 Enrollment ID: I20050304000508 |
| Provider Name | Joel Moncivaiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699811588 PECOS PAC ID: 8921047317 Enrollment ID: I20050426000481 |
| Provider Name | William D Martz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215950027 PECOS PAC ID: 7517906217 Enrollment ID: I20050502001282 |
| Provider Name | Debra E Stamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619001492 PECOS PAC ID: 6103923156 Enrollment ID: I20070525000356 |
| Provider Name | Rachel C Fullington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902922875 PECOS PAC ID: 3870669120 Enrollment ID: I20080910000281 |
| Provider Name | Janet G Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750619276 PECOS PAC ID: 1254468887 Enrollment ID: I20100429000947 |
| Provider Name | Ana M Ben Shabat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770812331 PECOS PAC ID: 6800928599 Enrollment ID: I20100715000519 |
| Provider Name | Lucia Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902135858 PECOS PAC ID: 2062609290 Enrollment ID: I20101214000264 |
| Provider Name | Francisco J Carrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215290267 PECOS PAC ID: 6305093907 Enrollment ID: I20120905000217 |
| Provider Name | Heidi S Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316033103 PECOS PAC ID: 4486749710 Enrollment ID: I20121022000482 |
| Provider Name | April J Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710270848 PECOS PAC ID: 6204072127 Enrollment ID: I20130422000069 |
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Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
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