| Ultimate Integrated Patient Care Pllc | |
|
3225 N 75th St Suite 125 Scottsdale AZ 85251-6909 | |
| (480) 718-5986 | |
| Not Available |
| Full Name | Ultimate Integrated Patient Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3225 N 75th St, Scottsdale, Arizona |
| Authorized Official Name and Position | Valarie Grogan (PHYSICIAN) |
| Authorized Official Contact | 4807185986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Integrated Patient Care Pllc 3225 N 75th St Suite 125 Scottsdale AZ 85251-6909 Ph: (480) 718-5986 | Ultimate Integrated Patient Care Pllc 3225 N 75th St Suite 125 Scottsdale AZ 85251-6909 Ph: (480) 718-5986 |
| NPI Number | 1376085597 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 9234569120 |
|---|---|
| Medicare Enrollment ID | O20200416001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376085597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Secondary |
| Provider Name | Valarie C Grogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912085655 PECOS PAC ID: 5698673663 Enrollment ID: I20091002000384 |
| Provider Name | Sara L Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891176533 PECOS PAC ID: 2860701018 Enrollment ID: I20151029000521 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
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