| Umbrella Medical LLC | |
|
1728 W Glendale Ave Ste 100 Phoenix AZ 85021-8862 | |
| (623) 299-8251 | |
| Not Available |
| Full Name | Umbrella Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1728 W Glendale Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Mohamed Khalil (CEO) |
| Authorized Official Contact | 6023691823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Medical LLC 7142 N 17th Dr Phoenix AZ 85021-8539 | Umbrella Medical LLC 1728 W Glendale Ave Ste 100 Phoenix AZ 85021-8862 Ph: (623) 299-8251 |
| NPI Number | 1861202335 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Medicare PECOS PAC ID | 4183147077 |
|---|---|
| Medicare Enrollment ID | O20250401002667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861202335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
| Provider Name | John D Lewis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255386413 PECOS PAC ID: 2769440643 Enrollment ID: I20041222000869 |
| Provider Name | Amy N Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548609530 PECOS PAC ID: 6608010772 Enrollment ID: I20130912000125 |
| Provider Name | Theresa Jill Fryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871917161 PECOS PAC ID: 9537581160 Enrollment ID: I20200626001193 |
| Provider Name | Breenecia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306324769 PECOS PAC ID: 9436559614 Enrollment ID: I20210609001378 |
| Provider Name | Kristin Victoria Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477155018 PECOS PAC ID: 5395147417 Enrollment ID: I20210713000849 |
| Provider Name | Dragana Vojvodic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832635 PECOS PAC ID: 0244750842 Enrollment ID: I20250226002271 |
| Provider Name | Yvette Ako Lindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053152413 PECOS PAC ID: 1951821370 Enrollment ID: I20250227003560 |
| Provider Name | Heather Ann Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457930794 PECOS PAC ID: 2062995137 Enrollment ID: I20260317002098 |
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