| Zion Medical Group Pllc | |
|
3800 S Alma School Rd Suite 112 Chandler AZ 85248-4499 | |
| (480) 907-7707 | |
| (480) 907-7097 |
| Full Name | Zion Medical Group Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 3800 S Alma School Rd, Chandler, Arizona |
| Authorized Official Name and Position | Obinna Egbo (SOLE MEMBER) |
| Authorized Official Contact | 4809077707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Medical Group Pllc Po Box 11773 Chandler AZ 85248-0013 Ph: (480) 907-7707 | Zion Medical Group Pllc 3800 S Alma School Rd Suite 112 Chandler AZ 85248-4499 Ph: (480) 907-7707 |
| NPI Number | 1184049322 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 11/05/2015 |
| Medicare PECOS PAC ID | 1355566464 |
|---|---|
| Medicare Enrollment ID | O20140703001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184049322 | NPI | - | NPPES |
| 905950 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Abraham Owusu Dommey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457311367 PECOS PAC ID: 4880681865 Enrollment ID: I20040430000025 |
| Provider Name | Ngozi A Osondu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598778177 PECOS PAC ID: 3476540519 Enrollment ID: I20040501000180 |
| Provider Name | Rajan Gaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720047590 PECOS PAC ID: 6608847397 Enrollment ID: I20040805000131 |
| Provider Name | Deepa P Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750365094 PECOS PAC ID: 0648242735 Enrollment ID: I20040810000149 |
| Provider Name | Sai L Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437123593 PECOS PAC ID: 7911950969 Enrollment ID: I20050302000162 |
| Provider Name | Obinna P Egbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992768378 PECOS PAC ID: 4587604517 Enrollment ID: I20050509000794 |
| Provider Name | Chinwe J Egbo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447213822 PECOS PAC ID: 4789624735 Enrollment ID: I20050509000972 |
| Provider Name | Latrecia M Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215923453 PECOS PAC ID: 7911932744 Enrollment ID: I20050930000093 |
| Provider Name | Vipul D Ganatra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093769689 PECOS PAC ID: 0941203384 Enrollment ID: I20060824000397 |
| Provider Name | Charles C Otuonye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265444913 PECOS PAC ID: 3870598170 Enrollment ID: I20060920000130 |
| Provider Name | Karla C Lamley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932293495 PECOS PAC ID: 7012018666 Enrollment ID: I20070726000132 |
| Provider Name | Veronica Torres Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790976876 PECOS PAC ID: 1355434531 Enrollment ID: I20070904000421 |
| Provider Name | Tammy L Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881888972 PECOS PAC ID: 4385732239 Enrollment ID: I20071112000087 |
| Provider Name | Rajnikanth Ravula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306028303 PECOS PAC ID: 3678648805 Enrollment ID: I20080821000583 |
| Provider Name | Shireen Jindani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285810598 PECOS PAC ID: 5991863235 Enrollment ID: I20081015000395 |
| Provider Name | Nagaraju Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639168487 PECOS PAC ID: 6002976099 Enrollment ID: I20081125000134 |
| Provider Name | Heather M Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699916973 PECOS PAC ID: 0749330306 Enrollment ID: I20090603000130 |
| Provider Name | David W Quick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841316569 PECOS PAC ID: 2668527516 Enrollment ID: I20090828000573 |
| Provider Name | Vicente Figueroa-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689898611 PECOS PAC ID: 7416136601 Enrollment ID: I20110119001374 |
| Provider Name | Smita Patil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942409453 PECOS PAC ID: 4981797883 Enrollment ID: I20110412000460 |
| Provider Name | Manju Krishnamenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366733560 PECOS PAC ID: 2769650662 Enrollment ID: I20110720000378 |
| Provider Name | Harshad S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265472757 PECOS PAC ID: 7911999420 Enrollment ID: I20120409000505 |
| Provider Name | Chukwuemeka E Oji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114909 PECOS PAC ID: 1254500630 Enrollment ID: I20130128000551 |
| Provider Name | Jaime F Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861739856 PECOS PAC ID: 8325284201 Enrollment ID: I20130419000223 |
| Provider Name | Mehran Darzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370695 PECOS PAC ID: 1759528763 Enrollment ID: I20130511000065 |
| Provider Name | Pierrette Tantchou Dsamou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066049 PECOS PAC ID: 0446493563 Enrollment ID: I20130821000301 |
| Provider Name | Esther Ndegwa-wanje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124442157 PECOS PAC ID: 8820211824 Enrollment ID: I20140520001592 |
| Provider Name | Himmat Mal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962613182 PECOS PAC ID: 0244390722 Enrollment ID: I20141010000900 |
| Provider Name | Peter Teboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083000327 PECOS PAC ID: 6901119593 Enrollment ID: I20150727000732 |
| Provider Name | Rachel M Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067969 PECOS PAC ID: 0042510687 Enrollment ID: I20151203001327 |
| Provider Name | Janet L James-melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649637729 PECOS PAC ID: 6002112927 Enrollment ID: I20160302001859 |
| Provider Name | Edward William Vanwoesik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891155875 PECOS PAC ID: 6406145473 Enrollment ID: I20160513001269 |
| Provider Name | James Willis Buckner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699068387 PECOS PAC ID: 8628363587 Enrollment ID: I20160817001780 |
| Provider Name | Shima Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295122307 PECOS PAC ID: 9739494105 Enrollment ID: I20160902000238 |
| Provider Name | Todd M Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659823334 PECOS PAC ID: 6103107180 Enrollment ID: I20170105001729 |
| Provider Name | Jasmin Stefani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831436922 PECOS PAC ID: 3971892563 Enrollment ID: I20170302002173 |
| Provider Name | Sripriya D Sidh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619044690 PECOS PAC ID: 4486654290 Enrollment ID: I20170713001592 |
| Provider Name | Ridhima Dabas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858217 PECOS PAC ID: 6507015658 Enrollment ID: I20170725003441 |
| Provider Name | Ghassan Kabbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730596040 PECOS PAC ID: 1759653710 Enrollment ID: I20170825001076 |
| Provider Name | Linda Bazalaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851800338 PECOS PAC ID: 1153696414 Enrollment ID: I20171012001518 |
| Provider Name | Shu Ting Kung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706705 PECOS PAC ID: 1355654567 Enrollment ID: I20180611002971 |
| Provider Name | Joseph T Bergerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658369 PECOS PAC ID: 6406073659 Enrollment ID: I20180719001158 |
| Provider Name | Geraldine M Casino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669850954 PECOS PAC ID: 3173874146 Enrollment ID: I20181002000631 |
| Provider Name | Matthew Reed Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194110965 PECOS PAC ID: 8224343322 Enrollment ID: I20181024002718 |
| Provider Name | Elizabeth Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720587728 PECOS PAC ID: 6709120470 Enrollment ID: I20181206001748 |
| Provider Name | Rachel Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033622683 PECOS PAC ID: 3476897018 Enrollment ID: I20181207001653 |
| Provider Name | Sean Michael Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962852657 PECOS PAC ID: 2769735109 Enrollment ID: I20190910000880 |
| Provider Name | Felecia Y Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962058818 PECOS PAC ID: 1355773219 Enrollment ID: I20191114000345 |
| Provider Name | Darna Khav Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841866860 PECOS PAC ID: 7113322058 Enrollment ID: I20210816002914 |
| Provider Name | Christine Konkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821769829 PECOS PAC ID: 3476942996 Enrollment ID: I20211122002267 |
| Provider Name | Matilda K. Koyilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598483646 PECOS PAC ID: 9739555673 Enrollment ID: I20221115002270 |
| Provider Name | Sarah E Bahsas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013476159 PECOS PAC ID: 5193198661 Enrollment ID: I20230302002782 |
| Provider Name | Ashley Brooke Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922792191 PECOS PAC ID: 3173977014 Enrollment ID: I20230927001189 |
| Provider Name | Natsai L Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134308141 PECOS PAC ID: 5193807600 Enrollment ID: I20231003000937 |
| Provider Name | Pamela Ann Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881309045 PECOS PAC ID: 5799222683 Enrollment ID: I20240809000858 |
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