| Az Wound | |
|
1450 S Dobson Rd Ste B122 Mesa AZ 85202-4741 | |
| (480) 580-2001 | |
| Not Available |
| Full Name | Az Wound |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 S Dobson Rd Ste B122, Mesa, Arizona |
| Authorized Official Name and Position | Yadwinder Singh Dhillon (CEO) |
| Authorized Official Contact | 6023144432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Wound 1450 S Dobson Rd Ste B122 Mesa AZ 85202-4741 Ph: (602) 314-4432 | Az Wound 1450 S Dobson Rd Ste B122 Mesa AZ 85202-4741 Ph: (480) 580-2001 |
| NPI Number | 1295964781 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 7113070269 |
|---|---|
| Medicare Enrollment ID | O20090806000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295964781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Yadwinder S Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609052430 PECOS PAC ID: 2668525700 Enrollment ID: I20090806000496 |
| Provider Name | Natalie Barbara Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457701732 PECOS PAC ID: 4385922384 Enrollment ID: I20161026000929 |
| Provider Name | Kelly Lapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856803 PECOS PAC ID: 6305103797 Enrollment ID: I20171120000626 |
| Provider Name | Ashley Blair Forester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047520 PECOS PAC ID: 1355691601 Enrollment ID: I20180906002000 |
| Provider Name | Christopher Sheena |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841532421 PECOS PAC ID: 7416241930 Enrollment ID: I20190315002279 |
| Provider Name | Leobardo E Carranza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790156768 PECOS PAC ID: 5698015956 Enrollment ID: I20190322001747 |
| Provider Name | Jessica Jean Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174238018 PECOS PAC ID: 3072987965 Enrollment ID: I20230315002548 |
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