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Provider Directory Directorio de proveedores Arizona Central (Gila and Pinal counties) Central (condados de Gila y Pinal) Directory of Physicians and Other Health Care Professionals Directorio de médicos y proveedores de atenci ón médica For members enrolled in: / Para los miembros inscritos en: AHCCCS Complete Care (Medicaid + CRS Fully Integrated + CRS Partially Integrated) Member Services / Servicios para Miembros 1-800-348-4058, TTY 711 CSAZ19MC4476044_001 1/8/2020 CSAZ.18.999.01.9.017

Provider Directory - uhccommunityplan.com · Provider Directory Directorio de proveedores Arizona – Central (Gila and Pinal counties) Central (condados de Gila y Pinal) Directory

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Page 1: Provider Directory - uhccommunityplan.com · Provider Directory Directorio de proveedores Arizona – Central (Gila and Pinal counties) Central (condados de Gila y Pinal) Directory

Provider DirectoryDirectorio de proveedores

Arizona – Central (Gila and Pinal counties)

Central (condados de Gila y Pinal)

Directory of Physicians and Other Health Care Professionals

Directorio de médicos y proveedores de atención médica

For members enrolled in: / Para los miembros inscritos en:

AHCCCS Complete Care (Medicaid + CRS Fully Integrated + CRS Partially Integrated)

Member Services / Servicios para Miembros

1-800-348-4058, TTY 711

CSAZ19MC4476044_001

1/8/2020

CSAZ.18.999.01.9.017

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We care about you and

your family's health.

UnitedHealthcare Community Plan partners with Arizona Health Care

Cost Containment System (AHCCCS), Arizona Department of Health

Services (ADHS) and Department of Economic Security (DES) to offer

many different health plans.

We've been here since 1982. You first knew us as Arizona Physicians IPA.

Now we're UnitedHealthcare Community Plan. Over the years, the names

of some of our plans have changed. But one thing never changes. That's

our promise to help you get access to the care you need.

UnitedHealthcare Commmunity Plan does not discriminate on the basis

of race, color, religion, sex, sexual orientation, age, disability, national

origin, veteran status, ancestry, health status or the need for, or cost of,

health services.

UHCCommunityPlan.com

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Welcome to UnitedHealthcare Community Plan

Finding a Provider

This directory will help you find doctors and specialists in your area who participate with

UnitedHealthcare Community Plan. It also lists the names and addresses of hospitals, pharmacies

and dentists you should use, if you need those services.

You can also find a current list of network providers on our website at UHCCommunityPlan.com.

To choose or change your Primary Care Provider (PCP) call Member Services at the number below

and let us know. (Sometimes doctors may not accept new patients. If that's the case, we can help you

make another selection.)

Providers listed in this directory are current as of the date listed on the cover.

Information is subject to change.

Choosing a Primary Care Provider (PCP) for you and your family is easy

There are several types of PCPs listed in this directory.

Family General Practice: Adults and Children

Internal Medicine: Adults

Pediatrician: Children

Primary Care Providers

Member Services 1-800-348-4058, TTY 711

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Your health care is important to us. We carefully screen and pick our doctors so you receive the

best care. When you enroll, you will be assigned a Primary Care Physician (PCP). Your PCP is your

personal care doctor. Your PCP will provide or arrange the covered services you need. Make sure

you talk to your PCP about any health problems you have. That way, your PCP gets to know you

and your medical history. Always follow your PCP's instructions and get approval before you get

any medical services. If you are pregnant you may choose your Primary Care Obstetrician (PCO)

as your primary physician.

Changing Your PCP

Your PCP is an important part of your health care team. You and your PCP need to work together.

If for any reason you want to change your PCP, call Member Services. If you change your PCP, you

must choose another PCP from the UnitedHealthcare Community Plan Provider Directory. We can

help you choose a new PCP or tell you more about the PCPs in our network. If you are pregnant,

contact Healthy First Steps at 1-800-599-5985. Member Services can send you a list of our providers

at no cost to you. If your PCP does not speak your language, call Member Services. UnitedHealthcare

Community Plan will provide you with an interpreter at no cost to you.

Seeing a Specialist

Your PCP is in charge of ALL your covered health care needs. If you need specialty care, your PCP

may refer you to a specialist or another doctor. There are four exceptions to this:

• Members with special health care needs may directly access a specialist as appropriate

for the condition and identified needs. Preventive services are covered including well exams

and screenings.

• Women can make an appointment with an in-network Obstetrician/Gynecologist (OB/GYN) for

preventive or routine services without a referral from their PCP. (Please see the UnitedHealthcare

Community Plan Provider Directory for a list of doctors).

• All members can self-refer for behavioral health services. Your ID card has a phone number to

access behavioral health and substance abuse services.

• Members under 21 years of age can self-refer for dental and vision screenings.

Your Primary Care Physician (PCP)

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How to Use This Directory

This directory will help you find doctors and specialists in your area who participate with UnitedHealthcare Community Plan.

Check your member ID card to confirm the program/plan you are enrolled in. Your ID card is your

key to getting health care services. It has your ID number, your name, and other important information.

Your ID card identifies you as a UnitedHealthcare Community Plan member. Your ID card has a

phone number to access behavioral health and substance abuse services. Services are assigned

to a provider based on where you live. If you have questions or need help getting behavioral health

services, please call the number on your card.

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Sample Provider Listing

1

3

4

2

Board Certification Board certification shows a physician's expert knowledge in a medical

specialty. Certification involves a process of testing and evaluation by specialists in the specific

area of medicine. A board-certified specialist participates in continuing education to learn about

the latest advances in medical science and technology in his/her specialty. You can check the

provider's board certifications on the American Board of Medical Specialists (ABMS) website.

Go to www.abms.org and click on “Is Your Doctor Certified?”

Languages other than English spoken

by the provider.

Limitations of the practice, such as

age restrictions or the inability to

accept new patients.

Wheelchair picture tells you the

provider is wheelchair-accessible.

All of the information in these provider listings is based upon the provider's application.

UnitedHealthcare checks this information when these providers join our network and every three

years (or sooner) when the provider is re-credentialed.

This chart will help you understand

each doctor's listing

Listing Example

Group Affiliation Family Practice

Medical Associates

Group Address 123 Main Street

Health Valley, AZ 54321

Provider Name John Smith, MD

Provider

Phone Number

555-555-5555

Provider Gender Male

1 Board Certification Family

Office Hours M 9 a.m. – 5 p.m.

T 9 a.m. – 5 p.m.

W 9 a.m. – 5 p.m.

Th 9 a.m. – 5 p.m.

F 9 a.m. – 5 p.m.

2 Languages Spanish

3 Limitations Min. age 18 years old

Existing patients only

4

Description of Provider Listings

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This chart will help you understand

each hospital's listing

Listing Example

Hospital Name GoodCare Hospital

Hospital Phone Number 222-123-4567

Hospital Address 627 South Wellness Street

Health Valley, AZ 54321

Accreditation Accredited By: The Joint

Commission (Accredited)

Sample Hospital Listing

Accreditation shows that the hospital has been evaluated by experts in hospital care. An accredited

hospital must participate in ongoing reviews to make sure that its operations are up to the latest

standards. Please see below for the possible rankings.

The Joint Commission is one entity that accredits hospitals. The following ratings are possible:

• Accredited: The hospital was in compliance with all standards when surveyed or within 90 days

of the survey.

• Preliminary Accreditation: The hospital passed a brief review of its compliance with the Joint

Commission's standards and will be surveyed more fully shortly.

• Conditional Accreditation: The hospital complies with some, but not all, of the Joint

Commission's standards, but will be surveyed more fully shortly.

• Provisional Accreditation: The hospital was not able to address all of the requirements for

improvement that the first survey suggested within 45 days, or the hospital failed to show that it

has been able to sustain compliance.

Accreditation can also be granted by the American Osteopathic Association (AOA), in which case the

listing will read, “Accreditation: AOA (Accredited).”

All of the information in these provider listings is based upon the provider's application.

UnitedHealthcare checks this information when these providers join our network and every three

years (or sooner) when the provider is re-credentialed.

Description of Hospital Listings

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Multispecialty Interdisciplinary Clinics (MSIC)

A Multispecialty Interdisciplinary Clinic (MSIC) may be chosen as your or your child's assigned health

home. At the MSIC, you and your family can meet face-to-face with your care team to get medical

care, behavioral health care services and be a part of your care plan development. Each MSIC is

open from 8 a.m. to 5 p.m. Monday through Friday.

MSICs are at the following locations:

DMG Children's Rehabilitative Services

3141 N 3rd Avenue

Phoenix, AZ 85013

602-914-1520

1-855-598-1871

www.dmgcrs.org

Children's Clinics

Square & Compass Building

2600 North Wyatt Drive

Tucson, AZ 85712

520-324-5437

1-800-231-8261, ext. 45437

www.childrensclinics.org

Children's Rehabilitative Services

1200 North Beaver

Flagstaff, AZ 86001

928-773-2054

1-800-232-1018

www.flagstaffmedicalcenter.com

Children's Rehabilitative Services

Tuscany Medical Plaza

2851 S Avenue B, Bld 25, #2504

Yuma, AZ 85364

928-336-2777

1-800-837-7309

www.yumaregional.org

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Behavioral Health Services

We are concerned about how you feel. Behavioral health services can help you with personal

problems that may affect you and/or your family. These problems may be stress, depression, anxiety

or using drugs or alcohol.

Your ID card has a phone number to access behavioral health and substance abuse services.

Services are assigned to a provider based on where you live. If you have questions or need help

getting behavioral health services, please call the number on your card.

What if I have a behavioral health crisis?

If you are experiencing a behavioral health crisis, it is important to get help right away. If you are

experiencing a behavioral health crisis, your ID card has a phone number to access behavioral health

and substance abuse services. If you have questions or need help getting behavioral health services,

please call the number on your card. All members are covered for behavioral health services in a crisis

or emergency situation.

Crisis Hotlines:

If you are experiencing a behavioral health crisis call one of the phone numbers below that matches

the county you live in.

Crisis Hotlines by County:

Phone:

Maricopa County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-631-1314 or 602-222-9444

Cochise, Graham, Greenlee, La Paz, Pima, Pinal,

Santa Cruz and Yuma Counties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-866-495-6735

Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties . . . . . . . . . . . . 1-877-756-4090

Gila River and Ak-Chin Indian Communities . . . . . . . . . . . . . . . . . . . . . . . . . . .1-800-259-3449

Especially for Teens:

Teen Life Line phone or text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 602-248-TEEN (8336)

National 24-Hour Crisis Hotlines:

Phone:

National Suicide Prevention Lifeline . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-273-TALK (8255)

National Substance Use and Disorder Issues

Referral and Treatment Hotline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-662-HELP (4357)

Text the word . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . “HOME” to 741741

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A nosotros nos importa la salud

de usted y de su familia.

UnitedHealthcare Community Plan en asociación con el Sistema de

Control de Precios de los Cuidados para la Salud de Arizona (Arizona

Health Care Cost Containment System – AHCCCS), con los Servicios

de Salud de Arizona (Arizona Department of Health Services – ADHS)

y con el Departamento de Seguridad Económica (Department of

Economic Security – DES) ofrece muchos diferentes planes de salud.

Nosotros hemos estado presentes desde el año de 1982. Usted

primero nos conoció como Arizona Physicians IPA. Ahora nosotros

somos UnitedHealthcare Community Plan. A través de los años, los

nombres de algunos de nuestros planes han cambiado. Pero hay una

cosa que nunca cambia y es nuestra promesa para usted que siempre

reciba nuestra ayuda para obtener el acceso a los cuidados de salud

que necesite.

UnitedHealthcare Community Plan no discrimina a la hora de prestar

servicios de salud, independientemente de raza, color, religión, sexo,

orientación sexual, edad, discapacidad, nacionalidad, condición de

veterano, ascendencia, estado de salud o la necesidad de o costo de

servicios de salud.

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Bienvenido a UnitedHealthcare Community Plan

Para encontrar a un proveedor

Este directorio le ayudará a encontrar los médicos y especialistas de su área que participan con

UnitedHealthcare Community Plan. También detalla los nombres y las direcciones de los hospitales,

farmacias y dentistas que debe consultar si necesita esos servicios.

Usted puede encontrar una lista actualizada de proveedores en nuestra red, consultando la Internet

en nuestra dirección: UHCCommunityPlan.com.

Para escoger por primera vez o para cambiar a su Proveedor de Atención Primaria (PCP), déjenos

saberlo llamando al Servicios para Miembros al número abajo anotado. (En algunas ocasiones

algunos doctores no aceptan nuevos pacientes. Si ese es el caso, nosotros podemos ayudarle a

hacer otra selección.)

El directorio de proveedores está actualizado hasta la fecha que figura en la tapa.

La información está sujeta a cambios.

Elegir un proveedor de atención primaria (PCP) para usted y su familia es fácil

Hay varios tipos de PCP incluidos en este directorio.

Medicina general familiar: Adultos y niños

Medicina interna: Adultos

Pediatras: Niños

Proveedores de atención primaria

Servicios para Miembros al 1-800-348-4058, TTY 711

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Su salud es importante para nosotros. Nosotros investigamos y seleccionamos a nuestros doctores

para que usted reciba los mejores cuidados de salud. Cuando usted se inscribe, se le asignará un

Doctor de Atención Primaria (PCP). Su PCP es su doctor personal para darle los cuidados de salud.

Su PCP le proveerá o hará los arreglos para proveerle de los cuidados con cobertura que usted

necesita. Asegúrese de hablar con su PCP acerca de cualquier problema de salud que usted tenga.

En esa forma, su PCP empezará a conocerle a usted y a su historia médica. Siga siempre las

instrucciones de su PCP y obtenga la aprobación para recibir servicios médicos antes de obtenerlos.

Si está embarazada, usted puede escoger al doctor Ginecólogo-obstetra de Atención Primaria (PCO)

que le atiende y designarlo como su doctor principal.

Para cambiar su PCP

Su PCP es una importante parte de su equipo para los cuidados de salud. Usted y su PCP deben

trabajar en conjunto. Si hay una razón por la cual quiere cambiar de PCP, llame a Servicios para

Miembros. Si usted cambia de PCP, debe escoger a otro PCP consultando el Directorio de

Proveedores de UnitedHealthcare Community Plan. Nosotros podemos ayudarle a escoger a un

nuevo PCP o podemos informarle con más detalles acerca de los PCP en nuestra red. Si usted está

embarazada, contacte a Healthy First Steps (Primeros Pasos de Salud) al 1-800-599-5985. Los

Servicios para Miembros le pueden enviar gratuitamente la lista de proveedores. Si su PCP no habla

su idioma, llame a Servicios para Miembros. UnitedHealthcare Community Plan le facilitará los

servicios de un intérprete sin ningún costo para usted.

Para consultar con un especialista

Su PCP está a cargo de TODAS las necesidades acerca de los servicios para los cuidados de su

salud. Si usted necesita de cuidados de salud especiales, su PCP puede referirle a un especialista

o a otro doctor. Existen cuatro excepciones para lo anterior:

• Miembros con necesidades de salud especiales pueden tener acceso directamente a un

especialista que sea él apropiado para la condición que usted padezca y que pueda identificar

cuáles son las necesidades existentes. Se cubren servicios preventivos que incluyen exámenes

del bienestar y pruebas de laboratorio.

• Miembros del sexo femenino pueden hacer una cita con un Ginecólogo-Obstetra (OB/GYN)

para recibir servicios preventivos o de rutina sin necesitar una referencia de su PCP. (Para

obtener una lista de doctores, por favor consulte el Directorio de Proveedores de

UnitedHealthcare Community Plan).

• Todos los miembros pueden autorreferirse para servicios de salud conductual. Su tarjeta de

identificación tiene un número de teléfono para acceder a servicios de salud conductual y

abuso de sustancias.

• Los miembros menores de 21 años pueden auto-referirse para obtener pruebas o exámenes

dentales o de la visión.

Su Doctor de Atención Primaria (PCP)

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Cómo usar este directorio

Este directorio lo ayudará a encontrar médicos y especialistas en su área que participen con UnitedHealthcare Community Plan.

Consulte su tarjeta de identificación de miembro para confirmar el programa/plan en el que está

inscrito. Su tarjeta de identificación es la clave para obtener servicios de atención médica. Tiene

su número de identificación, su nombre y otra información importante. Su tarjeta de identificación

lo identifica como miembro de UnitedHealthcare Community Plan. Su tarjeta de identificación tiene

un número de teléfono para acceder a servicios de salud conductual y abuso de sustancias. Los

servicios se asignan a un proveedor según su lugar de residencia. Si tiene alguna pregunta o

necesita ayuda para obtener servicios de salud conductual, llame al número que figura en su tarjeta.

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Ejemplo de una lista de proveedores

1

3

4

2

Certificación de la junta médica: la certificación de la junta médica muestra el conocimiento

experto del médico en una especialidad médica. La certificación involucra un proceso de pruebas

y evaluaciones hechas por especialistas en un área médica específica. Un especialista certificado

por la junta médica participa continuamente en su educación para mantenerse al tanto de los

últimos avances de la ciencia médica y de la tecnología de su especialidad. Puede revisar las

certificaciones de la junta médica del proveedor en el sitio web de la Junta Americana de

Especialistas Médicos (American Board of Medical Specialists, ABMS). Visite www.abms.org

y haga clic en “Is Your Doctor Certified?” (“¿Está certificado su médico?”).

Idiomas que el proveedor puede

hablar además del inglés.

Las limitaciones de la práctica,

tales como restricciones de edad

o la imposibilidad de aceptar

nuevos pacientes.

La imagen de una silla de ruedas

le dice que ese proveedor tiene

accesos para silla de ruedas.

Toda la información que se encuentra en estas listas de proveedores depende de la solicitud de los

proveedores. UnitedHealthcare verifica esta información en el momento en que los proveedores se

unen a nuestra red y cada tres años (o menos) cuando el proveedor vuelve a ser acreditado.

Este cuadro le ayudará a comprender la lista

de cada médico

Listado Ejemplo

Afiliación del grupo Asociados médicos en

medicina familiar

Dirección del grupo 123 Main Street

Health Valley, AZ 54321

Nombre del proveedor John Smith, MD

Teléfono del proveedor 555-555-5555

Sexo del proveedor Masculino

1 Certificación de la

junta médica

Familia

Horarios de atención Lun. de 9 a.m. a 5 p.m.

Mar. de 9 a.m. a 5 p.m.

Mié. de 9 a.m. a 5 p.m.

Jue. de 9 a.m. a 5 p.m.

Vie. de 9 a.m. a 5 p.m.

2 Idiomas Español

3 Limitaciones Edad mínima de 18 años

Solo para pacientes existentes

4

Descripción de la lista de proveedores

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Este cuadro le ayudará a comprender la lista

de cada hospital

Listado Ejemplo

Nombre del hospital GoodCare Hospital

Número de teléfono

del hospital

222-123-4567

Dirección del hospital 627 South Wellness Street

Health Valley, AZ 54321

Acreditación Acreditado por: La Comisión

Conjunta (acreditada)

Ejemplo de lista de hospitales

La acreditación muestra que el hospital fue evaluado por expertos en atención hospitalaria. Un

hospital acreditado debe participar en los estudios continuos para asegurar que sus operaciones

cumplen con las normas más recientes. Revise las calificaciones posibles a continuación.

La Comisión Conjunta es una entidad que acredita a los hospitales. Las siguientes calificaciones

son posibles:

• Acreditado: El hospital estaba cumpliendo con todas las normas al momento de la revisión

o dentro de un lapso de 90 días de la misma.

• Acreditación preliminar: El hospital aprobó un breve estudio de su cumplimiento de acuerdo

con las normas de la Comisión Conjunta, y será revisado de manera más completa a la

brevedad.

• Acreditación condicional: El hospital cumple con algunas de las normas, pero no todas, de la

Comisión Conjunta, pero será revisado de manera más completa a la brevedad.

• Acreditación provisional: El hospital no pudo cumplir con todos los requisitos para mejorar

sugeridos en la primera revisión dentro de un lapso de 45 días, o el hospital no pudo demostrar

que fue capaz de mantener el cumplimiento.

La acreditación también puede ser otorgada por la Asociación Americana de Osteopatía (American

Osteopathic Association, AOA), en cuyo caso en el listado se leerá: “Acreditación: AOA (acreditado)”.

Toda la información que se encuentra en estas listas de proveedores depende de la solicitud de los

proveedores. UnitedHealthcare verifica esta información en el momento en que los proveedores se

unen a nuestra red y cada tres años (o menos) cuando el proveedor vuelve a ser acreditado.

Descripción de la lista de hospitales

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Clínicas Interdisciplinarias de Multi-Especialidad (Multispecialty Interdisciplinary Clinics – MSIC)

Una Clínica Interdisciplinaria de Multi-Especialidad (MSIC) puede ser elegida como su hogar de salud

asignado o el de su hijo(a). En la MSIC, usted y su familia pueden conocer personalmente al equipo

de cuidados médicos que le brindan sus cuidados de salud, los servicios para la salud conductual y

pueden también participar en el desarrollo de su plan de los cuidados para su salud. Todas las MSIC

están abiertos de las 8 a.m. a las 5 p.m. de lunes a viernes.

Las MSIC se localizan en las siguientes direcciones:

DMG Children's Rehabilitative Services

3141 N 3rd Avenue

Phoenix, AZ 85013

602-914-1520

1-855-598-1871

www.dmgcrs.org

Children's Clinics

Square & Compass Building

2600 North Wyatt Drive

Tucson, AZ 85712

520-324-5437

1-800-231-8261, ext. 45437

www.childrensclinics.org

Children's Rehabilitative Services

1200 North Beaver

Flagstaff, AZ 86001

928-773-2054

1-800-232-1018

www.flagstaffmedicalcenter.com

Children's Rehabilitative Services

Tuscany Medical Plaza

2851 S Avenue B, Bld 25, #2504

Yuma, AZ 85364

928-336-2777

1-800-837-7309

www.yumaregional.org

UHCCommunityPlan.com

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Servicios para la Salud Conductual

A nosotros nos preocupa cómo se siente usted. Los servicios para la salud conductual pueden

ayudarle con los problemas personales que pueden afectarle a usted y/o a su familia. Estos

problemas pueden ser el estrés, la depresión, la ansiedad o por el uso de drogas o de alcohol.

Su tarjeta de identificación tiene un número de teléfono para contactar a los servicios de salud

conductual y los servicios para el abuso de substancias. Los servicios son asignados a un proveedor

de acuerdo al área en que usted vive. Si usted tiene cualquier pregunta o necesita ayuda para

obtener servicios para la salud conductual, por favor llame al número anotado en su tarjeta.

¿Qué pasa si yo tengo una crisis con la salud conductual?

Si usted está experimentando una crisis de salud conductual, es importante que busque ayuda de

inmediato. Si usted está experimentando una crisis de salud conductual, su tarjeta de identificación

tiene un número de teléfono para acceder a los servicios de salud conductual y abuso de sustancias.

Si tiene alguna pregunta o necesita ayuda para obtener servicios de salud conductual, llame al

número que figura en su tarjeta. Todos los miembros están cubiertos por servicios de salud

conductual en una situación de crisis o emergencia.

Líneas directas de crisis:

Si está experimentando una crisis de salud conductual, llame a uno de los números de teléfono que

figuran a continuación que coincida con el condado en el que vive.

Líneas directas de crisis por condado:

Teléfono:

Condado de Maricopa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-631-1314 o 602-222-9444

Condados de Cochise, Graham, Greenlee, La Paz,

Pima, Pinal, Santa Cruz y Yuma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-866-495-6735

Condados de Apache, Coconino, Gila, Mohave, Navajo y Yavapai . . . . . . . . . . . 1-877-756-4090

Comunidades Indígenas de Gila River y Ak-Chin . . . . . . . . . . . . . . . . . . . . . . . .1-800-259-3449

Especialmente para adolescentes:

Teléfono o texto de Teen Life Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 602-248-TEEN (8336)

Líneas directas nacionales de crisis las 24 horas:

Teléfono:

Línea de alerta nacional para la prevención del suicidio . . . . . . . . . . . . . 1-800-273-TALK (8255)

Temas nacionales de uso y desorden de sustancias

Línea de referencia y tratamiento . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-662-HELP (4357)

Envíe un texto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . “HOME” al 741741

UHCCommunityPlan.com

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UnitedHealthcare Community Plan does not treat members differently because of sex, age, race,

color, disability or national origin.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin,

you can send a complaint to:

Civil Rights Coordinator

UnitedHealthcare Civil Rights Grievance

P.O. Box 30608

Salt Lake City, UTAH 84130

[email protected]

You must send the complaint within 60 calendar days of when you found out about it. A decision

will be sent to you within 30 calendar days. If you disagree with the decision, you have 15 calendar

days to ask us to look at it again.

If you need help with your complaint, please call Member Services at 1-800-293-3740, TTY 711,

Monday through Friday, 8:00 a.m. to 5:00 p.m.

You can also file a complaint with the U.S. Dept. of Health and Human Services.

Online:

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Complaint forms are available at

http://www.hhs.gov/ocr/office/file/index.html

Phone:

Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)

Mail:

U.S. Dept. of Health and Human Services

200 Independence Avenue SW

Room 509F, HHH Building

Washington, D.C. 20201

If you need help with your complaint, please call Member Services at 1-800-293-3740, TTY 711.

Services to help you communicate with us are provided at no cost

to members, such as other languages or large print. Or, you can ask

for an interpreter. To ask for help, please call Member Services at

1-800-293-3740, TTY 711, Monday through Friday, 8:00 a.m. to

5:00 p.m.

CSAZ15MC4033073_002

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UnitedHealthcare Community Plan no da un tratamiento diferente a sus miembros en base a

su sexo, edad, raza, color, discapacidad u origen nacional.

Si usted piensa que ha sido tratado injustamente por razones como su sexo, edad, raza, color,

discapacidad u origen nacional, puede enviar una queja a:

Civil Rights Coordinator

UnitedHealthcare Civil Rights Grievance

P.O. Box 30608

Salt Lake City, UTAH 84130

[email protected]

Usted tiene que enviar la queja dentro de los 60 días de la fecha cuando se enteró de ella. Se le

enviará la decisión en un plazo de 30 días. Si no está de acuerdo con la decisión, tiene 15 días

para solicitar que la consideremos de nuevo.

Si usted necesita ayuda con su queja, por favor llame al 1-800-293-3740, TTY 711, de lunes a viernes,

de 8:00 a.m. a 5:00 p.m.

Usted también puede presentar una queja con el Departamento de Salud y Servicios Humanos

de los Estados Unidos.

Internet:

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Formas para las quejas se encuentran disponibles en:

http://www.hhs.gov/ocr/office/file/index.html

Teléfono:

Llamada gratuita, 1-800-368-1019, 1-800-537-7697 (TDD)

Correo:

U.S. Department of Health and Human Services

200 Independence Avenue SW

Room 509F, HHH Building

Washington, D.C. 20201

Si necesita ayuda para presentar su queja, por favor llame a Servicios para Miembros al

1-800-293-3740, TTY 711.

Se proporcionan servicios para ayudarle a comunicarse con

nosotros, tales como otros idiomas o letra grande, sin costo para los

miembros. O bien, puede solicitar un intérprete. Para pedir ayuda,

por favor llame a Servicios para Miembros del 1-800-293-3740,

TTY 711, de lunes a viernes, de 8:00 a.m. a 5:00 p.m.

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National Vendors / Proveedores Nacionales..........................................................................................22

Multispecialty Interdisciplinary Clinic / Multi Especialidad Clinica Interdisciplinaria ..................29

Hospitals / Hospitales...............................................................................................................................31

Primary Care Providers / Proveedores De Cuidado Primario............................................................32

Specialists / Especialistas.........................................................................................................................52

Dental Providers / Proveedores De Servicios Dentales.......................................................................116

Nationwide Vision Providers / Proveedores De Nationwide Vision ..................................................117

Pharmacy / Farmacia ............................................................................................................................118

Ancillary Providers / Proveedores Auxiliares .....................................................................................120

Federally Qualified Health Care Agency/Rural Health Clinic / Agencia De Atención Médica Con

Certificación Federal/Clínica De Salud Rural ....................................................................................125

Primary Care Obstetricians / Obstetras De Atención Primaria .......................................................126

Behavioral Health Providers / Proveedores De Salud Mental...........................................................129

Behavioral Health Facilities / Servicios De Salud Mental..................................................................138

Index / Índice ..........................................................................................................................................140

Table Of Contents / Tabla de Contenido

IMPORTANT:

Providers listed in this directory are current as of January 8, 2020.

Information is subject to change.

Please contact Member Services at 1-800-348-4058 or (TTY/TDD 711).

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National Vendors The following national vendors are available to provide services to

UnitedHealthcare customers throughout the United States regardless of where you receive the

services.

Provider(s) Phone Number Website

Cardiac Diagnostic - Cardiac Monitoring Services

Preventice Services 1-888-747-1442 www.preventicesolutions.com/services/pr

eventice-services.html

Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips

CardioNet 1-888-312-2328 www.cardionet.com

Convenience Care Clinic

MinuteClinic 1-866-389-ASAP (2727) www.minuteclinic.com

The Little Clinic 1-877-852-2677 http://www.thelittleclinic.com

Walgreens Healthcare Clinic 1-866-825-3227 www.walgreens.com/topic/pharmacy/heal

thcare-clinic

Dialysis

Amercian Renal Associates

Inc. (ARA)

1-877-997-3625 www.americanrenal.com

DaVita Dialysis 1-866-475-7757 ext.

253706

www.davita.com

Dialysis Clinic, Inc See website www.dciinc.org

Fresenius Medical Care 1-866-434-2597 www.fmcna.com

DME - AED - wearable defibrillator

ZOLL Lifecore 1-800-543-3267 www.zoll.com

DME - Ambulatory Infusion Pumps

InfuSystem Inc 1-800-962-9656 www.infusystem.com

DME - Bone Growth Stimulator

Bioventus 1-800-396-4325 www.bioventusglobal.com

DJO 1-800-321-9549 www.djortho.com

EBI 1-800-526-2579 www.biomet.com

Orthofix 1-800-535-4492 www.orthofix.com

DME - Breast pump purchase

McKesson/Target Breast

Pump Program

1-855-406-7867 www.mckesson.com/providers/home-

care/mckesson-patient-care-solutions

Medline Industries 1-800-633-5463 www.medline.com

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Provider(s) Phone Number Website

DME - CPM/Continuous Passive Motion

Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com

DME - CPM/continuous passive motion, Thermocomp, TENS

Kinex Medical Company 1-800-845-6364 www.kinexmedical.com

DME - Diabetic insulin pump and pump supplies

Insulet Corporation 1-800-591-3455 www.myomnipod.com

MiniMed Distribution 1-877-576-6113 www.minimed.com

DME - Dynamic Splinting; Bracing & Orthotics

Dynasplint Systems 1-800-638-6771 www.dynasplint.com

DME - Home INR Monitor/test strips

Roche Diagnostics Corp 1-800-779-7616 www.coaguchek.com/coaguchek_patient/

en/home/products/how_to_get_a_coaguc

hek.html

DME - Incontinence, diapers, soft goods and wound care supplies

Medline Industries 1-800-633-5463 www.medline.com

DME - Mobility products - custom/complex power wheelchairs and seating systems

Numotion 1-888-232-1333 www.numotion.com

DME - Mobility products ­ custom/complex power wheelchairs and seating systems

National Seating & Mobility See website www.nsm-seating.com/findus

DME - Negative pressure wound pump and wound care surfaces

KCI USA 1-800-275-4524 www.kci1.com

DME - Orthotics and Prosthetics

Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com

DME - Pnuematic Compression Devices

Tactile Technology Systems 1-866-435-3948 www.tactilemedical.com

DME - POV and Power wheelchairs

Hoveround Corporation 1-888-225-1547 www.hoveround.com/MobilityNow

DME - Respiratory high frequency chest compression oscillation system (vest)

Advanced Respiratory 1-800-826-4224 www.thevest.com

Electromed 1-800-462-1045 www.smartvest.com

RespirTech 1-800-793-1261 www.respirtech.com

DME - Speech generating device

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Provider(s) Phone Number Website

Prentke Romich 1-800-268-5224 www.prentrom.com

Tobii Dynavox Systems 1-866-396-2869 www.dynavoxtech.com/tobii-dynavox

DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, home PT/INR, negative

pressure wound care, oxygen, respiratory

Lincare - may be known

locally by a different name;

refer to website

See website www.lincare.com

DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, negative pressure wound

care, oxygen, respiratory

Apria Healthcare 1-800-277-4288 www.apria.com

DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, oxygen, respiratory

Rotech Healthcare - may be

known locally by a different

name; refer to website

See website www.rotech.com

DME - TENS units

Electrostim Medical Services,

Inc

1-800-588-8383 www.wecontrolpain.com

Zynex Medical 1-800-495-6670 www.zynexmed.com

DME - Wound care supplies for residents of nursing homes

Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com

Hearing Aid Services - Hearing aid services / hearing testing, evaluation, hearing aid selection

and fitting

UnitedHealthcare Hearing 1-855-523-9355 TTY

711

www.uhchearing.com

Home Health

Heartland Healthcare

Services

1-800-736-4427 / 1-

419-252-5500

www.hcr-manorcare.com or

www.heartlandhomehealth.com

Innovative Senior Care See website www.brookdaleliving.com/Innovative-

senior-care.aspx

Maxim Health Care Services 1-800-899-9525 www.maximhomecare.com

Home Infusion - TPN, Enteral and Synagis

BioScrip Infusion Services 1-866-788-7710 www.bioscrip.com

Hospice - Home and inpatient

Heartland Healthcare

Services

1-800-736-4427 / 1-

419-252-5500

www.hcr-manorcare.com or

www.heartlandhomehealth.com

Laboratory - Anatomic pathology - including dermatopathology

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Provider(s) Phone Number Website

Bako Integrated Physician

Solutions

1-877-376-7284 www.bakocts.com

Laboratory - Anatomic pathology - including dermatopathology, gastroenterology,

genitourinary, hematology and gynecological pathology

AmeriPath 1-800-354-3449 www.ameripath.com

StrataDx Pathology 1-800-325-7284 www.stratadx.com

Laboratory - BRCA for breast & ovarian cancer; COLARIS for colon & endometrial cancer;

MELARIS for melanoma & pancreatic cancer; Theraguide 5-FU

Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com

Laboratory - Clinical

Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com

Laboratory - Clinical, pathology and genetic testing

ARUP Labs 1-800-522-2787 www.aruplab.com

Laboratory Corporation of

America

1-888-522-2677 (1-888-

LABCORP)

www.labcorp.com

Lineagen, Inc 1-801-931-6200 www.lineagen.com

Mayo Clinic Laboratories 1-800-533-1710 www.mayomedicallaboratories.com

Quest Diagnostics

Incorporated

See website www.questdiagnostics.com

Laboratory - Dialysis testing

Nationwide Laboratory

Services

1-888-377-3522 www.nationwidelab.com

Laboratory - Fecal DNA screening

Exact Sciences Laboratories 1-844-870-8870 www.cologuardtest.com

Laboratory - Genetic testing

Ambry Genetics 1-866-262-7943 www.ambrygen.com

GeneDx 1-301-519-2100 www.genedx.com

Natera, Inc 1-650-249-9090 www.natera.com

Laboratory - Genetic testing (OncotypeDx)

Genomic Health 1-888-662-6897 (1-888-

ONCOTYPE)

www.genomichealth.com

Laboratory - Molecular Diagnostics

Veracyte 1-888-9AFIRMA www.veracyte.com

Laboratory - Molecular Oncology

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Provider(s) Phone Number Website

NeoGenomics Laboratories,

Inc

1-866-776-5907 neogenomics.com

Laboratory - Nerve Pathology (ENFD)

Therapath Neuropathology 1-800-681-4338 www.therapath.com

Laboratory - Oncometrix, hematopathology, gastrointestinal pathology, dermatopathology,

gynecologic pathology

Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com

Laboratory - Prenatal testing

Eurofins NTD, LLC 1-888-762-4000 www.perkinelmer.com

Laboratory - Specialty genetic testing

Invitae Corporation 1-800-436-3037 www.invitae.com

Laboratory - Therapeutic medication monitoring, drug testing

Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com

Dominion Diagnostics 1-800-511-8427 / 1-

800-711-6974

www.dominiondiagnostics.com

Millennium Health 1-877-451-3534 www.milleniumlaboratories.com

Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com

Rennova Health 1-844-RENNOVA www.rennovahealth.com

Other Specialty Services - Urgent care services

Concentra Health Services See website www.concentra.com

Other Specialty Services - Women’s health - high risk OB / prenatal care

Optum Women's and

Children's Health

1-800-950-3963 www.alere.com

Specialty Pharmacy

AllianceRx Walgreens Prime 1-888-282-5166 www.walgreenshealth.com

BriovaRx Specialty Pharmacy 1-866-218-7398 www.briovarx.com

Orsini Pharmaceutical

Services

1-800-672-0869 www.orsinihealthcare.com

Specialty Pharmacy - Carticel, Elelyso and Prolastin

Dohmen Life Science

Services

1-866-336-1336 www.dohmen.com

Specialty Pharmacy - Limited Distribution Specialty Drugs

Biologics 1-800-856-1984 www.biologicsinc.com

Caremark 1-877-287-1234 www.cvsspecialty.com

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Provider(s) Phone Number Website

Specialty Pharmacy - Triptodur

PantheRx Specialty Pharmacy 1-855-726-8479 www.pantherspecialty.com

Specialty Pharmacy and Home Infusion - Limited Distribution Drugs

BriovaRx Infusion Services 1-877-306-4036 www.briovarxinfusion.com

Option Care 1-866-827-8203 www.optioncare.com

Specialty Pharmacy and Home Infusion - Limited Distribution Drugs - Zolgensma, Luxturna

Accredo 1-800-803-2523 www.accredo.com

Transportation - Fixed-Wing Air Ambulance

AirCARE1 International 1-877-760-7760 www.airambulanceone.com

Castle International See website www.castlemedflight.com

Medway Air Ambulance 1-800-233-0655 www.medwayairambulance.com

Vaccine Program - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV,

MMR, MMRV, Varicella, TDAP (age 15 and up) Available at Retail Pharmacy or Worksite Clinic

CVS Pharmacy (d/b/a CVS

Pharmacy, Long’s Drug,

CarePlus Pharmacy)

1-888-358-7468 www.cvs.com/promo/promoLandingTemp

late.jsp?promoLandingId=get-vaccinated

Harris Teeter See website www.harristeeter.com/in_our_stores/depar

tments/pharmacy/flu_shots/details.aspx

Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com

Safeway, Inc. (d/b/a Safeway,

Carrs, Pak'N Save, Pavilions,

Randalls, Tom Thumb, Vons)

1-877-723-3929 www.safeway.com/shopstores/pharmacy

The Kroger Co See website www.kroger.com/topic/pharmacy/#/vacci

nations-made-easy

United Supermarkets (d/b/a

United Supermarket,

Albertsons Market, Amigos,

Market Street)

1-877-276-9637 www.unitedsupermarkets.com

Walmart Stores Inc. (d/b/a

Walmart and Sam’s Club)

See website www.walmart.com

Vaccine Program - Influenza, Pneumonia, Shingles,Tdap, Meningitis,Hepatitis B, HPV, TDAP 

(age 15 and up) Worksite Clinics and Retail locations

Walgreens Immunization

(d/b/a Walgreens, Duane

Reade)

1-800-925-4733 https://www.walgreens.com/pharmacy/im

munization

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DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your

doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV

infusion pump, oxygen equipment, nebulizer, and walker.

HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that

can provide health care services in the home. Services include but are not limited to nursing visits

for infusion services or wound care.

LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic

pathology, surgical pathology, and specialty or esoteric services.

SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or

physicians.

WOMEN'S HEALTH is limited to home uterine monitoring services.

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Multispecialty Interdisciplinary Clinics (MSIC)

A Multispecialty Interdisciplinary Clinic (MSIC) may be chosen as your or your child’s assigned health

home. At the MSIC, you and your family can meet face-to-face with your care team to get medical

care, behavioral health care services and be a part of your care plan development. Each MSIC is

open from 8:00 a.m. to 5:00 p.m. Monday through Friday.

MSICs are at the following locations:

DMG Children’s Rehabilitative Services

3141 N 3rd Avenue

Phoenix, AZ 85013

602-914-1520

1-855-598-1871

www.dmgcrs.org

Children’s Clinics

Square & Compass Building

2600 North Wyatt Drive

Tucson, AZ 85712

520-324-5437

1-800-231-8261, ext. 45437

www.childrensclinics.org

Children’s Rehabilitative Services

1200 North Beaver

Flagstaff, AZ 86001

928-773-2054

1-800-232-1018

www.flagstaffmedicalcenter.com

Children’s Rehabilitative Services

Tuscany Medical Plaza

2851 S Avenue B, Bld 25, #2504

Yuma, AZ 85364

928-336-2777

1-800-837-7309

www.yumaregional.org

UHCCommunityPlan.com

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Arizona

Gila

Acute Care Hospital / Atención

Hospitalaria Aguda

These hospitals offer Emergency

Services & Post Stabilization

Services

Banner Payson Medical Center

Provider ID 000284725002

NPI: 1063893121

807 S Ponderosa St

Payson, AZ 85541

(928) 471-3222 EB, P, R

Web address: http://www.bannerhea

lth.com

Cobre Valley Regional Medical

Center

Provider ID 000220201001

NPI: 1548591720

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Cobre Valley Regional Medical

Center

Provider ID 000220201001

NPI: 1548591720

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Cobre Valley Regional Medical

Center

Provider ID 000220201001

NPI: 1548591720

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Web address: http://www.cvrmc.org

Cobre Valley Regional Medical

Center

Provider ID 000220201001

NPI: 1548591720

5886 S Hospital Dr

Globe, AZ 85501

(928) 402-1131 EB, P, R

Cobre Valley Regional Medical

Center

Provider ID 000220201001

NPI: 1548591720

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

California

Riverside

Acute Care Hospital / Atención

Hospitalaria Aguda

These hospitals offer Emergency

Services & Post Stabilization

Services

Palo Verde Hospital

Provider ID 000685746001

NPI: 1194705202

250 N First St

Blythe, CA 92225

(760) 922-4115

Utah

Kane

Acute Care Hospital / Atención

Hospitalaria Aguda

These hospitals offer Emergency

Services & Post Stabilization

Services

Kane County Hospital

Provider ID 000421169001

NPI: 1740519370

355 N Main

Kanab, UT 84741

(435) 644-5811 EB, P, R

Web address: kchosp.net

Washington

Acute Care Hospital / Atención

Hospitalaria Aguda

These hospitals offer Emergency

Services & Post Stabilization

Services

Dixie Regional Medical Center

Provider ID 000453998001

NPI: 1366452880

1380 E Medical Ctr Dr

Saint George, UT 84790

(435) 251-1000 EB, P, R

Web address: intermountainhealthca

re.org

Hospitals / Hospitales Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services

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Arizona

Gila

Family Nurse Practitioner /

Enfermera De Familia

Alten, Kimberly B, FNP, (F)

Western Vascular Institute

Provider ID 003471547007

NPI: 1326175704

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(480) 668-5000 EB, P, R

Languages Spoken:

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Gwinn, Karen S, FNP, (F)

Integrated Medical Services

Provider ID 007028610002

NPI: 1558832154

111 W Cedar Ln

Payson, AZ 85541

(928) 472-4675 EB, P, R

Ages: 0-99

Maxwell, Krissie, NP, (M)

North Country Healthcare

Provider ID 006932335007

NPI: 1750856621

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Nichols, Deborah, FNP, (F)

Dan Nurse Practitioner Services

Provider ID 002695560008

NPI: 1962425389

200 W Frontier St Ste M

Payson, AZ 85541

(928) 478-6280 EB, P, R

Ages: 18-99

Rector, Tamara H, FNP, (F)

Banner Primary Care Physicians

Arizona

Provider ID 005185782006

NPI: 1225443815

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4500 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Rector, Tamara H, FNP, (F)

Banner Primary Care Physicians

Arizona

Provider ID 005185782004

NPI: 1225443815

6152 Hardscrabble Rd

Pine, AZ 85544

(928) 596-4848 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Stanley, Lisa A, NP, (F)

North Country Healthcare

Provider ID 005329393003

NPI: 1003213422

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Western Arizona Regional

Medical

Vigil, Lynne A, FNP, (F)

Alan Patrick Michels

Provider ID 001998225006

NPI: 1912967704

806 S Ponderosa St

Payson, AZ 85541

(928) 468-8603 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Areas of Expertise: Developmental

Disabilities

Family Practice / Medicina

Familiar

Andrade, Oscar E, MD, (M), B

Medcom Medical

Provider ID 001898514001

NPI: 1275685521

108 S Broad St

Globe, AZ 85501

(928) 425-6592 E, EB, IB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Mo-Th - 7:00 AM - 5:00 PM

Fr - 8:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Areas of Expertise: Developmental

Disabilities

Campbell, Douglas J, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001778189006

NPI: 1720071384

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Languages Spoken:

Provider: Croatian, German,

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Romanian, Russian, Serbian

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Yavapai Regional Medical Center

West

Campbell, Douglas J, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001778189003

NPI: 1720071384

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Languages Spoken:

Provider: Croatian, German,

Romanian, Russian, Serbian

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Yavapai Regional Medical Center

West

Cooper, Randal, MD, (M), B

North Country Healthcare

Provider ID 007208787008

NPI: 1235581539

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610

Ages: 0-99

Druschel, Michael J, MD, (M), B

North Country Healthcare

Provider ID 006771716009

NPI: 1750794731

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610

Ages: 0-99

Hospital Affiliations:

Kittitas Valley Community Hosp

Fader, Paul F, MD, (M), B

North Country Healthcare

Provider ID 000882554004

NPI: 1942205620

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Flagstaff Medical Center

Goodman, Brian W, DO, (M)

North Country Healthcare

Provider ID 006356398012

NPI: 1497165732

126 E Main St Ste B

Payson, AZ 85541

(928) 472-3700 EB, P, R

Ages: 0-99

Holsten, Raymond L, MD, (M), B

Canyonlands Community Health

Care Vista

Provider ID 001701339003

NPI: 1003810540

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Staff: Spanish

Interpreter: Medical Interp

Vendor

Mo-Fr - 7:00 AM - 6:00 PM

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Banner Page Hospital

Areas of Expertise: Developmental

Disabilities

Jensen, David L, DO, (M), B

Community Care Partners

Provider ID 003192251014

NPI: 1174855159

1100 N Beeline Hwy Ste A

Payson, AZ 85541

(480) 462-2950 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Mountain West Medical Center

Scttsdle Hlth Osb

Keen, Brent L, MD, (M)

Banner Primary Care Physicians

Arizona

Provider ID 006883785001

NPI: 1023404092

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4500 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Knecht, Richard D, MD, (M)

North Country Healthcare

Provider ID 001096613002

NPI: 1598814261

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Montrose Memorial Hospital

Moab Regional Hospital

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Mugo, Patti W, MD, (F), B

North Country Healthcare

Provider ID 005694414002

NPI: 1013272988

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Languages Spoken:

Staff: Spanish

Ages: 0-99

Patalinghug, Neal P, MD, (M), B

North Country Healthcare

Provider ID 001382916009

NPI: 1588697544

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Hospital Affiliations:

Meritus Medical Center

Washington County Hospital

Rooney, Holly E, MD, (F), B

Rooney Holly E

Provider ID 002029245004

NPI: 1194738674

1100 E Monroe St Ste 101

Globe, AZ 85501

(928) 425-3557 E, EB, IB, P, R, T

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Rooney, Holly E, MD, (F), B

Hope Family Care Ctr

Provider ID 002029245008

NPI: 1194738674

285 N Broad St

Globe, AZ 85501

(928) 425-8200 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Smith, Gary A, MD, (M), B

Cobre Valley Physician Services

Provider ID 001991124008

NPI: 1538126487

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Thompson, Joseph C, DO, (M)

Banner Primary Care Physicians

Arizona

Provider ID 007184861001

NPI: 1821541723

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4500 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Truong, Frank, MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 003710769005

NPI: 1649572546

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: German

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Payson Medical Center

Banner Gateway Medical Center

Wade, Laura, MD, (F)

North Country Healthcare

Provider ID 007185410008

NPI: 1801243902

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Yoder, Paul T, MD, (M)

North Country Healthcare

Provider ID 001769024048

NPI: 1780779991

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Banner Payson Medical Center

Memorial Hospital Of South Bend

Federally Qualified Health Care

Agency / Agencia De Salud

Federalmente Calificados

Canyonlands Hlthcr-Globe

Provider ID 005380500001

NPI: 1417218876

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Does Not Accept New Patients

Ages: 0-99

North Country Hlth-Payson

Provider ID 005354251001

NPI: 1093146755

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Does Not Accept New Patients

Ages: 0-99

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Internal Medicine / Medicina

Interna

Abbott, Brandon H, DO, (M), B

North Country Healthcare

Provider ID 005455599001

NPI: 1528350139

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 0-99

Hospital Affiliations:

Flagstaff Medical Center

Chandra-Shekharan, Binoy, MD,

(M), B

Cobre Valley Regional Medical

Center

Provider ID 001933779001

NPI: 1811931595

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Languages Spoken:

Provider: Hindi

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Islam, Shahedul, MD, (M), B

Cobre Valley Physician Services

Provider ID 002544817006

NPI: 1275530446

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Languages Spoken:

Provider: Bengali, Chinese,

Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Hca Houston Healthcare West

Mhhs Southwest Hospital

Islam, Shahedul, MD, (M), B

Cobre Valley Physician Services

Provider ID 002544817004

NPI: 1275530446

288 Tewksbury Rd

Young, AZ 85554

(928) 462-3435 EB, P, R

Languages Spoken:

Provider: Bengali, Chinese,

Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Hca Houston Healthcare West

Mhhs Southwest Hospital

Islam, Shahedul, MD, (M), B

Cobre Valley Physician Services

Provider ID 002544817003

NPI: 1275530446

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 425-3247 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: Bengali, Chinese,

Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Hca Houston Healthcare West

Mhhs Southwest Hospital

Islam, Shahedul, MD, (M), B

Cobre Valley Physician Services

Provider ID 002544817002

NPI: 1275530446

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Languages Spoken:

Provider: Bengali, Chinese,

Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Hca Houston Healthcare West

Mhhs Southwest Hospital

Martin, Cynthia E, MD, (F), B

North Country Healthcare

Provider ID 002400013016

NPI: 1346290962

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 0-18

Hospital Affiliations:

Flagstaff Medical Center

Melde, Richard A, MD, (M)

Medcom Medical

Provider ID 001783879045

NPI: 1710027438

108 S Broad St

Globe, AZ 85501

(928) 402-0952 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Wickenburg Community Hospital

Jcl Dv Hospital

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Michels, Alan P, MD, (M)

Ponderosa Family Care

Provider ID 002110980001

NPI: 1376512129

806 S Ponderosa St

Payson, AZ 85541

(928) 468-8603 EB, P, R

Mo-Th - 8:00 AM - 5:30 PM

Fr - 8:00 AM - 12:00 PM

Ages: 0-99

Hospital Affiliations:

North Fl Regional Medical Center

Banner Payson Medical Center

Newland, Anne M, MD, (F), B

North Country Healthcare

Provider ID 002411822003

NPI: 1336178912

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Hospital Affiliations:

Flagstaff Medical Center

Raja, Rubina A, MD, (F), B

North Country Healthcare

Provider ID 003161436046

NPI: 1811124530

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi, Urdu

Ages: 0-99

Hospital Affiliations:

Mountain Vista Medical Ctr

Nurse Practitioner / Enfermera

Especialista

Bartholomew, Patricia A, NP, (F)

North Country Healthcare

Provider ID 006678025002

NPI: 1033463807

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Bishop, Karen, NP, (F)

North Country Healthcare

Provider ID 006875462001

NPI: 1407286156

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Boon, Roberta E, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 005843854010

NPI: 1942684253

111 W Blake St Ste 12

Globe, AZ 85501

(928) 425-8158 EB, P, R

Ages: 0-99

Boon, Roberta E, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 005843854004

NPI: 1942684253

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 0-99

Burdick, Jeremy K, NP, (M)

North Country Healthcare

Provider ID 003653607002

NPI: 1518309350

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Callahan, Kimberly A, NP, (F)

North Country Healthcare

Provider ID 003440299016

NPI: 1457515835

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 18-99

Carlile, Maranda S, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 006463914004

NPI: 1376078196

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 18-99

Areas of Expertise: Developmental

Disabilities

Celani, Lacey B, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 006071289004

NPI: 1972951119

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 18-99

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Crane, Heather A, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 003529635027

NPI: 1194074443

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: American Sign

Language, Spanish

Ages: 18-99

Hospital Affiliations:

Valleywise Health

Areas of Expertise: Developmental

Disabilities

Draper, Joann, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 002883181006

NPI: 1710161310

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 18-99

Areas of Expertise: Developmental

Disabilities

Falke, Sharon L, NP, (F)

North Country Healthcare

Provider ID 002071104005

NPI: 1578591947

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

St Josephs Hsp And Med Ctr

Freeman, Monica, NP, (F)

North Country Healthcare

Provider ID 006263597003

NPI: 1093266470

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Hospital Affiliations:

Cox Medical Center

Green, Christie A, NP, (F)

Community Bridges

Provider ID 006702307002

NPI: 1982153649

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care Coordination

Jarrell, Christopher, NP, (M)

North Country Healthcare

Provider ID 006545604012

NPI: 1700309697

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Judd, Lois M, NP, (F)

Hospitalists Of Arizona

Provider ID 002974822004

NPI: 1841218138

1100 E Monroe St

Globe, AZ 85501

(800) 353-2708 EB, IB, P, PL, R

Ages: 0-99

Judd, Lois M, NP, (F)

Dan Nurse Practitioner Services

Provider ID 002974822008

NPI: 1841218138

200 W Frontier St Ste M

Payson, AZ 85541

(928) 478-6280 EB, P, R

Ages: 18-99

Kigundu, Jacqueline, NP, (F)

Canyonlands Community Health

Care Vista

Provider ID 006335440004

NPI: 1750833539

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: Swahili

Ages: 18-99

Areas of Expertise: Developmental

Disabilities

Lassen, Judith M, NP, (F)

North Country Healthcare

Provider ID 003231815022

NPI: 1831407865

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 18-99

Hospital Affiliations:

Kingman Regional Medical Center

Lietzow, Rebecca J, NP, (F)

North Country Healthcare

Provider ID 005746668008

NPI: 1538450630

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Hospital Affiliations:

St Croix Regional Medical Center

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Mcguffin, Martha R, NP, (F)

North Country Healthcare

Provider ID 006876558001

NPI: 1407226269

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Mcweeney, Colleen, NP, (F)

North Country Healthcare

Provider ID 006647057001

NPI: 1366957177

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Miller, Elizabeth G, NP, (F)

North Country Healthcare

Provider ID 006362824001

NPI: 1154860765

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Hospital Affiliations:

St Johns Medical Center

Morse, Suzanne, NP, (F)

Northern Arizona Pain Svcs

Provider ID 002748654002

NPI: 1386750511

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(928) 474-2234 EB, P, R

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Ages: 0-99

Nelson, Gloriajean, NP, (F)

Gloriajean Nelson

Provider ID 005384866002

NPI: 1043601040

1100 E Monroe St Ste 523

Globe, AZ 85501

(928) 302-2220 EB, P, R

Ages: 18-99

Nichols, Deborah, FNP, (F)

Dan Nurse Practitioner Services

Provider ID 002695560008

NPI: 1962425389

200 W Frontier St Ste M

Payson, AZ 85541

(928) 478-6280 EB, P, R

Ages: 18-99

Pierce, Donald L, NP, (M)

Community Care Partners

Provider ID 005243423005

NPI: 1013912294

1100 N Beeline Hwy Ste A

Payson, AZ 85541

(480) 462-2950 EB, P, R

Ages: 18-99

Ramat, Shanna, NP, (F)

North Country Healthcare

Provider ID 006858533009

NPI: 1669902508

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Salvatore, Theresa S, NP, (F)

North Country Healthcare

Provider ID 006194929014

NPI: 1144682584

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Savage, Colleen M, NP, (F)

North Country Healthcare

Provider ID 005145610013

NPI: 1790103711

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Scales, Krystal, NP, (F)

Hope Family Care Ctr

Provider ID 006669462002

NPI: 1518404177

285 N Broad St

Globe, AZ 85501

(928) 425-8200 EB, P, R

Ages: 0-99

Shackelford, Laura, NP, (F)

North Country Healthcare

Provider ID 006893085013

NPI: 1821005968

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 18-99

Shanah, Sara, NP, (F)

North Country Healthcare

Provider ID 007218589007

NPI: 1891341020

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Silveira, Gina, NP, (F)

North Country Healthcare

Provider ID 006500641016

NPI: 1407302300

126 E Main St Ste B

Payson, AZ 85541

(928) 472-3700 EB, P, R

Ages: 18-99

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Silveira, Gina, NP, (F)

North Country Healthcare

Provider ID 006500641017

NPI: 1407302300

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 472-3700 EB, P, R

Ages: 18-99

Stoit, Sarah, NP, (F)

North Country Healthcare

Provider ID 006061919002

NPI: 1093175440

708 Coeur D Alene

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Turney-Shaw, Jean R, NP, (F)

Canyonlands Community Health

Care

Provider ID 002391128004

NPI: 1871545905

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: Spanish

Mo,We,Th,Fr - 7:00 AM - 6:00 PM

Tu - 6:00 AM - 6:00 PM

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Veltkamp, Claire, FNP, (F)

North Country Healthcare

Provider ID 005758105033

NPI: 1649641135

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Hospital Affiliations:

Valleywise Health

Veltkamp, Claire, FNP, (F)

North Country Healthcare

Provider ID 005758105038

NPI: 1649641135

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 18-99

Hospital Affiliations:

Valleywise Health

Watkins, Katherine, NP, (F)

North Country Healthcare

Provider ID 006631663011

NPI: 1255480422

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Watson, Fanae F, NP, (F), B

North Country Healthcare

Provider ID 006319441002

NPI: 1417315318

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 18-99

Williamson, Pamela, NP, (F)

Barnet Dulaney Perkins Eye Ctr

Provider ID 006559532003

NPI: 1932457553

411 S Beeline Hwy Ste A

Payson, AZ 85541

(928) 474-3556 EB, P, R

Ages: 0-99

Zmrzel, Sara, NP, (F)

North Country Healthcare

Provider ID 007087479008

NPI: 1871158022

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 18-99

Pediatrics / Pediatría

Alvarez-Corona, April C, MD, (F)

North Country Healthcare

Provider ID 003085772023

NPI: 1699926048

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-18

Hospital Affiliations:

Flagstaff Medical Center

Austin, Glen D, DO, (M), B

North Country Healthcare

Provider ID 002585538006

NPI: 1528155082

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-18

Hospital Affiliations:

Flagstaff Medical Center

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Garcia, Matilda C, MD, (F), B

North Country Healthcare

Provider ID 002122853007

NPI: 1295775443

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Languages Spoken:

Provider: Tagalog

Ages: 0-18

Hospital Affiliations:

Banner Payson Medical Center

Banner Desert Medical Center

St Josephs Hsp And Med Ctr

Chandler Regional Medical Center

Hunt, Judith A, MD, (F), B

Ponderosa Family Care

Provider ID 001417174007

NPI: 1023087459

806 S Ponderosa St

Payson, AZ 85541

(928) 468-8603 EB, P, R

Ages: 0-18

Hospital Affiliations:

Banner Payson Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Phx Childrens Hospital

Jain, Neal, MD, (M), B

San Tan Allergy & Asthma

Provider ID 002437343004

NPI: 1356390512

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(480) 626-6600 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-18

Hospital Affiliations:

St Marys Hosp Med Ctr Madison

Ssm Health St Marys Hospital

Madison

Valleywise Health

Banner Desert Medical Center

Jimenez, Angela C, MD, (F), B

Cobre Valley Physician Services

Provider ID 003526920002

NPI: 1619268463

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Fr - 9:00 AM - 4:30 PM

Ages: 0-18

Hospital Affiliations:

Arroyo Grande Community

Hospital

Marian Regional Medical Center

Banner Desert Medical Center

Jimenez, Angela C, MD, (F), B

Cobre Valley Physician Services

Provider ID 003526920004

NPI: 1619268463

5886 S Hospital Dr

Globe, AZ 85501

(928) 402-1131 EB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Ages: 0-18

Hospital Affiliations:

Arroyo Grande Community

Hospital

Marian Regional Medical Center

Banner Desert Medical Center

Martin, Cynthia E, MD, (F), B

North Country Healthcare

Provider ID 002400013016

NPI: 1346290962

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 0-18

Hospital Affiliations:

Flagstaff Medical Center

Song, Miran J, MD, (F), B

North Country Healthcare

Provider ID 003449096012

NPI: 1366415846

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Ages: 0-18

Witt, Norina, MD, (F), B

North Country Healthcare

Provider ID 006565472012

NPI: 1538505235

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-18

Physician Assistant / Asistente

Médico

Anderson, Phan T, PA, (F)

Canyonlands Community Health

Care Vista

Provider ID 005778595004

NPI: 1265570105

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 0-99

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Beenfield, Scott, PA, (M)

Canyonlands Community Health

Care Vista

Provider ID 006547557004

NPI: 1740707181

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Ages: 0-99

Brown, Mark S, PA, (M)

Canyonlands Community Health

Care Vista

Provider ID 006010849005

NPI: 1346601929

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Accepting Existing Patients Only

Ages: 0-99

Campbell, Chad, PA, (M)

Hope Family Care Ctr

Provider ID 002419114005

NPI: 1982763470

285 N Broad St

Globe, AZ 85501

(928) 425-8200 EB, P, R

Ages: 0-99

Cooper, Heather A, PA, (F)

Cobre Valley Regional Medical

Center

Provider ID 003796987001

NPI: 1740614262

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Demack, Michael K, PA, (M)

Ponderosa Family Care

Provider ID 003497193001

NPI: 1043347313

806 S Ponderosa St

Payson, AZ 85541

(928) 468-8603 EB, P, R

Ages: 0-99

Areas of Expertise: Developmental

Disabilities

Foulger, Jordan, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013199002

NPI: 1417432063

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Foulger, Jordan, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013199005

NPI: 1417432063

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Foulger, Jordan, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013199001

NPI: 1417432063

5880 S Hospital Dr

Globe, AZ 85501

(928) 402-1165 EB, P, R

Ages: 0-99

Foulger, Jordan, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013199003

NPI: 1417432063

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Ages: 0-99

Gawelko, Gary E, PA, (M)

Goldfield Cardiovascular

Institute

Provider ID 003375148014

NPI: 1346577244

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(480) 962-0101 E, EB, IB, P, R

Web address: www.goldfieldmed.co

m

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Lunders, Shannon E, PA, (F)

North Country Healthcare

Provider ID 002995680006

NPI: 1689666844

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-99

Mcbride, Zachariah, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006933721002

NPI: 1376028571

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Mcbride, Zachariah, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006933721005

NPI: 1376028571

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Mcbride, Zachariah, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006933721001

NPI: 1376028571

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3246 EB, P, R

Ages: 0-99

Mcbride, Zachariah, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006933721003

NPI: 1376028571

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Ages: 0-99

Mortenson, Duane S, PA, (M)

Sheftel & Associates Dermatology

Provider ID 003551572003

NPI: 1972719102

5886 S Hospital Dr

Globe, AZ 85501

(520) 293-5757 EB, P, R

Ages: 0-99

Nichols, Cameron L, PA, (M)

North Country Healthcare

Provider ID 003136968017

NPI: 1730411455

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-99

Peifer, Peter B, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 002318431004

NPI: 1093719577

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Mo-We - 8:00 AM - 5:00 PM

Th - 9:00 AM - 4:30 PM

Fr - 9:00 AM - 12:00 PM

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Kingman Regional Medical Center

Peifer, Peter B, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 002318431001

NPI: 1093719577

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Languages Spoken:

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Kingman Regional Medical Center

Peifer, Peter B, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 002318431002

NPI: 1093719577

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Languages Spoken:

Staff: Spanish

Mo-Fr - 7:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Kingman Regional Medical Center

Porter, Levi, PA, (M)

Desert Pain & Rehab Specialists

Provider ID 003182455006

NPI: 1225111834

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Ages: 0-99

Queior, Paul, PA, (M)

North Country Healthcare

Provider ID 006229081013

NPI: 1144776055

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Hospital Affiliations:

Flagstaff Medical Center

Banner Boswell Medical Center

Richards, Bradley D, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 003313563003

NPI: 1790931210

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Hospital Affiliations:

Riverton Hospital

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Richards, Bradley D, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 003313563001

NPI: 1790931210

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Ages: 0-99

Hospital Affiliations:

Riverton Hospital

Schmidt, Heidi M, PA, (F)

San Tan Allergy & Asthma

Provider ID 003255847028

NPI: 1194034942

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(480) 626-6600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Smith, Michael C, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006317814003

NPI: 1336698851

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Mo-We - 8:00 AM - 5:00 PM

Th - 9:00 AM - 4:30 PM

Fr - 9:00 AM - 12:00 PM

Ages: 0-99

Smith, Michael C, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006317814006

NPI: 1336698851

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Smith, Michael C, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006317814002

NPI: 1336698851

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3246 EB, P, R

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Smith, Michael C, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 006317814004

NPI: 1336698851

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Mo-Fr - 7:00 AM - 5:00 PM

Ages: 0-99

Turner, Adam C, PA, (M)

Banner Primary Care Physicians

Arizona

Provider ID 007042343001

NPI: 1447725189

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4500 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Watabe, Jayson, PA, (M)

Cobre Valley Regional Medical

Center

Provider ID 006723347001

NPI: 1417359605

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Ages: 0-99

Watson, Joy M, PA, (F)

Hope Family Care Ctr

Provider ID 003124523009

NPI: 1790958866

285 N Broad St

Globe, AZ 85501

(928) 425-8200 EB, P, R

Ages: 0-99

White, Shari J, PA, (F)

North Country Healthcare

Provider ID 003215969004

NPI: 1447222930

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Wyma, Mark, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013235002

NPI: 1336612852

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Wyma, Mark, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013235005

NPI: 1336612852

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Wyma, Mark, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013235001

NPI: 1336612852

5880 S Hospital Dr

Globe, AZ 85501

(928) 402-1165 EB, P, R

Ages: 0-99

Wyma, Mark, PA, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 007013235003

NPI: 1336612852

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Ages: 0-99

Yu, Stephanie P, PA, (F)

Canyonlands Community Health

Care Vista

Provider ID 006604379004

NPI: 1356853824

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(928) 402-0491 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: Cantonese, Mandarin,

Spanish

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Areas of Expertise: Developmental

Disabilities

Rural Health Clinic / Clínica De

Salud Rural

Pleasant Valley Comm Medi

Provider ID 005384771002

NPI: 1811962848

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Web address: www.cvrmc.org

Ages: 0-99

Pinal

Family Nurse Practitioner /

Enfermera De Familia

Barry, Courtney J, NP, (F)

Sun Life Family Health Center

Provider ID 003053262002

NPI: 1952419202

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Hospital Affiliations:

Samaritan Pacific Communities

Curry, Irene S, FNP, (F)

Sun Life Family Health Center

Provider ID 005206220025

NPI: 1801205471

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Curry, Irene S, FNP, (F)

Sun Life Family Health Center

Provider ID 005206220023

NPI: 1801205471

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 835-2234 EB, P, R

Ages: 0-99

Griffin, Kelly D, NP, (F)

Sun Life Family Health Center

Provider ID 005453597001

NPI: 1437541091

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Hoffsten, Pilar M, FNP, (F)

Sun Life Family Health Center

Provider ID 004260775027

NPI: 1386074284

1040 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 0-99

Rodgers Herington, Debra A, NP,

(F)

Sun Life Family Health Center

Provider ID 004773367009

NPI: 1821352410

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Wilson, Robin D, FNP, (F)

Sun Life Family Health Center

Provider ID 005079697013

NPI: 1700291440

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Family Practice / Medicina

Familiar

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Chukwurah, Chinwe N, MD, (F),

B

Sun Life Family Health Center

Provider ID 002878845008

NPI: 1467637140

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dlp Maria Parham Medical Center

Granville Medical Center

Chukwurah, Chinwe N, MD, (F),

B

Sun Life Family Health Center

Provider ID 002878845007

NPI: 1467637140

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dlp Maria Parham Medical Center

Granville Medical Center

Crawford, John T, DO, (M), B

Sun Life Family Health Center

Provider ID 001888678003

NPI: 1154382596

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Northwest Medical Center

Geyer, Katelyn A, DO, (F), B

Sun Life Family Health Center

Provider ID 006811675005

NPI: 1144617812

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Nayyar, Deepak, MD, (M)

Sun Life Family Health Center

Provider ID 003105494006

NPI: 1790900827

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Thompson, Coralee G, MD, (F)

Sun Life Family Health Center

Provider ID 002196126001

NPI: 1659547636

1870 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Thompson, Coralee G, MD, (F)

Sun Life Family Health Center

Provider ID 002196126002

NPI: 1659547636

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Federally Qualified Health Care

Agency / Agencia De Salud

Federalmente Calificados

Sun Life Family - Oracle

Provider ID 005376911001

NPI: 1902018856

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Does Not Accept New Patients

Ages: 0-99

Sun Life Family Health Ct

Provider ID 005370809007

NPI: 1689778623

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Does Not Accept New Patients

Ages: 0-99

Sun Life Family Health Ct

Provider ID 005370809025

NPI: 1689778623

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Does Not Accept New Patients

Ages: 0-99

Sun Life Family-San Manue

Provider ID 005376915001

NPI: 1467666206

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Does Not Accept New Patients

Ages: 0-99

Internal Medicine / Medicina

Interna

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188021

NPI: 1093793267

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188024

NPI: 1093793267

25 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Nurse Practitioner / Enfermera

Especialista

Barry, Courtney J, NP, (F)

Sun Life Family Health Center

Provider ID 003053262002

NPI: 1952419202

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Hospital Affiliations:

Samaritan Pacific Communities

Brown, Melissa L, NP, (F)

Sun Life Family Health Center

Provider ID 005453565003

NPI: 1578959896

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Hospital Affiliations:

Chandler Regional Medical Center

Currier, Samantha L, NP, (F)

Sun Life Family Health Center

Provider ID 006832464005

NPI: 1750735023

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Currier, Samantha L, NP, (F)

Sun Life Family Health Center

Provider ID 006832464003

NPI: 1750735023

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Dardy, Sandra K, NP, (F)

Sun Life Family Health Center

Provider ID 007139550014

NPI: 1942729413

1040 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 18-99

Dardy, Sandra K, NP, (F)

Sun Life Family Health Center

Provider ID 007139550003

NPI: 1942729413

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Dardy, Sandra K, NP, (F)

Sun Life Family Health Center

Provider ID 007139550002

NPI: 1942729413

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 18-99

Griffin, Kelly D, NP, (F)

Sun Life Family Health Center

Provider ID 005453597001

NPI: 1437541091

23 Mcnabb Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Kimble, Guatemala D, NP, (M)

Sun Life Family Health Center

Provider ID 006742963004

NPI: 1427593326

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Kimble, Guatemala D, NP, (M)

Sun Life Family Health Center

Provider ID 006742963002

NPI: 1427593326

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 18-99

Manor, Cynthia, NP, (F)

Sun Life Family Health Center

Provider ID 007220447002

NPI: 1679128466

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 835-2234 EB, P, R

Ages: 18-99

Mcdevitt, Kyle K, NP, (F)

Sun Life Family Health Center

Provider ID 006299731008

NPI: 1902356074

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Hospital Affiliations:

Palo Alto County Hospital

Mcdevitt, Kyle K, NP, (F)

Sun Life Family Health Center

Provider ID 006299731006

NPI: 1902356074

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 18-99

Hospital Affiliations:

Palo Alto County Hospital

Monson, Melissa M, NP, (F)

Sun Life Family Health Center

Provider ID 006876530005

NPI: 1255826806

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Monson, Melissa M, NP, (F)

Sun Life Family Health Center

Provider ID 006876530003

NPI: 1255826806

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 18-99

Ochieng, Judith M, NP, (F)

Sun Life Family Health Center

Provider ID 003742163006

NPI: 1063841666

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Ochieng, Judith M, NP, (F)

Sun Life Family Health Center

Provider ID 003742163004

NPI: 1063841666

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 18-99

Philip, Selin, FNP, (F)

Sun Life Family Health Center

Provider ID 006585113004

NPI: 1609316546

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Quesada, Nikki C, NP, (F)

Sun Life Family Health Center

Provider ID 007205002014

NPI: 1114494150

1040 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 18-99

Quesada, Nikki C, NP, (F)

Sun Life Family Health Center

Provider ID 007205002015

NPI: 1114494150

1080 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 18-99

Quesada, Nikki C, NP, (F)

Sun Life Family Health Center

Provider ID 007205002003

NPI: 1114494150

1870 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Ages: 18-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Rodgers Herington, Debra A, NP,

(F)

Sun Life Family Health Center

Provider ID 004773367009

NPI: 1821352410

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Taylor, Kimberly E, FNP, (F)

Sun Life Family Health Center

Provider ID 002462343035

NPI: 1447446471

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Wilson, Robin D, FNP, (F)

Sun Life Family Health Center

Provider ID 005079697013

NPI: 1700291440

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 18-99

Xie, Bing, FNP, (F)

Sun Life Family Health Center

Provider ID 006355306003

NPI: 1326585845

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Languages Spoken:

Provider: Chinese

Ages: 18-99

Xie, Bing, FNP, (F)

Sun Life Family Health Center

Provider ID 006355306002

NPI: 1326585845

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 18-99

Pediatrics / Pediatría

Liao, Tina Y, MD, (F)

Sun Life Family Health Center

Provider ID 002658872008

NPI: 1063636512

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-18

Hospital Affiliations:

Banner Health Arizona

Phx Childrens Hospital

Banner Gateway Medical Center

Raposas, Stella C, MD, (F), B

Sun Life Family Health Center

Provider ID 002675696011

NPI: 1538269345

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-18

Hospital Affiliations:

Rcch Trios Health

Raposas, Stella C, MD, (F), B

Sun Life Family Health Center

Provider ID 002675696006

NPI: 1538269345

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-18

Hospital Affiliations:

Rcch Trios Health

Tunuguntla, Rashmi, DO, (F)

Sun Life Family Health Center

Provider ID 006846784004

NPI: 1639543572

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Languages Spoken:

Provider: Spanish, Telugu

Ages: 0-18

Physician Assistant / Asistente

Médico

Carpenter, Derek B, PA, (M)

Sun Life Family Health Center

Provider ID 005237843003

NPI: 1114320959

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Mercado-Depaz, Disnilda L, PA,

(F)

Sun Life Family Health Center

Provider ID 006413034006

NPI: 1669728655

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Mercado-Depaz, Disnilda L, PA,

(F)

Sun Life Family Health Center

Provider ID 006413034004

NPI: 1669728655

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 835-2234 EB, P, R

Ages: 0-99

Nichols, Logan R, PA, (M)

Sun Life Family Health Center

Provider ID 006955859003

NPI: 1871062125

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Ages: 0-99

California

Riverside

Pediatrics / Pediatría

Tong, Shumei, MD, (F)

Tong Shumei

Provider ID 001961326001

NPI: 1568481554

149 W Hobsonway

Blythe, CA 92225

(760) 922-7337 EB, P, R

Mo-Fr - 8:30 AM - 5:30 PM

Ages: 0-18

Hospital Affiliations:

Palo Verde Hospital

Nevada

Clark

Internal Medicine / Medicina

Interna

Gandhi, Zahabia T, MD, (F), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002255369002

NPI: 1538125240

1301 Bertha Howe Ave Ste 10

Mesquite, NV 89027

(435) 688-7770

Languages Spoken:

Provider: Guarani, Hindi

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Utah

Kane

Family Practice / Medicina

Familiar

Bowman, Jonathan C, MD, (M)

Kane County Medical Clinic

Provider ID 002414889005

NPI: 1619047362

355 N Main St

Kanab, UT 84741

(435) 644-4100 EB, IB, P, R

Mo,We,Fr - 8:30 AM - 4:30 PM

Tu,Th - 8:30 AM - 12:00 PM

Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Hollingshead, Bryson J, DO, (M)

Revere Health

Provider ID 006140615003

NPI: 1124432992

355 N Main St

Kanab, UT 84741

(435) 644-4100 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Root, Eric J, DO, (M)

Revere Health

Provider ID 006859866001

NPI: 1528445202

355 N Main St

Kanab, UT 84741

(435) 644-4100 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Washington

Family Practice / Medicina

Familiar

Barton, Scott D, MD, (M), B

Revere Health

Provider ID 001903209005

NPI: 1376690180

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Chamberlain, Howard L, MD,

(M)

Revere Health

Provider ID 001374555001

NPI: 1306951504

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Hubbard, Jonathan P, DO, (M), B

Revere Health

Provider ID 001981874001

NPI: 1609894922

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Lunt, Bryce C, MD, (M)

Revere Health

Provider ID 006795597001

NPI: 1396127635

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Pendleton, Gus C, MD, (M), B

Revere Health

Provider ID 001360147002

NPI: 1649361874

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Hospital Affiliations:

Sanpete Valley Hospital

Dixie Regional Medical Center

Stratford, C K, MD, (M)

Revere Health

Provider ID 001703276001

NPI: 1275688228

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Mo-Fr - 9:00 AM - 5:00 PM

Sa - 9:00 AM - 2:00 PM

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Internal Medicine / Medicina

Interna

Gandhi, Zahabia T, MD, (F), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002255369001

NPI: 1538125240

640 E 700 S Ste 105

Saint George, UT 84770

(435) 688-7770 EB, P, R

Languages Spoken:

Provider: Guarani, Hindi

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Nurse Practitioner / Enfermera

Especialista

Heaton, Rex, NP, (M)

Revere Health

Provider ID 004271065006

NPI: 1477627917

2019 E Riverside Dr Ste A200

Saint George, UT 84790

(435) 628-9298 EB, P, R

Ages: 0-99

Pediatrics / Pediatría

Nilson, Wendell T, MD, (M), B

Cache Pediatric Clinic

Provider ID 000808720001

NPI: 1205883576

1240 E 100 S Ste 14

Saint George, UT 84790

(435) 634-0055 EB, P, R

Ages: 0-18

Hospital Affiliations:

Dixie Regional Medical Center

Logan Regional Hospital

Nilson, Wendell T, MD, (M), B

Cache Pediatric Clinic

Provider ID 000808720002

NPI: 1205883576

1490 E Foremaster Dr Ste 130

Saint George, UT 84790

(435) 634-0055 EB, P, R

Mo-Th - 8:00 AM - 7:00 PM

Fr - 8:00 AM - 5:00 PM

Sa - 9:00 AM - 12:00 PM

Ages: 0-18

Hospital Affiliations:

Dixie Regional Medical Center

Logan Regional Hospital

Utah - Washington Primary Care Providers / Proveedores De Cuidado Primario

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Twiggs, Jerry D, MD, (M), B

Dixie Pediatrics

Provider ID 000804905001

NPI: 1972583680

1240 E 100 S Ste 14

St George, UT 84790

(435) 628-8232 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Fr - 9:30 AM - 5:00 PM

Ages: 0-18

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Physician Assistant / Asistente

Médico

Bean, Thomas S, PA, (M)

Revere Health

Provider ID 003516569004

NPI: 1346358454

736 S 900 E Ste 203

Saint George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Arizona

Gila

Allergy & Immunology / Alergia

E Inmunología

Hill, Jennifer L, MD, (F)

San Tan Allergy & Asthma

Provider ID 005176942002

NPI: 1497035604

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(480) 626-6600 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Jain, Neal, MD, (M), B

San Tan Allergy & Asthma

Provider ID 002437343004

NPI: 1356390512

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(480) 626-6600 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-18

Hospital Affiliations:

St Marys Hosp Med Ctr Madison

Ssm Health St Marys Hospital

Madison

Valleywise Health

Banner Desert Medical Center

Shimamoto, Sam R, MD, (M), B

San Tan Allergy & Asthma

Provider ID 002245188001

NPI: 1073587382

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(480) 626-6600 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Banner Desert Medical Center

Cardiology / Cardiología

Askari, Ali A, MD, (M), B

Ali A Askari Md

Provider ID 000940356004

NPI: 1760554919

1106 N Beeline Hwy

Payson, AZ 85541

(928) 474-5286 EB, P, R

Languages Spoken:

Provider: Farsi, Persian, Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Payson Medical Center

Select Specialty Hos-phoenix

Select Specialty Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Kindred Hospital Arizona Phoenix

Kindred Hospital Az-northwest

Phoenix

Jaffe, William M, DO, (M), B

Vhs Outpatient Clinics

Provider ID 003061186010

NPI: 1083648158

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Dominican Santa Cruz Hospital

Maricopa Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Jaffe, William M, DO, (M), B

Vhs Outpatient Clinics

Provider ID 003061186010

NPI: 1083648158

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Dominican Santa Cruz Hospital

Maricopa Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Memon, Abdul Q, MD, (M)

Abdul Memon Md

Provider ID 001870839013

NPI: 1093781346

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(480) 748-4238 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi, Spanish, Urdu

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

White Mountain Regional Med

Ctr

Cobre Valley Regional Medical

Center

Providence Sacred Heart Med Ctr

& Child

Multicare Deaconess Hospital

Summit Regional Medical Center

Banner Desert Medical Center

Chandler Regional Medical Center

Mix, Michelle, MD, (F), B

Vhs Outpatient Clinics

Provider ID 003549960008

NPI: 1831385533

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

Honorhealth Scottsdale Shea

Medical Ctr

Morgan, John M, MD, (M), B

Vhs Outpatient Clinics

Provider ID 001949828013

NPI: 1407890353

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: French

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Patil, Arun S, MD, (M), B

Integrated Medical Services

Provider ID 000925056009

NPI: 1093955908

111 W Cedar Ln Ste A

Payson, AZ 85541

(623) 433-0202 E, EB, IB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

St Josephs Hsp And Med Ctr

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Vakil, Hiva, MD, (M), B

Integrated Medical Services

Provider ID 002780020007

NPI: 1356480172

111 W Cedar Ln Ste A

Payson, AZ 85541

(623) 433-0202 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Select Specialty Hos-phoenix

Banner Thunderbird Medical

Center

Cardiovascular Disease /

Enfermedad Cardiovascular

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Alkhatib, Basil J, MD, (M), B

Vhs Outpatient Clinics

Provider ID 005986240008

NPI: 1083977599

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Arabic

Ages: 0-99

Hospital Affiliations:

St Josephs Hospital & Med Ctr

Chandler Regional Medical Center

Askari, Ali A, MD, (M), B

Ali A Askari Md

Provider ID 000940356004

NPI: 1760554919

1106 N Beeline Hwy

Payson, AZ 85541

(928) 474-5286 EB, P, R

Languages Spoken:

Provider: Farsi, Persian, Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Payson Medical Center

Select Specialty Hos-phoenix

Select Specialty Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Kindred Hospital Arizona Phoenix

Kindred Hospital Az-northwest

Phoenix

Bahu, Marwan M, MD, (M), B

Vhs Outpatient Clinics

Provider ID 001800566007

NPI: 1114920618

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Arabic

Ages: 0-99

Hospital Affiliations:

Banner Page Hospital

Banner Boswell Medical Center

Valleywise Health

Abrazo Arizona Heart Hospital

Maricopa Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Byrne, Timothy J, DO, (M), B

Vhs Outpatient Clinics

Provider ID 001427442011

NPI: 1376585232

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Wickenburg Community Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Oasis Hospital

Cherukuri, Madhavagopal V,

MD, (M), B

Vhs Outpatient Clinics

Provider ID 002353157016

NPI: 1104860337

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Valleywise Health

Tempe St Lukes Hosp A Campus

Of St Lukes

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Banner Behavioral Health

Hospital

Cherukuri, Madhavagopal V,

MD, (M), B

Vhs Outpatient Clinics

Provider ID 002353157016

NPI: 1104860337

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Valleywise Health

Tempe St Lukes Hosp A Campus

Of St Lukes

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Banner Behavioral Health

Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Jaffe, William M, DO, (M), B

Vhs Outpatient Clinics

Provider ID 003061186010

NPI: 1083648158

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Dominican Santa Cruz Hospital

Maricopa Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Jaffe, William M, DO, (M), B

Vhs Outpatient Clinics

Provider ID 003061186010

NPI: 1083648158

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Dominican Santa Cruz Hospital

Maricopa Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Jebaily, Nicholas X, MD, (M), B

Biltmore Cardiology

Provider ID 003709522002

NPI: 1710206909

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(602) 952-0002 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Klein, Neal A, MD, (M), B

Vhs Outpatient Clinics

Provider ID 000062010021

NPI: 1639111743

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Oasis Hospital

Loli, Akil I, MD, (M), B

Vhs Outpatient Clinics

Provider ID 002302374017

NPI: 1962453803

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Albanian (Tosk),

Italian, Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Maki, Peter C, MD, (M), B

Vhs Outpatient Clinics

Provider ID 000623695008

NPI: 1306886775

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Select Specialty Hospital Western

Mo

Banner Univ Medical Cntr

Phoenix Campus

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Memon, Abdul Q, MD, (M), B

Abdul Memon Md

Provider ID 001870839013

NPI: 1093781346

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(480) 748-4238 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi, Spanish, Urdu

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

White Mountain Regional Med

Ctr

Cobre Valley Regional Medical

Center

Providence Sacred Heart Med Ctr

& Child

Multicare Deaconess Hospital

Summit Regional Medical Center

Banner Desert Medical Center

Chandler Regional Medical Center

Morales, Ralph E, MD, (M), B

Abdul Memon Md

Provider ID 001184594004

NPI: 1861575573

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(928) 793-3365 E, EB, IB, P, R

Languages Spoken:

Provider: French, Spanish

Ages: 0-99

Hospital Affiliations:

Lafayette General Medical Ctr

Cobre Valley Regional Medical

Center

Lakeland Community Hospital

Watervliet

South Haven Community Hospital

Abbeville General Hospital

Regional Medical Center Of

Acadiana

Lakeland Hospitals

Innovis Health

Morgan, John M, MD, (M), B

Vhs Outpatient Clinics

Provider ID 001949828013

NPI: 1407890353

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: French

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Patil, Arun S, MD, (M), B

Integrated Medical Services

Provider ID 000925056009

NPI: 1093955908

111 W Cedar Ln Ste A

Payson, AZ 85541

(623) 433-0202 E, EB, IB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

St Josephs Hsp And Med Ctr

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Sumar, Riyaz A, MD, (M), B

Integrated Medical Services

Provider ID 002415048012

NPI: 1144212721

111 W Cedar Ln Ste A

Payson, AZ 85541

(602) 433-0202 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

St Josephs Hsp And Med Ctr

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Arizona General Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Vakil, Hiva, MD, (M), B

Integrated Medical Services

Provider ID 002780020007

NPI: 1356480172

111 W Cedar Ln Ste A

Payson, AZ 85541

(623) 433-0202 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Select Specialty Hos-phoenix

Banner Thunderbird Medical

Center

Dermatology / Dermatología

Bottiglione, Richard G, MD, (M),

B

Payson Dermatology

Provider ID 000933418003

NPI: 1083621148

313 S Beeline Hwy

Payson, AZ 85541

(928) 472-7107 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Fisler, Rita E, MD, (F), B

Advanced Dermatology Of

Arizona

Provider ID 002674851006

NPI: 1134192859

903 E State Highway 260 Ste 4

Payson, AZ 85541

(602) 264-9044 EB, P, R

Languages Spoken:

Provider: French

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Adventhealth Shawnee Mission

Shawnee Mission Medical Ctr

Jazayeri, Sadra S, MD, (M), B

Metropolitan Dermatology

Provider ID 002291806001

NPI: 1700893864

313 S Beeline Hwy

Payson, AZ 85541

(928) 472-7107 EB, P, R

Languages Spoken:

Provider: French, Persian

Ages: 0-99

Hospital Affiliations:

Paradise Valley Hospital

Abrazo Scottsdale Campus

Banner Del E Webb Medical

Center

Khan, Yulia K, MD, (F), B

Advanced Dermatology Of

Arizona

Provider ID 003321651001

NPI: 1386808368

903 E State Highway 260 Ste 4

Payson, AZ 85541

(602) 264-9044 EB, P, R

Languages Spoken:

Provider: Russian

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Sanford Medical Center

Mchs Fairmont

Yale New Haven Hospital

Sheftel, Scott N, MD, (M), B

Sheftel & Associates Dermatology

Provider ID 001404898001

NPI: 1134128564

5882 S Hospital Dr Ste 3

Globe, AZ 85501

(520) 293-5757 E, EB, IB, P, R

Languages Spoken:

Staff: Spanish

Interpreter: Medical Interp

Vendor

Ages: 14-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Copper Queen Community

Hospital

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Sheftel, Scott N, MD, (M), B

Sheftel & Associates Dermatology

Provider ID 001404898001

NPI: 1134128564

5886 S Hospital Dr

Globe, AZ 85501

(520) 293-5757 EB, P, R

Ages: 14-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Copper Queen Community

Hospital

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Family Nurse Practitioner /

Enfermera De Familia

Brown, Delana P, FNP, (F)

Statclinix Plc

Provider ID 005336182023

NPI: 1356731418

101 E Hwy 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Staff: Spanish

Ages: 0-99

Bucchireddigari, Lokeswari, FNP,

(F)

Statclinix Plc

Provider ID 005175676006

NPI: 1538575253

101 E Hwy 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Campton, Carley R, NP, (F)

Vhs Outpatient Clinics

Provider ID 006854557002

NPI: 1457844482

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 474-7440 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arizona Heart Hospital

Christiansen, Sheena A, FNP, (F)

Banner Urgent Care Arizona

Provider ID 005349732003

NPI: 1245662063

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Cobbs, Brian W, FNP, (M)

Banner Urgent Care Arizona

Provider ID 006191359004

NPI: 1205381969

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Chandler Regional Medical Center

Corrigan, Teresa A, FNP, (F)

Payson Dermatology

Provider ID 003843412008

NPI: 1386841765

313 S Beeline Hwy

Payson, AZ 85541

(928) 472-7107 EB, P, R

Web address: www.paysondoctors.c

om

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Davis, Jessica R, FNP, (F)

Banner Urgent Care Arizona

Provider ID 006225512003

NPI: 1619423001

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Ages: 0-99

Eckhardt, Jody, FNP, (F)

Vhs Outpatient Clinics

Provider ID 005731271001

NPI: 1871650564

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Ages: 0-99

Ekman, John K, FNP, (M)

Southeastern Arizona Behavioral

Health S

Provider ID 002455301001

NPI: 1194722256

996 N Broad St Ste 10

Globe, AZ 85501

(928) 425-2185 EB, P, R

Ages: 0-99

Hospital Affiliations:

Mt Graham Regional Medical

Cente

Areas of Expertise: Serious Mental

Illness

Engelman, Holly J, FNP, (F)

Banner Urgent Care Arizona

Provider ID 006273925002

NPI: 1346790748

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hutzler, Rachel L, FNP, (F)

Banner Urgent Care Arizona

Provider ID 003690758004

NPI: 1760817050

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Lindner, Elizabeth J, FNP, (F)

Banner Urgent Care Arizona

Provider ID 005410802003

NPI: 1316343049

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Miles, Jenny W, FNP, (F)

Banner Urgent Care Arizona

Provider ID 006610557003

NPI: 1487199824

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Montano, Gilbert J, FNP, (M)

Banner Urgent Care Arizona

Provider ID 003060396009

NPI: 1821286915

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Languages Spoken:

Provider: Spanish

Ages: 0-99

Myers, Janet, FNP, (F)

Banner Urgent Care Arizona

Provider ID 003513166010

NPI: 1427316652

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Ages: 0-99

O'brien, Mary Jane, FNP, (F)

Banner Urgent Care Arizona

Provider ID 006287615003

NPI: 1851842447

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Saha, Deepa J, FNP, (F)

Banner Urgent Care Arizona

Provider ID 003602066021

NPI: 1457690752

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Bengali, Hindi

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

Stover, Linda C, FNP, (F)

Banner Urgent Care Arizona

Provider ID 002000724039

NPI: 1972575975

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Wickenburg Community Hospital

Toth, Sharon L, FNP, (F)

Banner Urgent Care Arizona

Provider ID 003022061018

NPI: 1982776563

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Family Practice / Medicina

Familiar

Merrill, Jarilynne B, MD, (F), B

Statclinix Plc

Provider ID 002124028001

NPI: 1912963943

101 E Hwy 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Parker, Ronald D, MD, (M), B

The Az Partnership For

Immunization

Provider ID 002755614013

NPI: 1285798405

5515 S Apache Ave

Globe, AZ 85501

(928) 425-3189 EB, P, R

Languages Spoken:

Provider: Japanese

Ages: 0-99

Hospital Affiliations:

La Paz Regional Hospital

Havasu Regional Medical Center

Sahani, Mandeep M, MD, (M)

Desert Kidney Associates

Provider ID 002051653001

NPI: 1811080633

5860 S Hospital Dr Ste 103

Globe, AZ 85501

(480) 834-9039 EB, P, R

Languages Spoken:

Provider: Hindi, Punjabi

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Mercy Med Ctr-des Moines

Mercyone Des Moines Medical

Center

St Lukes Regional Medical Center

Banner Desert Medical Center

General Surgery / Cirugía

Abdo, Joseph G, MD, (M), B

Joseph G Abdo Md

Provider ID 001189389004

NPI: 1821090879

1100 E Monroe St Ste 102

Globe, AZ 85501

(928) 425-7133 EB, P, R

Languages Spoken:

Provider: Arabic, French,

Lebanese

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Baywood Medical Center

Chandler Regional Medical Center

Mercy Gilbert Medical Center

Banner Gateway Medical Center

Arizona Regional Medical Center

Galitsky, Anthony, MD, (M), B

Cobre Valley Regional Medical

Center

Provider ID 003252499004

NPI: 1952585598

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

St Lukes Medical Center

Lahey Clinic Hospital

Chandler Regional Medical Center

Banner Estrella Medical Center

Horne, Susan C, MD, (F), B

Banner Physician Specialists

Arizona

Provider ID 002959270001

NPI: 1336343763

122 E Main St

Payson, AZ 85541

(928) 472-3478 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Gateway Medical Center

Ledesma, Linda-Michelle, DO, (F)

Banner Urgent Care Arizona

Provider ID 003810368003

NPI: 1801181581

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Munoz, Luis A, MD, (M)

Western Vascular Institute

Provider ID 000285065007

NPI: 1619937232

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(480) 668-5000 EB, P, R

Web address: www.paysondoctors.c

om

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Abrazo Arrowhead Campus

Banner Boswell Medical Center

Banner Baywood Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Olson, Loyd B, MD, (M)

Banner Physician Specialists

Arizona

Provider ID 005635256001

NPI: 1306165733

122 E Main St

Payson, AZ 85541

(923) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Sawyer, Steven J, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 002081462003

NPI: 1598713489

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Hospital Affiliations:

Montrose Memorial Hospital

Cobre Valley Regional Medical

Center

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Sawyer, Steven J, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 002081462003

NPI: 1598713489

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3246 EB, P, R

Ages: 0-99

Hospital Affiliations:

Montrose Memorial Hospital

Cobre Valley Regional Medical

Center

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Sawyer, Steven J, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 002081462003

NPI: 1598713489

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Ages: 0-99

Hospital Affiliations:

Montrose Memorial Hospital

Cobre Valley Regional Medical

Center

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Swidinsky, Teddi, MD, (F)

Community Care Partners

Provider ID 006544757001

NPI: 1578090296

1100 N Beeline Hwy Ste A

Payson, AZ 85541

(480) 462-2950 EB, P, R

Ages: 0-99

Hospital Affiliations:

Presbyterian Espanola Hospital

Alta Vista Regional Hospital

Wombold, Leroy D, DO, (M), B

Banner Physician Specialists

Arizona

Provider ID 000465672005

NPI: 1841267937

122 E Main St Ste A

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Ellett Memorial Hospital

Providence Mt Carmel Hospital

Golden Valley Memorial Hospital

Hematology / Hematología

Grover, Rajinder S, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 002391909003

NPI: 1376561225

807 S Ponderosa

Payson, AZ 85541

(602) 258-4875 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

City Of Hope National Med Ctr

Abrazo Arrowhead Campus

Northwestern Memorial Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Langford, Martin B, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 001068734004

NPI: 1992729826

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 E, EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Hematology/Oncology /

Hematología/Oncología

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ahmad, Nazish, DO, (F), B

Palo Verde Hematology Oncology

Provider ID 004220421002

NPI: 1609187921

807 S Ponderosa

Payson, AZ 85541

(602) 258-4875 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Bi, Sucai, MD, (M), B

Banner Cancer Center Specialists

Provider ID 002313000007

NPI: 1659363794

807 S Ponderosa St

Payson, AZ 85541

(928) 471-3222 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

Good Samaritan Reg Med Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Banner Gateway Medical Center

Grover, Rajinder S, MD, (M)

Palo Verde Hematology Oncology

Provider ID 002391909003

NPI: 1376561225

807 S Ponderosa

Payson, AZ 85541

(602) 258-4875 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

City Of Hope National Med Ctr

Abrazo Arrowhead Campus

Northwestern Memorial Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Halepota, Maqbool A, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 001445800004

NPI: 1558384966

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 EB, P, R

Languages Spoken:

Provider: Urdu, Sinhalese

Web address: www.pvhomed.com

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Banner Estrella Medical Center

Rakkar, Amol N, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 001864972002

NPI: 1336160241

807 S Ponderosa St

Payson, AZ 85541

(928) 474-5729 E, EB, P, R

Languages Spoken:

Provider: Punjabi, Hindi, Indian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Thakkar, Snehal G, MD, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 002817457006

NPI: 1518160241

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Hospital Affiliations:

Summit Regional Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Thakkar, Snehal G, MD, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 002817457006

NPI: 1518160241

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3261 EB, P, R

Ages: 0-99

Hospital Affiliations:

Summit Regional Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Thakkar, Snehal G, MD, (M)

Cobre Valley Tonto Basin Clinic

Provider ID 002817457006

NPI: 1518160241

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Ages: 0-99

Hospital Affiliations:

Summit Regional Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Hepatology / Hepatología

Ramos, Alberto X, MD, (M)

Banner Uni Med Ctr Phx Campus

Liver Dise

Provider ID 002832986004

NPI: 1487788998

117 E Main St Bldg A100

Payson, AZ 85541

(602) 839-2606 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Banner Univ Medical Cntr

Phoenix Campus

Ramos, Alberto X, MD, (M)

Banner Uni Med Ctr Phx Campus

Liver Dise

Provider ID 002832986004

NPI: 1487788998

708 S Coeur D Alene Ln

Payson, AZ 85541

(602) 239-6324 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Banner Univ Medical Cntr

Phoenix Campus

Internal Medicine / Medicina

Interna

Askari, Ali A, MD, (M), B

Ali A Askari Md

Provider ID 000940356004

NPI: 1760554919

1106 N Beeline Hwy

Payson, AZ 85541

(928) 474-5286 EB, P, R

Languages Spoken:

Provider: Farsi, Persian, Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Payson Medical Center

Select Specialty Hos-phoenix

Select Specialty Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Kindred Hospital Arizona Phoenix

Kindred Hospital Az-northwest

Phoenix

Bheemanathini, Praveen, MD,

(M)

Banner Urgent Care Arizona

Provider ID 006103086005

NPI: 1669729042

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Languages Spoken:

Provider: Hindi, Telugu

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Gateway Medical Center

Carstens, Sarah J, MD, (F), B

Banner Hospital Ba Phys Az

Provider ID 003191243004

NPI: 1952506867

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Challa, Suresh, MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 003372067006

NPI: 1578711024

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: Telugu

Does Not Accept New Patients

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Banner Gateway Medical Center

Chase, Robyn N, DO, (F), B

Banner Univ Hosp Based Phys

Provider ID 003191827013

NPI: 1093911760

807 S Ponderosa St

Payson, AZ 85541

(928) 471-3222 E, EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Yavapai Regional Medical Center

West

Banner Univ Medical Cntr

Phoenix Campus

Chaudhary, Asad J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002919294002

NPI: 1073786794

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi, Urdu

Ages: 0-99

Hospital Affiliations:

Regional One Health

Regional Medical Ctr At Memphis

Banner Baywood Medical Center

Banner Desert Medical Center

Banner Gateway Medical Center

Chaudhary, Asad J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002919294002

NPI: 1073786794

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi, Urdu

Ages: 0-99

Hospital Affiliations:

Regional One Health

Regional Medical Ctr At Memphis

Banner Baywood Medical Center

Banner Desert Medical Center

Banner Gateway Medical Center

Cumbria, Wayne M, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002352616001

NPI: 1629048046

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: French, Croatian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Abrazo Arizona Heart Hospital

Greenbaum Surgical Speciality

Hospital

Cumbria, Wayne M, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002352616001

NPI: 1629048046

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Languages Spoken:

Provider: French, Croatian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Abrazo Arizona Heart Hospital

Greenbaum Surgical Speciality

Hospital

Halepota, Maqbool A, MD, (M)

Palo Verde Hematology Oncology

Provider ID 001445800004

NPI: 1558384966

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 EB, P, R

Languages Spoken:

Provider: Urdu, Sinhalese

Web address: www.pvhomed.com

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Banner Estrella Medical Center

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ho, Warren Reyes, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001977119003

NPI: 1073721965

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Mount Sinai Hospital

Franklin Square Hospital Center

Trinity Hospitals

Ho, Warren Reyes, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001977119003

NPI: 1073721965

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 566-8646 EB, P, R

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Mount Sinai Hospital

Franklin Square Hospital Center

Trinity Hospitals

Kulkarni, Sanjay B, MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 002791592010

NPI: 1003923491

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Estrella Medical Center

Langford, Martin B, MD, (M)

Palo Verde Hematology Oncology

Provider ID 001068734004

NPI: 1992729826

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 E, EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Leopold, Peter S, DO, (M)

Az Kidney Dis & Hypertension

Provider ID 002193609004

NPI: 1740283423

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Abrazo Arrowhead Campus

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Leopold, Peter S, DO, (M)

Az Kidney Dis & Hypertension

Provider ID 002193609004

NPI: 1740283423

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Abrazo Arrowhead Campus

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Marupakula, Vidyasagargoud,

MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 003653799004

NPI: 1003123530

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: Hindi, Telugu

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Memon, Abdul Q, MD, (M), B

Abdul Memon Md

Provider ID 001870839013

NPI: 1093781346

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(480) 748-4238 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi, Spanish, Urdu

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

White Mountain Regional Med

Ctr

Cobre Valley Regional Medical

Center

Providence Sacred Heart Med Ctr

& Child

Multicare Deaconess Hospital

Summit Regional Medical Center

Banner Desert Medical Center

Chandler Regional Medical Center

Nasim, Kashif, MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 003096219009

NPI: 1144467135

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Gateway Medical Center

Ngo-Truong, Lisa L, MD, (F), B

Banner Hospital Ba Phys Az

Provider ID 003516020009

NPI: 1700013687

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Banner Gateway Medical Center

Banner Ironwood Medical Center

Nguyen, Dat D, MD, (M), B

The Az Partnership For

Immunization

Provider ID 002623514006

NPI: 1982698528

5515 S Apache Ave

Globe, AZ 85501

(928) 425-3189 EB, P, R

Languages Spoken:

Provider: Vietnamese

Does Not Accept New Patients

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Pyles, Ryan M, DO, (M), B

Banner Hospital Ba Phys Az

Provider ID 003368380010

NPI: 1750549093

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 18-99

Hospital Affiliations:

Banner Gateway Medical Center

Banner Ironwood Medical Center

Ramos, Alberto X, MD, (M)

Banner Uni Med Ctr Phx Campus

Liver Dise

Provider ID 002832986004

NPI: 1487788998

117 E Main St Bldg A100

Payson, AZ 85541

(602) 839-2606 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Banner Univ Medical Cntr

Phoenix Campus

Ramos, Alberto X, MD, (M)

Banner Uni Med Ctr Phx Campus

Liver Dise

Provider ID 002832986004

NPI: 1487788998

708 S Coeur D Alene Ln

Payson, AZ 85541

(602) 239-6324 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Banner Univ Medical Cntr

Phoenix Campus

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Raskin, David A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000920042001

NPI: 1457354003

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Raskin, David A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000920042001

NPI: 1457354003

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Saadat, Sharareh, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 003427068004

NPI: 1609036268

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Shuja, Khawaja F, MD, (F), B

Banner Hospital Ba Phys Az

Provider ID 002816411005

NPI: 1801091467

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Estrella Medical Center

Banner Gateway Medical Center

Sikuyayenga, Mutende J, MD,

(M), B

Banner Hospital Ba Phys Az

Provider ID 003651652008

NPI: 1528387347

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: French, Swahili

Ages: 18-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Banner Gateway Medical Center

Banner Goldfield Medical Center

Interventional Cardiology /

Cardiología Intervencionista

Klein, Neal A, MD, (M), B

Vhs Outpatient Clinics

Provider ID 000062010021

NPI: 1639111743

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Oasis Hospital

Loli, Akil I, MD, (M), B

Vhs Outpatient Clinics

Provider ID 002302374017

NPI: 1962453803

708 S Coeur D Alene Ln Ste A

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Albanian (Tosk),

Italian, Spanish

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Maki, Peter C, MD, (M), B

Vhs Outpatient Clinics

Provider ID 000623695008

NPI: 1306886775

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Banner Page Hospital

Valleywise Health

Abrazo Arizona Heart Hospital

Select Specialty Hospital Western

Mo

Banner Univ Medical Cntr

Phoenix Campus

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Memon, Abdul Q, MD, (M)

Abdul Memon Md

Provider ID 001870839013

NPI: 1093781346

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(480) 748-4238 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi, Spanish, Urdu

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

White Mountain Regional Med

Ctr

Cobre Valley Regional Medical

Center

Providence Sacred Heart Med Ctr

& Child

Multicare Deaconess Hospital

Summit Regional Medical Center

Banner Desert Medical Center

Chandler Regional Medical Center

Sumar, Riyaz A, MD, (M), B

Integrated Medical Services

Provider ID 002415048012

NPI: 1144212721

111 W Cedar Ln Ste A

Payson, AZ 85541

(602) 433-0202 E, EB, IB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

St Josephs Hsp And Med Ctr

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Arizona General Hospital

Nephrology / Nefrología

Aslam, Kaleem, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003616805002

NPI: 1578727509

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Havasu Regional Medical Center

Banner Thunderbird Medical

Center

Valley View Medical Center

Aslam, Kaleem, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003616805002

NPI: 1578727509

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Havasu Regional Medical Center

Banner Thunderbird Medical

Center

Valley View Medical Center

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Atalla, Jamal, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002424548002

NPI: 1609861566

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Balakrishnan, Radhakrishnan B,

MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002033402001

NPI: 1851377139

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Gujarati, Hindi, Tamil

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Thunderbird Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Bechtold, Lance L, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 007067471001

NPI: 1336554070

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Havasu Regional Medical Center

Belen, Cary D, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003463209001

NPI: 1982885323

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Banner Univ Medical Cntr

Phoenix Campus

Kindred Hospital Tucson

Belen, Cary D, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003463209001

NPI: 1982885323

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Banner Univ Medical Cntr

Phoenix Campus

Kindred Hospital Tucson

Bibb, Javier M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002771555002

NPI: 1871513358

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Promise Hospital Of Phoenix

Bibb, Javier M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002771555002

NPI: 1871513358

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Promise Hospital Of Phoenix

Bista, Amar B, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002054862001

NPI: 1740266923

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Bengali, Hindi, Nepali

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Abrazo Arizona Heart Hospital

Bista, Amar B, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002054862001

NPI: 1740266923

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Bengali, Hindi, Nepali

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Abrazo Arizona Heart Hospital

Bueno, Damaso S, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001991186001

NPI: 1336143759

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Filipino, Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Burstein, David M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001169891002

NPI: 1861462707

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Arizona Heart Hospital

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Burstein, David M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001169891002

NPI: 1861462707

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Arizona Heart Hospital

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Buxton-Fattohy, Suzan S, MD,

(F), B

Az Kidney Dis & Hypertension

Provider ID 003024310002

NPI: 1386861235

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Carondelet St Marys Hospital

Mosaic Medical Center Albany

Northwest Medical Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Oro Valley Hospital

Banner Estrella Medical Center

Chalasani, Rajendra, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002851410003

NPI: 1437349677

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Chalasani, Rajendra, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002851410003

NPI: 1437349677

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Channis, Basel, MD, (M), B

Banner Hospital Ba Phys Az

Provider ID 003496703009

NPI: 1982834594

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Banner Gateway Medical Center

Chaudhary, Asad J, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002919294002

NPI: 1073786794

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi, Urdu

Ages: 0-99

Hospital Affiliations:

Regional One Health

Regional Medical Ctr At Memphis

Banner Baywood Medical Center

Banner Desert Medical Center

Banner Gateway Medical Center

Chaudhary, Asad J, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002919294002

NPI: 1073786794

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi, Urdu

Ages: 0-99

Hospital Affiliations:

Regional One Health

Regional Medical Ctr At Memphis

Banner Baywood Medical Center

Banner Desert Medical Center

Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Chen, Ang, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002475283002

NPI: 1497852404

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Carondelet St Marys Hospital

Northwest Medical Center

Flagstaff Medical Center

Chen, Ang, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002475283002

NPI: 1497852404

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Carondelet St Marys Hospital

Northwest Medical Center

Flagstaff Medical Center

Chugh, Tarun, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003591091001

NPI: 1568695203

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi

Ages: 0-99

Hospital Affiliations:

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Mercy Gilbert Medical Center

Mountain Vista Medical Ctr

Banner Gateway Medical Center

Chugh, Tarun, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003591091001

NPI: 1568695203

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Punjabi

Ages: 0-99

Hospital Affiliations:

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Mercy Gilbert Medical Center

Mountain Vista Medical Ctr

Banner Gateway Medical Center

Cortez, Andrew J, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002592134001

NPI: 1902882806

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Valleywise Health

Select Specialty Hos-phoenix

Scttsdle Hlth Osb

St Josephs Hsp And Med Ctr

Banner Estrella Medical Center

Cortez, Andrew J, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002592134001

NPI: 1902882806

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Valleywise Health

Select Specialty Hos-phoenix

Scttsdle Hlth Osb

St Josephs Hsp And Med Ctr

Banner Estrella Medical Center

Cumbria, Wayne M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002352616001

NPI: 1629048046

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: French, Croatian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Abrazo Arizona Heart Hospital

Greenbaum Surgical Speciality

Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Cumbria, Wayne M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002352616001

NPI: 1629048046

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Languages Spoken:

Provider: French, Croatian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Abrazo Arizona Heart Hospital

Greenbaum Surgical Speciality

Hospital

Dahl, Katharine C, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002771544001

NPI: 1073559621

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Phx Childrens Hospital

St Josephs Hsp And Med Ctr

Dahl, Katharine C, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002771544001

NPI: 1073559621

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Phx Childrens Hospital

St Josephs Hsp And Med Ctr

De Long, Michael J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002659632004

NPI: 1912928201

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Cedars Sinai Medical Center

Aventura Hospital & Medical Ctr

Oro Valley Hospital

Desai, Sachin N, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002760803001

NPI: 1194761742

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Gujarati, Guarani

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Desai, Sachin N, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002760803001

NPI: 1194761742

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Gujarati, Guarani

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Dixon, Megan B, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002921546002

NPI: 1689868416

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Mercy Hospital

United Hospital

Mercy Hospital Unity Campus

North Memorial Health Hospital

Abrazo Arrowhead Campus

Carondelet St Marys Hospital

Healtheast St Johns Hospital

Dixon, Megan B, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002921546002

NPI: 1689868416

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Mercy Hospital

United Hospital

Mercy Hospital Unity Campus

North Memorial Health Hospital

Abrazo Arrowhead Campus

Carondelet St Marys Hospital

Healtheast St Johns Hospital

Fadia, Amit J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002014406002

NPI: 1316984339

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Gujarati

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Gatchalian, Raul A, MD, (M), B

Desert Kidney Associates

Provider ID 002800636001

NPI: 1114029584

5860 S Hospital Dr Ste 102

Globe, AZ 85501

(480) 834-9039 E, EB, G, IB, P,

PL, R, T

Languages Spoken:

Provider: Tagalog

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Gila River Healthcare

Gatchalian, Raul A, MD, (M), B

Desert Kidney Associates

Provider ID 002800636001

NPI: 1114029584

5860 S Hospital Dr Ste 103

Globe, AZ 85501

(480) 834-9039 EB, P, R

Languages Spoken:

Provider: Tagalog

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Gila River Healthcare

Goswami, Puja, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 003720997003

NPI: 1912168857

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Baywood Medical Center

Banner Thunderbird Medical

Center

Ronald Reagan Ucla Medical

Center

Goswami, Puja, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 003720997003

NPI: 1912168857

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Baywood Medical Center

Banner Thunderbird Medical

Center

Ronald Reagan Ucla Medical

Center

Hachem, Hassan A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002434501001

NPI: 1598768020

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish, French

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Desert Medical Center

Banner Desert Care Center

Chandler Regional Medical Center

Hachem, Hassan A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002434501001

NPI: 1598768020

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish, French

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Desert Medical Center

Banner Desert Care Center

Chandler Regional Medical Center

Hanna, Abboud, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003057401007

NPI: 1922237072

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Baptist Medical Center

Abrazo Central Campus

St Rose Dominican Hosp Delima

Campus

Sunrise Hospital & Med Ctr

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Select Specialty Hospital

Banner Estrella Medical Center

Hanna, Abboud, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003057401007

NPI: 1922237072

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Staff: Arabic

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Baptist Medical Center

Abrazo Central Campus

St Rose Dominican Hosp Delima

Campus

Sunrise Hospital & Med Ctr

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Select Specialty Hospital

Banner Estrella Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ho, Warren Reyes, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001977119003

NPI: 1073721965

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Mount Sinai Hospital

Franklin Square Hospital Center

Trinity Hospitals

Ho, Warren Reyes, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001977119003

NPI: 1073721965

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 566-8646 EB, P, R

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Mount Sinai Hospital

Franklin Square Hospital Center

Trinity Hospitals

Howlader, Anjuman A, MD, (F)

Az Kidney Dis & Hypertension

Provider ID 002983134004

NPI: 1467600833

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Bengali

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Fort Sanders Regional Medical Ctr

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Tennova Health

Tennova Healthcare

Blount Memorial Hospital

Kartoumah, Almutaz B, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002801892001

NPI: 1376654293

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Web address: www.akdhc.net

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Western Arizona Regional

Medical

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Kartoumah, Almutaz B, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002801892001

NPI: 1376654293

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Web address: www.akdhc.net

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Western Arizona Regional

Medical

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Kim, Jin K, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002077615008

NPI: 1467503920

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Verde Valley Medical Cntr

Kingman Regional Medical Center

Western Arizona Regional

Medical

Havasu Regional Medical Center

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Krieble, Barry F, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001078544001

NPI: 1740287218

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

St Joseph's Hospital

Indiana University Health

Franciscan Health Indianapolis

Krieble, Barry F, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001078544001

NPI: 1740287218

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

St Joseph's Hospital

Indiana University Health

Franciscan Health Indianapolis

Laurel, Edgardo R, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001102566001

NPI: 1992708788

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Filipino

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Laurel, Edgardo R, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001102566001

NPI: 1992708788

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Filipino

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Leopold, Peter S, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002193609004

NPI: 1740283423

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Abrazo Arrowhead Campus

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Leopold, Peter S, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002193609004

NPI: 1740283423

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Abrazo Arrowhead Campus

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Lien, Yeong-Hau H, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001037762001

NPI: 1356448815

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Lien, Yeong-Hau H, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001037762001

NPI: 1356448815

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Liu, Zhao, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002852129001

NPI: 1942356365

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Mandarin

Ages: 0-99

Hospital Affiliations:

St Peters University Hospital

Kingman Regional Medical Center

Robert Wood Johnson Univ Hosp

Liu, Zhao, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002852129001

NPI: 1942356365

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Mandarin

Ages: 0-99

Hospital Affiliations:

St Peters University Hospital

Kingman Regional Medical Center

Robert Wood Johnson Univ Hosp

Logan, Joy L, MD, (F)

Az Kidney Dis & Hypertension

Provider ID 001887591005

NPI: 1285732859

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Portuguese, Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Logan, Joy L, MD, (F)

Az Kidney Dis & Hypertension

Provider ID 001887591005

NPI: 1285732859

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Portuguese, Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Mishler, Rick E, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000746416004

NPI: 1629071303

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Western Arizona Regional

Medical

Jcl Dv Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Morales, Alejandro, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002483829003

NPI: 1134192909

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: German, Portuguese,

Spanish

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Morales, Alejandro, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002483829003

NPI: 1134192909

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: German, Portuguese,

Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Mumick, Guneet K, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002792919001

NPI: 1376657338

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Jcl Dv Hospital

Banner Boswell Medical Center

Select Specialty Hos-phoenix

Mustafa, Esmat M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002897099004

NPI: 1033307574

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Banner Del E Webb Medical

Center

Honorhealth Scottsdale Shea

Medical Ctr

Mustafa, Esmat M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002897099004

NPI: 1033307574

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Arabic

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Banner Del E Webb Medical

Center

Honorhealth Scottsdale Shea

Medical Ctr

Nabha, Anil, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002932114002

NPI: 1558547562

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

St Joseph's Hospital

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Cornerstone Hospital Of Se

Arizona

Cornerstone Specialty Hospitals

Tucson

Nabha, Anil, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002932114002

NPI: 1558547562

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

St Joseph's Hospital

Carondelet St Marys Hospital

University Medical Center

Banner University Med Ctr

Tucson Campus

Cornerstone Hospital Of Se

Arizona

Cornerstone Specialty Hospitals

Tucson

Neumann, Thomas V, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000839728003

NPI: 1316041916

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Verde Valley Medical Cntr

Neumann, Thomas V, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000839728002

NPI: 1316041916

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Verde Valley Medical Cntr

Neyra, Nilda R, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 001779825003

NPI: 1235132895

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: French, Spanish

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Nica, Romanita D, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002756399001

NPI: 1366486144

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Romanian

Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Verde Valley Medical Cntr

Abrazo Scottsdale Campus

Banner Univ Medical Cntr

Phoenix Campus

Nica, Romanita D, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002756399001

NPI: 1366486144

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Romanian

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

Yavapai Regional Medical Center

West

Verde Valley Medical Cntr

Abrazo Scottsdale Campus

Banner Univ Medical Cntr

Phoenix Campus

Packer, Jeffrey, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 000084798002

NPI: 1578566139

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: German

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Scottsdale Campus

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Parekh, Shehzad M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002274862001

NPI: 1023027307

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Havasu Regional Medical Center

Valley View Medical Center

Parekh, Shehzad M, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002274862001

NPI: 1023027307

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Western Arizona Regional

Medical

Havasu Regional Medical Center

Valley View Medical Center

Perveze, Zeeshan, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002813134001

NPI: 1851591895

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

St Joseph's Hospital

Tucson Medical Center

Sierra Vista Regional Health Ctr

Canyon Vista Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Perveze, Zeeshan, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002813134001

NPI: 1851591895

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

St Joseph's Hospital

Tucson Medical Center

Sierra Vista Regional Health Ctr

Canyon Vista Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Pokharel, Milap, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003463011004

NPI: 1336349463

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Nepali

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Pokharel, Milap, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003463011004

NPI: 1336349463

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Nepali

Staff: Spanish

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Raskin, David A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000920042001

NPI: 1457354003

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Raskin, David A, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000920042001

NPI: 1457354003

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Reyes, Carlos, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003460666002

NPI: 1831212117

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

Sierra Vista Regional Health Ctr

Canyon Vista Medical Center

Northwest Medical Center

Oro Valley Hospital

Kindred Hospital Tucson

Green Valley Hospital

Reyes, Carlos, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 003460666002

NPI: 1831212117

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Th - 8:00 AM - 4:30 PM

Fr - 8:00 AM - 4:00 PM

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Tucson Medical Center

Sierra Vista Regional Health Ctr

Canyon Vista Medical Center

Northwest Medical Center

Oro Valley Hospital

Kindred Hospital Tucson

Green Valley Hospital

Rivero, Alejandro J, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 000395735002

NPI: 1861419509

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Rivero, Alejandro J, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 000395735002

NPI: 1861419509

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Robey, Jean T, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002752551001

NPI: 1255377800

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Vietnamese

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Scttsdle Hlth Osb

Banner Estrella Medical Center

Kindred Hospital Az-northwest

Phoenix

Robey, Jean T, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002752551001

NPI: 1255377800

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Vietnamese

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Scttsdle Hlth Osb

Banner Estrella Medical Center

Kindred Hospital Az-northwest

Phoenix

Rokkam, Vamsi, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002808635001

NPI: 1174738389

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Medical Center At Bowling Green

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Rokkam, Vamsi, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002808635001

NPI: 1174738389

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Medical Center At Bowling Green

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Abrazo Scottsdale Campus

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Saadat, Sharareh, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 003427068005

NPI: 1609036268

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Saadat, Sharareh, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 003427068004

NPI: 1609036268

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Sacks, Paul, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000746418001

NPI: 1255334892

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Sacks, Paul, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 000746418001

NPI: 1255334892

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Sahani, Mandeep M, MD, (M), B

Desert Kidney Associates

Provider ID 002051653001

NPI: 1811080633

5860 S Hospital Dr Ste 103

Globe, AZ 85501

(480) 834-9039 EB, P, R

Languages Spoken:

Provider: Hindi, Punjabi

Ages: 0-99

Hospital Affiliations:

Mercy Med Ctr-des Moines

Mercyone Des Moines Medical

Center

St Lukes Regional Medical Center

Banner Desert Medical Center

Salehi-Rad, Reza, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003188454001

NPI: 1649460593

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Havasu Regional Medical Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Salehi-Rad, Reza, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003188454001

NPI: 1649460593

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Havasu Regional Medical Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Sanna, Sathish, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 005612811016

NPI: 1215168059

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Boswell Medical Center

Gila River Healthcare

Banner Baywood Heart Hospital

Banner Desert Medical Center

Banner Desert Care Center

Chandler Regional Medical Center

Sanna, Sathish, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 005612811016

NPI: 1215168059

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Boswell Medical Center

Gila River Healthcare

Banner Baywood Heart Hospital

Banner Desert Medical Center

Banner Desert Care Center

Chandler Regional Medical Center

Santos, Peter W, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002799711002

NPI: 1932249612

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Tagalog

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Arizona Heart Hospital

Banner Thunderbird Medical

Center

Santos, Peter W, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 002799711002

NPI: 1932249612

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Tagalog

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Arizona Heart Hospital

Banner Thunderbird Medical

Center

Shakil, Bassam S, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 004515288001

NPI: 1790915684

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Banner Boswell Medical Center

Shakil, Bassam S, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 004515288001

NPI: 1790915684

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Urdu

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Kingman Regional Medical Center

Havasu Regional Medical Center

Banner Boswell Medical Center

Singh, Harnath, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001931669002

NPI: 1538133236

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Little Colorado Medical Center

Summit Regional Medical Center

Verde Valley Medical Cntr

Flagstaff Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Singh, Harnath, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001931669002

NPI: 1538133236

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

Little Colorado Medical Center

Summit Regional Medical Center

Verde Valley Medical Cntr

Flagstaff Medical Center

Swaminathan, Ariv, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001277884001

NPI: 1699778225

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Select Specialty Hospital

Banner Thunderbird Medical

Center

St Josephs Hsp And Med Ctr

Swaminathan, Ariv, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001277884001

NPI: 1699778225

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Select Specialty Hospital

Banner Thunderbird Medical

Center

St Josephs Hsp And Med Ctr

Ting, Steven C, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002777196002

NPI: 1740388578

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Ting, Steven C, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002777196002

NPI: 1740388578

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Uddin, Muhammad A, MD, (M),

B

Az Kidney Dis & Hypertension

Provider ID 002195413003

NPI: 1396936373

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi, Punjabi, Urdu,

Spanish

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Desert Medical Center

Chandler Regional Medical Center

Mercy Gilbert Medical Center

Mountain Vista Medical Ctr

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Uddin, Muhammad A, MD, (M),

B

Az Kidney Dis & Hypertension

Provider ID 002195413003

NPI: 1396936373

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Hindi, Punjabi, Urdu,

Spanish

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Desert Medical Center

Chandler Regional Medical Center

Mercy Gilbert Medical Center

Mountain Vista Medical Ctr

Ungar, Scott A, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003338019003

NPI: 1306075924

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Care Center

Banner Gateway Medical Center

Arizona Regional Medical Center

Ungar, Scott A, DO, (M), B

Az Kidney Dis & Hypertension

Provider ID 003338019003

NPI: 1306075924

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Care Center

Banner Gateway Medical Center

Arizona Regional Medical Center

Wang, Shouwen, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002404350003

NPI: 1700889326

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Good Samaritan Hospital Med Ctr

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Kindred Hospital Az-northwest

Phoenix

Wang, Shouwen, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002404350003

NPI: 1700889326

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

Good Samaritan Hospital Med Ctr

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Abrazo Arizona Heart Hospital

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Kindred Hospital Az-northwest

Phoenix

Whittman, David T, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002194646001

NPI: 1205938917

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

University Medical Center

Banner University Med Ctr

Tucson Campus

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Zaharia, Valentin, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002282204002

NPI: 1467455089

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Romanian, Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

North Central Bronx Hospital

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Tempe St Lukes Hosp A Campus

Of St Lukes

Arkansas Heart Hospital

Abrazo Arizona Heart Hospital

Zaharia, Valentin, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002282204002

NPI: 1467455089

903 E State Highway 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Languages Spoken:

Provider: Romanian, Spanish

Ages: 0-99

Hospital Affiliations:

St Lukes Medical Center

North Central Bronx Hospital

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Tempe St Lukes Hosp A Campus

Of St Lukes

Arkansas Heart Hospital

Abrazo Arizona Heart Hospital

Zar, Tausif, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002994757001

NPI: 1396889358

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Oro Valley Hospital

Zar, Tausif, MD, (M)

Az Kidney Dis & Hypertension

Provider ID 002994757001

NPI: 1396889358

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Oro Valley Hospital

Zhao, Hui J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002827657001

NPI: 1629125414

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Havasu Regional Medical Center

Scttsdle Hlth Osb

Greenbaum Surgical Speciality

Hospital

Scttsdle Hlth Tpk

Scottsdale Healthcare Tho

Zhao, Hui J, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 002827657001

NPI: 1629125414

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Havasu Regional Medical Center

Scttsdle Hlth Osb

Greenbaum Surgical Speciality

Hospital

Scttsdle Hlth Tpk

Scottsdale Healthcare Tho

Zhao, Joseph, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 004515320001

NPI: 1558545087

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Mandarin, Tagalog

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Banner Gateway Medical Center

Banner Ironwood Medical Center

Banner Goldfield Medical Center

Zhao, Joseph, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 004515320001

NPI: 1558545087

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Mandarin, Tagalog

Ages: 0-99

Hospital Affiliations:

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Banner Gateway Medical Center

Banner Ironwood Medical Center

Banner Goldfield Medical Center

Zou, Lixian, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002513853002

NPI: 1053359737

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish, Chinese

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Zou, Lixian, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002513853002

NPI: 1053359737

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish, Chinese

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Neurology / Neurología

Badhwar, Shruti, DO, (F)

Phoenix Neurology & Sleep

Medicine

Provider ID 003407383002

NPI: 1497918502

806 S Ponderosa St

Payson, AZ 85541

(623) 535-0050 EB, P, R

Languages Spoken:

Provider: Hindi

Ages: 0-99

Hospital Affiliations:

St Joseph's Hospital

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Capampangan, Dan J, MD, (M),

B

University Physician Specialists

LLC

Provider ID 003343813007

NPI: 1114956273

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Languages Spoken:

Provider: Tagalog

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Page Hospital

Mayo Clinic Hospital

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Banner Ironwood Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Lee-Iannotti, Joyce K, MD, (F), B

University Physician Specialists

LLC

Provider ID 003190529009

NPI: 1518133271

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Metrohealth Medical Center

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Thunderbird Medical

Center

Mayo Clinic Hospital

Banner Univ Medical Cntr

Phoenix Campus

Payne, Jeremy R, MD, (M), B

University Physician Specialists

LLC

Provider ID 002672244004

NPI: 1699727784

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Banner Ironwood Medical Center

Banner Goldfield Medical Center

Torzala, Daniel T, MD, (M), B

Phoenix Neurology & Sleep

Medicine

Provider ID 003037358003

NPI: 1437127990

806 S Ponderosa St

Payson, AZ 85541

(623) 535-0050 EB, P, R

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 1:00 PM

Ages: 0-99

Hospital Affiliations:

West Valley Hospital Medical

Center

Abrazo West Campus

Banner Estrella Medical Center

Yancy, Holly M, DO, (F), B

University Physician Specialists

LLC

Provider ID 003633525006

NPI: 1861658858

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Mayo Clinic Hospital

Banner Ironwood Medical Center

Banner Goldfield Medical Center

Nurse Practitioner / Enfermera

Especialista

Ali, Sheiba, NP, (F)

Hospitalists Of Arizona

Provider ID 006882582004

NPI: 1851871743

1100 E Monroe St

Globe, AZ 85501

(928) 425-5721 EB, IB, P, PL, R

Ages: 0-99

Arias, Sylvia K, NP, (F)

Az Kidney Dis & Hypertension

Provider ID 006789611001

NPI: 1861994824

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Arias, Sylvia K, NP, (F)

Az Kidney Dis & Hypertension

Provider ID 006789611001

NPI: 1861994824

903 E Hwy 260 Ste 2

Payson, AZ 85541

(928) 649-7997 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Arias, Sylvia K, NP, (F)

Az Kidney Dis & Hypertension

Provider ID 006789611001

NPI: 1861994824

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Bingham, Ryan D, MS, (M)

Southwest Behavioral Services

Provider ID 003675579001

NPI: 1316371586

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Spanish

Web address: www.sbhservices.org

Ages: 0-99

Areas of Expertise: Telemental

Health Capability

De Retana, Natalija, NP, (F)

Abdul Memon Md

Provider ID 006703562001

NPI: 1447768130

5882 S Hospital Dr Ste 1

Globe, AZ 85501

(928) 793-3365 E, EB, IB, P, R

Ages: 0-99

Edelman, Steven R, FNP, (M)

Desert Pain & Rehab Specialists

Provider ID 003051427001

NPI: 1871732727

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Ages: 18-99

Griffin, Brandie D, FNP, (F)

Cobre Valley Regional Medical

Center

Provider ID 003702457007

NPI: 1093148991

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Ages: 0-99

Jose, Emily, NP, (F)

Banner Urgent Care Arizona

Provider ID 003610513053

NPI: 1043559438

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Klug, Ronald G, NP, (M)

Az Kidney Dis & Hypertension

Provider ID 006179019001

NPI: 1679026017

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Klug, Ronald G, NP, (M)

Az Kidney Dis & Hypertension

Provider ID 006179019001

NPI: 1679026017

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Lindner, Elizabeth J, FNP, (F)

Banner Urgent Care Arizona

Provider ID 005410802003

NPI: 1316343049

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner University Med Ctr South

Campus

Mcelroy, Crystal L, FNP, (F)

Banner Urgent Care Arizona

Provider ID 003840312011

NPI: 1659676351

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Ages: 0-99

Millbourn, Lorna J, NP, (F)

Banner Urgent Care Arizona

Provider ID 003682321011

NPI: 1952740789

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Gerald Champion Reg Med Ctr

Montano, Gilbert J, FNP, (M)

Banner Urgent Care Arizona

Provider ID 003060396009

NPI: 1821286915

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905

Languages Spoken:

Provider: Spanish

Ages: 0-99

Morse, Suzanne, NP, (F)

Northern Arizona Pain Svcs

Provider ID 002748654002

NPI: 1386750511

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(928) 474-2234 EB, P, R

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Ages: 0-99

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Robb, Wendy A, NP, (F)

Banner Urgent Care Arizona

Provider ID 006604243041

NPI: 1316324080

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Sullivan, Rachel, NP, (F)

Az Kidney Dis & Hypertension

Provider ID 006321494002

NPI: 1801257761

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Ages: 0-99

Zak, Svetlana V, MS, (F)

Mountain Health And Wellness

Provider ID 003182856033

NPI: 1386831832

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Oncology / Oncología

Bi, Sucai, MD, (M), B

Banner Cancer Center Specialists

Provider ID 002313000007

NPI: 1659363794

807 S Ponderosa St

Payson, AZ 85541

(928) 471-3222 EB, P, R

Languages Spoken:

Provider: Chinese

Ages: 0-99

Hospital Affiliations:

Good Samaritan Reg Med Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Banner Gateway Medical Center

Chadha, Manpreet K, MD, (F), B

Palo Verde Hematology Oncology

Provider ID 002962894006

NPI: 1760632442

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Thunderbird Medical

Center

Roswell Park Cancer Institute

Abrazo Scottsdale Campus

Banner Boswell Medical Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Langford, Martin B, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 001068734004

NPI: 1992729826

807 S Ponderosa St

Payson, AZ 85541

(602) 258-4875 E, EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Rakkar, Amol N, MD, (M), B

Palo Verde Hematology Oncology

Provider ID 001864972002

NPI: 1336160241

807 S Ponderosa St

Payson, AZ 85541

(928) 474-5729 E, EB, P, R

Languages Spoken:

Provider: Punjabi, Hindi, Indian

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Banner Thunderbird Medical

Center

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ophthalmology / Oftalmología

Bakall, Benjamin B, MD, (M), B

Associated Retina Consultants

Provider ID 003382160004

NPI: 1700085222

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: Swedish

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

U Of I Hosps & Clinics

U Of Iowa Hosp And Clinic

Maricopa Medical Center

Banner Desert Medical Center

Banner Estrella Medical Center

Banner Gateway Medical Center

Barakat, Mark R, MD, (M), B

Retinal Consultants/Arizona

Provider ID 002940822003

NPI: 1225214646

302 W Main St

Payson, AZ 85541

(888) 831-7898 EB, P, R

Languages Spoken:

Provider: German, Spanish

Web address: www.retinalconsultan

tsaz.com

Ages: 0-99

Hospital Affiliations:

Yuma Regional Medical Center

Cleveland Clinic Foundation

Barakat, Mark R, MD, (M), B

Retinal Consultants/Arizona

Provider ID 002940822003

NPI: 1225214646

5860 S Hospital Dr Ste 101

Globe, AZ 85501

(480) 388-3280 EB, P, R

Languages Spoken:

Provider: German, Spanish

Web address: www.retinalconsultan

tsaz.com

Ages: 0-99

Hospital Affiliations:

Yuma Regional Medical Center

Cleveland Clinic Foundation

Berbos, Zachary J, MD, (M), B

Visage Aesthetics & Plastic

Surgery

Provider ID 003427078001

NPI: 1497996433

520 S Hill St

Globe, AZ 85501

(928) 425-8989 EB, P, R

Ages: 0-99

Hospital Affiliations:

Select Specialty Hospital

Scttsdle Hlth Osb

Bryan, Joseph S, MD, (M), B

Associated Retina Consultants

Provider ID 001320935005

NPI: 1881686558

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: French, Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Boswell Medical Center

Queens Medical Center

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Desouza, Stephen A, MD, (M), B

Associated Retina Consultants

Provider ID 002199436003

NPI: 1548232820

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: French

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Scttsdle Hlth Osb

Phx Childrens Hospital

St Josephs Hsp And Med Ctr

Mercy Gilbert Medical Center

Goldenberg, David T, MD, (M), B

Retinal Consultants/Arizona

Provider ID 002902280001

NPI: 1417170432

302 W Main St

Payson, AZ 85541

(888) 831-7989 EB, P, R

Languages Spoken:

Provider: Spanish

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

William Beaumont Hospital-royal

Oak

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Desert Medical Center

Scttsdle Hlth Osb

Banner Gateway Medical Center

Goldenberg, David T, MD, (M), B

Retinal Consultants/Arizona

Provider ID 002902280001

NPI: 1417170432

5860 S Hospital Dr Ste 101

Globe, AZ 85501

(480) 388-3280 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

William Beaumont Hospital-royal

Oak

Banner Thunderbird Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Desert Medical Center

Scttsdle Hlth Osb

Banner Gateway Medical Center

Gordon, Alan J, MD, (M), B

Associated Retina Consultants

Provider ID 001013539006

NPI: 1518959287

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Valleywise Health

Banner Desert Medical Center

St Josephs Hsp And Med Ctr

Klein-Mascia, Kendra A, MD, (F),

B

Associated Retina Consultants

Provider ID 006110128002

NPI: 1205192697

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Ages: 0-99

Hospital Affiliations:

Desert Regional Medical Center -

Compreh

Kwong, Henry M, MD, (M), B

Associated Retina Consultants

Provider ID 002784073006

NPI: 1033257746

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: French

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Banner Estrella Medical Center

Reddy, Rahul K, MD, (M), B

Associated Retina Consultants

Provider ID 003060704012

NPI: 1083806863

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Languages Spoken:

Provider: Telugu

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Vanderbilt University Med Ctr

Vanderbilt University Medical

Center

Vanderbilt Childrens Hospital

Risser, Christian F, MD, (M), B

Risser Thomas Eye Clinic

Provider ID 000284891001

NPI: 1457482630

302 W Main St

Payson, AZ 85541

(928) 474-4126 EB, P, R

Languages Spoken:

Staff: Spanish

Mo-Fr - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Sangave, Amit A, MD, (M), B

Barnet Dulaney Perkins Eye Ctr

Provider ID 006614024006

NPI: 1447516133

520 S Hill St

Globe, AZ 85501

(928) 425-8989 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Henry Ford Hospital

Banner Desert Medical Center

Banner Gateway Medical Center

Thomas, Robert A, MD, (M), B

Risser Thomas Eye Clinic

Provider ID 001366200001

NPI: 1134250343

302 W Main St

Payson, AZ 85541

(928) 474-4126 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

St Josephs Hsp And Med Ctr

Welch, Matthew J, MD, (M), B

Associated Retina Consultants

Provider ID 003357151006

NPI: 1316100977

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Web address: www.associatedretina

consultants.com

Ages: 0-99

Hospital Affiliations:

Loyola University Medical Center

Maricopa Medical Center

Ziemianski, Matthew C, MD, (M),

B

Associated Retina Consultants

Provider ID 000130578004

NPI: 1730169764

302 W Main St

Payson, AZ 85541

(602) 242-4928 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Central Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Baywood Medical Center

Banner Thunderbird Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Orthopaedic Surgery / Cirugía

Ortopédica

Benoit, Martin J, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 002115527001

NPI: 1669429320

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Languages Spoken:

Provider: French

Ages: 0-99

Hospital Affiliations:

Eh Sm Hospital Detroit Lakes

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Biehn, Jeffrey L, DO, (M)

Banner Physician Specialists

Arizona

Provider ID 003501763001

NPI: 1669637062

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Ironwood Medical Center

Banner Goldfield Medical Center

Croft, Scott T, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001342682004

NPI: 1619934163

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Languages Spoken:

Provider: Japanese

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Frances Mahon Deaconess Hosp

Memorial Hospital Of Carbon

Cnty

Memorial Hosp Of Converse Cnty

Cobre Valley Regional Medical

Center

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Croft, Scott T, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001342682007

NPI: 1619934163

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Languages Spoken:

Provider: Japanese

Ages: 0-99

Hospital Affiliations:

Frances Mahon Deaconess Hosp

Memorial Hospital Of Carbon

Cnty

Memorial Hosp Of Converse Cnty

Cobre Valley Regional Medical

Center

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Croft, Scott T, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001342682003

NPI: 1619934163

5880 S Hospital Dr

Globe, AZ 85501

(928) 402-1165 EB, P, R

Languages Spoken:

Provider: Japanese

Ages: 0-99

Hospital Affiliations:

Frances Mahon Deaconess Hosp

Memorial Hospital Of Carbon

Cnty

Memorial Hosp Of Converse Cnty

Cobre Valley Regional Medical

Center

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Croft, Scott T, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 001342682005

NPI: 1619934163

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Languages Spoken:

Provider: Japanese

Ages: 0-99

Hospital Affiliations:

Frances Mahon Deaconess Hosp

Memorial Hospital Of Carbon

Cnty

Memorial Hosp Of Converse Cnty

Cobre Valley Regional Medical

Center

Abrazo Scottsdale Campus

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Honorhealth Scottsdale Shea

Medical Ctr

Kelly, Lawrence J, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 002036792005

NPI: 1124014758

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

West Valley Hospital Medical

Center

Abrazo West Campus

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Sepich, Dustin J, MD, (M)

Banner Physician Specialists

Arizona

Provider ID 005548310003

NPI: 1801109152

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Desert Springs Hospital

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

St Rose Dominican Hospital Sie

Spring Valley Hosp Med Ctr

Southern Hills Medical Center

Centennial Hills Hosp Med Ctr

Shank, Lawrence P, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 001660193006

NPI: 1144212226

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Susan B Allen Memorial Hospital

Memorial Hospital Of Texas Cnty

St Luke Hospital

Humboldt General Hospital

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Banner Del E Webb Medical

Center

West Valley Hospital Medical

Center

Tani, Jason C, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 001409477003

NPI: 1104813013

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Baywood Medical Center

Arizona Spine & Joint Hospital

Banner Gateway Medical Center

Wheeler, John C, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 005327479002

NPI: 1073700928

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Desert Medical Center

Banner Gateway Medical Center

Pain Management / Tratamiento

Del Dolor

Goodman, Darenie, MD, (F)

Desert Pain & Rehab Specialists

Provider ID 002967074003

NPI: 1295992527

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Languages Spoken:

Provider: French

Staff: Spanish

Interpreter: Medical Interp

Vendor

Ages: 0-99

Hospital Affiliations:

San Gabriel Valley Medical

Center

Keck Hospital Of Usc

Goodman, Herbert D, MD, (M)

Desert Pain & Rehab Specialists

Provider ID 000713472002

NPI: 1346258472

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Languages Spoken:

Provider: French

Staff: Spanish

Interpreter: Medical Interp

Vendor

Ages: 0-99

Hospital Affiliations:

Maryvale Hospital Medical Center

Abrazo Maryvale Campus

Halter, Mitchell R, MD, (M)

Desert Pain & Rehab Specialists

Provider ID 002198541003

NPI: 1841287398

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Northwest Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Morse, Suzanne, NP, (F)

Northern Arizona Pain Svcs

Provider ID 002748654002

NPI: 1386750511

708 S Coeur D Alene Ln Ste C

Payson, AZ 85541

(928) 474-2234 EB, P, R

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 12:00 PM

Ages: 0-99

Pediatric Nephrology / Nefrología

Pediátrica

Benedict, Kelly A, MD, (F)

Az Kidney Dis & Hypertension

Provider ID 005038739004

NPI: 1144429747

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Desert Medical Center

St Josephs Hsp And Med Ctr

Benedict, Kelly A, MD, (F)

Az Kidney Dis & Hypertension

Provider ID 005038739004

NPI: 1144429747

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Desert Medical Center

St Josephs Hsp And Med Ctr

Hsieh, Stephanie S, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002549159003

NPI: 1760444806

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Yuma Regional Medical Center

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Phx Childrens Hospital

Hsieh, Stephanie S, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 002549159003

NPI: 1760444806

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Sa - 8:00 AM - 4:30 PM

Ages: 0-99

Hospital Affiliations:

Yuma Regional Medical Center

Valleywise Health

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Phx Childrens Hospital

Joseph, Mark W, MD, (M), B

Az Kidney Dis & Hypertension

Provider ID 001707224072

NPI: 1740242320

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Phx Childrens Hospital

St Josephs Hsp And Med Ctr

Lindner, Clare J, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 005649204003

NPI: 1386932853

1106 N Beeline Hwy

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Germanic (Other),

Hebrew

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Valleywise Health

University Of Michigan Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Lindner, Clare J, MD, (F), B

Az Kidney Dis & Hypertension

Provider ID 005649204003

NPI: 1386932853

903 E State Highway 260 Ste 2

Payson, AZ 85541

(480) 857-2381 EB, P, R

Languages Spoken:

Provider: Germanic (Other),

Hebrew

Staff: Spanish

Ages: 0-99

Hospital Affiliations:

University Medical Center

Banner University Med Ctr

Tucson Campus

Valleywise Health

University Of Michigan Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Pediatric Orthopaedic Surgery /

Cirugía Oftalmológica Pediátrica

Udall, John H, MD, (M)

Banner Physician Specialists

Arizona

Provider ID 002950766002

NPI: 1649477357

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4500 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Desert Medical Center

St Josephs Hsp And Med Ctr

Banner Gateway Medical Center

Pediatric Urology / Urología

Pediátrica

Gleason, Philip E, MD, (M), B

Banner Physician Super Spec

Arizona

Provider ID 001200531004

NPI: 1871585810

803 S Ponderosa St Ste C

Payson, AZ 85541

(928) 596-4550 EB, P, R

Ages: 0-99

Hospital Affiliations:

Spectrum Health Hospitals

Flagstaff Medical Center

Banner Thunderbird Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Desert Medical Center

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Physician Assistant / Asistente

Médico

Alexander, Roberto B, PA, (M)

Banner Physician Specialists

Arizona

Provider ID 003415788004

NPI: 1003878125

122 E Main St

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Christus St Vincent Regional Med

Ctr

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Alexander, Roberto B, PA, (M)

Banner Physician Specialists

Arizona

Provider ID 003415788004

NPI: 1003878125

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Christus St Vincent Regional Med

Ctr

Scttsdle Hlth Osb

Honorhealth Scottsdale Shea

Medical Ctr

Scottsdale Healthcare Shea

Medical Ctr

Scttsdle Hlth Shea

Ballou, Elise W, PA, (F)

Health Group Providers LLC

Provider ID 005789640007

NPI: 1720485147

1100 E Monroe St

Globe, AZ 85501

(602) 734-5664 EB, IB, P, PL, R

Ages: 0-99

Hospital Affiliations:

Abrazo Arrowhead Campus

Jcl Dv Hospital

Freeburg, Dominic D, PA, (M)

Banner Physician Specialists

Arizona

Provider ID 006590224001

NPI: 1407211808

122 E Main St

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Gateway Medical Center

Kitchen, Dallon R, PA, (M)

Statclinix Plc

Provider ID 005832186003

NPI: 1558744391

101 E Hwy 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Koppal, Theresa D, PA, (F)

Banner Urgent Care Arizona

Provider ID 006034568003

NPI: 1033510508

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Mc Bride, Wade J, PA, (M)

Vhs Outpatient Clinics

Provider ID 002193296015

NPI: 1164495917

708 S Coeur D Alene Ln Ste 1

Payson, AZ 85541

(928) 472-7440 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Yuma Regional Medical Center

Banner Univ Medical Cntr

Phoenix Campus

St Josephs Hsp And Med Ctr

Mcdonald, Jennifer P, PA, (F)

Mountain Health And Wellness

Provider ID 005607787019

NPI: 1144605171

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Mcleod, Robert J, PA, (M)

Banner Physician Specialists

Arizona

Provider ID 005335924001

NPI: 1992193957

122 E Main St

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Gateway Medical Center

Mcminn, Sylvia E, PA, (F), B

Health Group Providers LLC

Provider ID 002897426006

NPI: 1063631760

1100 E Monroe St

Globe, AZ 85501

(602) 734-5664 EB, IB, P, PL, R

Cultural Competency: Y

Ages: 0-99

Areas of Expertise: Serious Mental

Illness

Mortenson, Duane S, PA, (M)

Sheftel & Associates Dermatology

Provider ID 003551572003

NPI: 1972719102

5886 S Hospital Dr

Globe, AZ 85501

(520) 293-5757 EB, P, R

Ages: 0-99

Peterson, Richard N, PA, (M)

Banner Urgent Care Arizona

Provider ID 003432432004

NPI: 1386949659

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Porter, Andrew R, PA, (M)

Banner Urgent Care Arizona

Provider ID 002814236005

NPI: 1801826094

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Casa Grande Regional Med Ctr

Banner Casa Grande Medical

Center

Banner Baywood Medical Center

Porter, Levi, PA, (M)

Desert Pain & Rehab Specialists

Provider ID 003182455006

NPI: 1225111834

621 S Fifth St

Globe, AZ 85501

(928) 425-8273 E, EB, IB, P, R

Ages: 0-99

Rogers, Scott T, PA, (M)

Banner Urgent Care Arizona

Provider ID 003234336005

NPI: 1689927329

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Rust, Jeffery, PA, (M)

Banner Urgent Care Arizona

Provider ID 002701914053

NPI: 1841240207

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Western Arizona Regional

Medical

Banner Boswell Medical Center

Sarko, Genowefa H, PA, (F)

Southwest Behavioral Services

Provider ID 002167829002

NPI: 1225139322

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Polish, Russian

Ages: 0-99

Scholzen, David T, PA, (M)

Banner Urgent Care Arizona

Provider ID 003349274006

NPI: 1104013515

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Scott, Diane M, PA, (F)

Banner Physician Specialists

Arizona

Provider ID 002701639003

NPI: 1285694299

120 E Main St Ste A

Payson, AZ 85541

(928) 596-4700 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Gateway Medical Center

Scott, Diane M, PA, (F)

Banner Physician Specialists

Arizona

Provider ID 002701639003

NPI: 1285694299

122 E Main St Ste A

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Gateway Medical Center

Scott, Diane M, PA, (F)

Banner Physician Specialists

Arizona

Provider ID 002701639003

NPI: 1285694299

126 E Main St Ste D

Payson, AZ 85541

(928) 596-4800 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Banner Gateway Medical Center

Sorenson, David S, PA, (M)

Banner Urgent Care Arizona

Provider ID 003339140006

NPI: 1407923493

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Stallings, Shantay, PA, (F)

Banner Urgent Care Arizona

Provider ID 006334170005

NPI: 1356892640

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Stevenson, Troy G, PA, (M)

Horizon Health And Wellness

Provider ID 005449527019

NPI: 1972995892

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Stevenson, Troy G, PA, (M)

Horizon Health And Wellness

Provider ID 005449527008

NPI: 1972995892

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Strickland, Suzanne L, PA, (F)

Banner Urgent Care Arizona

Provider ID 005455550004

NPI: 1356731624

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Ages: 0-99

Swanson, Jennifer, PA, (F)

Cobre Valley Regional Medical

Center

Provider ID 003576263002

NPI: 1366791071

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Ages: 0-99

Swanson, Jennifer, PA, (F)

Cobre Valley Regional Medical

Center

Provider ID 003576263004

NPI: 1366791071

5880 S Hospital Dr

Globe, AZ 85501

(928) 402-1107 EB, P, R

Languages Spoken:

Staff: American Sign Language,

Spanish

Ages: 0-99

White, Andrew C, PA, (M)

Banner Urgent Care Arizona

Provider ID 007037415004

NPI: 1043791247

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Wurtz, Eric S, PA, (M)

Banner Urgent Care Arizona

Provider ID 004722791003

NPI: 1659621308

101 E State Highway 260 Ste G

Payson, AZ 85541

(928) 478-8905 EB, P, R

Languages Spoken:

Provider: Filipino

Ages: 0-99

Plastic Surgery / Cirugía Plástica

Lex, Stephen F, MD, (M), B

Plastic Surgeons Of Northern Az

Provider ID 001702681004

NPI: 1215930599

405 W Main St Ste D

Payson, AZ 85541

(928) 774-2300 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Verde Valley Medical Cntr

Kingman Regional Medical Center

Flagstaff Medical Center

Quigley, Jack B, MD, (M), B

Plastic Surgeons Of Northern Az

Provider ID 001702680008

NPI: 1861495137

405 W Main St Ste D

Payson, AZ 85541

(928) 774-2300 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Verde Valley Medical Cntr

Kingman Regional Medical Center

Flagstaff Medical Center

Podiatry / Podiatría

Evans, Robert T, DPM, (M), B

Robert T Evans Dpm

Provider ID 002457108002

NPI: 1578532248

200 E Lone Pine Dr

Payson, AZ 85541

(928) 474-9242 EB, P, R

Ages: 0-99

Hospital Affiliations:

Jcl Dv Hospital

Honorhealth John C Lincoln

Medical Ctr

Jcl Nm Hospital

Arizona - Gila Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Hall, Hugh R, DPM, (M)

White Mountain Foot And Ankle

Care

Provider ID 002627688002

NPI: 1952352619

5882 S Hospital Dr Ste 3

Globe, AZ 85501

(928) 532-5227 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Summit Regional Medical Center

Lewis, Wesley K, DPM, (M), B

Integrated Medical Services

Provider ID 006463994004

NPI: 1639589302

111 W Cedar Ln Ste A

Payson, AZ 85541

(623) 882-1292 E, EB, IB, P, R

Ages: 0-99

Mclaws, Ivan D, DPM, (M), B

Mclaws Ivan D

Provider ID 000819060001

NPI: 1356428536

200 E Lone Pine Dr

Payson, AZ 85541

(928) 474-9242 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Robison, Glen N, DPM, (M), B

Glen N Robison Dpm

Provider ID 001895087003

NPI: 1366401606

1300 South St

Globe, AZ 85501

(480) 985-1093 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Baywood Medical Center

Banner Gateway Medical Center

Robison, Glen N, DPM, (M), B

Glen N Robison Dpm

Provider ID 001895087003

NPI: 1366401606

5882 S Hospital Dr Ste 2

Globe, AZ 85501

(928) 425-3338 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Baywood Medical Center

Banner Gateway Medical Center

Robison, Glen N, DPM, (M), B

Glen N Robison Dpm

Provider ID 001895087003

NPI: 1366401606

5882 S Hospital Dr Ste 3

Globe, AZ 85501

(928) 425-3338 E, EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Baywood Medical Center

Banner Gateway Medical Center

Pulmonary Medicine / Medicina

Pulmonar

Nguyen, Dat D, MD, (M), B

The Az Partnership For

Immunization

Provider ID 002623514006

NPI: 1982698528

5515 S Apache Ave

Globe, AZ 85501

(928) 425-3189 EB, P, R

Languages Spoken:

Provider: Vietnamese

Does Not Accept New Patients

Ages: 0-99

Hospital Affiliations:

Kingman Regional Medical Center

Salim, Muhammad M, MD, (M),

B

Muhammad M Salim Md

Provider ID 000076997001

NPI: 1760467419

5880 S Hospital Dr

Globe, AZ 85501

(480) 821-0129 EB, P, R

Ages: 0-99

Hospital Affiliations:

Detar Hospital Navarro

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Vascular Surgery / Cirugía

Vascular

Specialists / Especialistas Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Balraj, Praveen C, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 005559511002

NPI: 1447562640

122 E Main St

Payson, AZ 85541

(928) 596-4600 EB, P, R

Languages Spoken:

Provider: Tamil, Telugu

Ages: 0-99

Hospital Affiliations:

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Desert Medical Center

Banner Gateway Medical Center

Paolini, David J, MD, (M), B

Western Vascular Institute

Provider ID 002436520009

NPI: 1245229004

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(480) 668-5000 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Lovelace Westside Hospital

The Toledo Hospital

Armstrong County Mem Hospital

Banner Baywood Medical Center

Lovelace Womens Hospital

Riesenman, Paul J, MD, (M), B

Banner Physician Specialists

Arizona

Provider ID 003500083002

NPI: 1831318195

122 E Main St

Payson, AZ 85541

(928) 596-4600 EB, P, R

Ages: 0-99

Hospital Affiliations:

University Hospital

Banner Baywood Medical Center

Banner Baywood Heart Hospital

Banner Gateway Medical Center

Pinal

Cardiology / Cardiología

Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188021

NPI: 1093793267

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188024

NPI: 1093793267

25 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Internal Medicine / Medicina

Interna

Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188021

NPI: 1093793267

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Tuli, Ajay, MD, (M), B

Pima Heart Physicians

Provider ID 002241188024

NPI: 1093793267

25 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 297-9060 EB, P, R

Ages: 0-99

Hospital Affiliations:

Tucson Medical Center

Carondelet St Marys Hospital

Northwest Medical Center

Oro Valley Hospital

Arizona - Pinal Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Physician Assistant / Asistente

Médico

Mcdonald, Jennifer P, PA, (F)

Mountain Health And Wellness

Provider ID 005607787016

NPI: 1144605171

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Nelson, Thomas J, PA, (M)

Horizon Health And Wellness

Provider ID 004987683004

NPI: 1508293713

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Stevenson, Troy G, PA, (M)

Horizon Health And Wellness

Provider ID 005449527016

NPI: 1972995892

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

California

Riverside

Allergy & Immunology / Alergia

E Inmunología

Brown, Hosea E, MD, (M), B

Hosea E Brown Md

Provider ID 000109610001

NPI: 1891787289

214 W Hobsonway

Blythe, CA 92225

(800) 577-6639 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Desert Regional Medical Center -

Compreh

Havasu Regional Medical Center

Palo Verde Hospital

Nevada

Clark

Cardiology / Cardiología

Jones, Jamison C, MD, (M)

Revere Health

Provider ID 003042088001

NPI: 1205031549

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Cardiovascular Disease /

Enfermedad Cardiovascular

Jones, Jamison C, MD, (M), B

Revere Health

Provider ID 003042088001

NPI: 1205031549

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Nurse Practitioner / Enfermera

Especialista

Krause, Lonny D, NP, (M)

Revere Health

Provider ID 007066489001

NPI: 1528523206

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Ages: 0-99

Ophthalmology / Oftalmología

Carlson, Joshua N, MD, (M), B

Retina Assoc Of Southern Utah

Provider ID 003643894003

NPI: 1093943086

340 Falcon Ridge Pkwy Ste 601

Mesquite, NV 89027

(435) 216-7032 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Vanderbilt University Med Ctr

Vanderbilt University Medical

Center

Mesa View Regional Hospital

Specialists / Especialistas Nevada - Clark

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Lord, Ron K, MD, (M), B

Retina Assoc Of Southern Utah

Provider ID 002363759001

NPI: 1790991107

340 Falcon Ridge Pkwy Ste 601

Mesquite, NV 89027

(866) 874-6496 EB, P, R

Ages: 0-99

Hospital Affiliations:

Truman Lakewood

Cedar City Hospital

Banner Page Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Mesa View Regional Hospital

Ophthalmology Retina Surgery /

Cirugía De Retina De

Oftalmología

Lord, Ron K, MD, (M)

Retina Assoc Of Southern Utah

Provider ID 002363759001

NPI: 1790991107

340 Falcon Ridge Pkwy Ste 601

Mesquite, NV 89027

(866) 874-6496 EB, P, R

Ages: 0-99

Hospital Affiliations:

Truman Lakewood

Cedar City Hospital

Banner Page Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Mesa View Regional Hospital

Orthopaedic Surgery / Cirugía

Ortopédica

O'brien, Aaron M, MD, (M), B

Revere Health

Provider ID 005184266003

NPI: 1114155074

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cleveland Clinic Foundation

Dixie Regional Medical Center

Parry, Scott A, MD, (M), B

Revere Health

Provider ID 001374575003

NPI: 1285611475

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Languages Spoken:

Provider: French

Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Dixie Regional Medical Center

Delta Community Hospital

Mesa View Regional Hospital

Parry, Todd R, MD, (M), B

Revere Health

Provider ID 002096544002

NPI: 1114905932

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Christus Good Shepherd Medical

Center

Mesa View Regional Hospital

Physical Medicine And

Rehabilitation / Physiatry /

Medicina Física Y De

Rehabilitación/Fisiatría

Johnson, Benjamin J, PT, (M)

Fit Physical Therapy Nv

Provider ID 003135476001

NPI: 1548490196

340 Falcon Ridge Pkwy Ste 500

Mesquite, NV 89027

(702) 346-3105 EB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Ages: 0-99

Physician Assistant / Asistente

Médico

Cox, Brandon R, PA, (M)

Revere Health

Provider ID 005302318005

NPI: 1508275868

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Mcpherson, Bruce A, PA, (M)

Revere Health

Provider ID 002321601001

NPI: 1265419451

330 Falcon Ridge Pkwy Ste 400a

Mesquite, NV 89027

(435) 628-9393 EB, P, R

Ages: 0-99

Podiatry / Podiatría

Nevada - Clark Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Peterson, Ryan T, DPM, (M)

Foot & Ankle Institute

Provider ID 003323809001

NPI: 1245486307

340 Falcon Ridge Pkwy Bldg A

Mesquite, NV 89027

(702) 346-7678 EB, P, R

Ages: 0-99

Peterson, Ryan T, DPM, (M)

Foot & Ankle Institute

Provider ID 003323809001

NPI: 1245486307

340 Falcon Ridge Pkwy Ste 300a

Mesquite, NV 89027

(702) 346-7678 EB, P, R

Ages: 0-99

Reber, Leon K, DPM, (M), B

Foot & Ankle Institute

Provider ID 002644864001

NPI: 1336179886

340 Falcon Ridge Pkwy Bldg Stea

Mesquite, NV 89027

(702) 346-7678 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Smith, Lary J, DPM, (M), B

Foot & Ankle Institute

Provider ID 001363347001

NPI: 1093713539

340 Falcon Ridge Pkwy Bldg A

Mesquite, NV 89027

(702) 346-7678 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Smith, Lary J, DPM, (M), B

Foot & Ankle Institute

Provider ID 001363347001

NPI: 1093713539

340 Falcon Ridge Pkwy Ste 300a

Mesquite, NV 89027

(702) 346-7678 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Pulmonary Medicine / Medicina

Pulmonar

Saifee, Mustufa T, MD, (M), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002207312001

NPI: 1568428357

1301 Bertha Howe Ave Ste 10

Mesquite, NV 89027

(435) 688-7770

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Saifee, Mustufa T, MD, (M), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002207312001

NPI: 1568428357

1301 Bertha Howe Ave Ste 11

Mesquite, NV 89027

(435) 313-7770

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Utah

Kane

Cardiology / Cardiología

Jones, Jamison C, MD, (M)

Revere Health

Provider ID 003042088001

NPI: 1205031549

355 N Main St

Kanab, UT 84741

(435) 251-2900 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Cardiovascular Disease /

Enfermedad Cardiovascular

Jones, Jamison C, MD, (M), B

Revere Health

Provider ID 003042088001

NPI: 1205031549

355 N Main St

Kanab, UT 84741

(435) 251-2900 EB, IB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Orthopaedic Surgery / Cirugía

Ortopédica

Parry, Scott A, MD, (M), B

Revere Health

Provider ID 001374575003

NPI: 1285611475

355 N Main St

Kanab, UT 84741

(435) 628-9393 EB, IB, P, R

Languages Spoken:

Provider: French

Specialists / Especialistas Utah - Kane

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Dixie Regional Medical Center

Delta Community Hospital

Mesa View Regional Hospital

Washington

Cardiology / Cardiología

Jones, Jamison C, MD, (M)

Revere Health

Provider ID 003042088001

NPI: 1205031549

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Cardiovascular Disease /

Enfermedad Cardiovascular

Boorman, David C, MD, (M), B

Revere Health

Provider ID 000374330004

NPI: 1659344471

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Alta View Hospital

Cedar City Hospital

Dixie Regional Medical Center

Delta Community Hospital

Jones, Jamison C, MD, (M), B

Revere Health

Provider ID 003042088001

NPI: 1205031549

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Nimer, Lynn R, MD, (M), B

Revere Health

Provider ID 001166033003

NPI: 1689635922

1380 E Medical Cntr Dr Ste 4100

St George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Family Nurse Practitioner /

Enfermera De Familia

Andersen, Nisha D, NP, (F)

Foot & Ankle Institute

Provider ID 005957686003

NPI: 1679938831

754 S Main St

St George, UT 84770

(435) 628-2671 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Andersen, Nisha D, NP, (F)

Foot & Ankle Institute

Provider ID 005957686002

NPI: 1679938831

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

General Surgery / Cirugía

Black, Cameron T, MD, (M)

Utah Surgical Associates

Provider ID 005372430002

NPI: 1679916225

1490 E Foremaster Dr Ste 200

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Day, Trevor J, DO, (M)

Utah Surgical Associates

Provider ID 006767478001

NPI: 1861732257

1490 E Foremaster Dr Ste 200

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Jennings, Cameron S, MD, (M)

Utah Surgical Associates

Provider ID 006492057001

NPI: 1790044527

1380 E Medical Center Dr

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Utah - Washington Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Jennings, Cameron S, MD, (M)

Utah Surgical Associates

Provider ID 006492057001

NPI: 1790044527

1490 E Foremaster Dr Ste 200

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Myers, Brad A, MD, (M), B

Utah Surgical Associates

Provider ID 000964008002

NPI: 1700986635

1380 E Medical Center Dr

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Speakman, J Jared, MD, (M), B

Utah Surgical Associates

Provider ID 002214517002

NPI: 1639279573

1380 E Medical Center Dr

Saint George, UT 84790

(435) 628-1641 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Neurological Surgery / Cirugía

Neurológica

Garber, Jason E, MD, (M), B

Western Reg Ctr For Brn/Spine

Surg

Provider ID 002079516001

NPI: 1164489480

1404 W Sunriver Pkwy

Saint George, UT 84790

(702) 835-0088 EB, P, R

Ages: 0-99

Hospital Affiliations:

Froedtert Memorial Lutheran

Hosp

University Med Ctr Of Southern

Nevada

Valley Hospital Medical Center

Desert Springs Hospital

Summerlin Hospital Medical Ctr

Centennial Hills Hosp Med Ctr

Nurse Practitioner / Enfermera

Especialista

Andersen, Nisha D, NP, (F)

Foot & Ankle Institute

Provider ID 005957686003

NPI: 1679938831

754 S Main St

St George, UT 84770

(435) 628-2671 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Andersen, Nisha D, NP, (F)

Foot & Ankle Institute

Provider ID 005957686002

NPI: 1679938831

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Barton, Deborah D, NP, (F)

Revere Health

Provider ID 001777835004

NPI: 1548234222

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Carlile, Maranda S, NP, (F)

Southwest Spine & Pain Care

Specialists

Provider ID 006463914009

NPI: 1376078196

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 265-2424 EB, P, R

Ages: 0-99

Gurley, Mindy R, NP, (F)

Revere Health

Provider ID 006900907002

NPI: 1053899690

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Hospital Affiliations:

Parkview Hospital

Krause, Lonny D, NP, (M)

Revere Health

Provider ID 007066489001

NPI: 1528523206

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Specialists / Especialistas Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Parry, Ami, NP, (F), B

Revere Health

Provider ID 007160533001

NPI: 1750942637

736 S 900 E Ste 203

St George, UT 84790

(435) 673-6131 EB, P, R

Ages: 0-99

Ophthalmology / Oftalmología

Carlson, Joshua N, MD, (M), B

Retina Assoc Of Southern Utah

Provider ID 003643894003

NPI: 1093943086

230 N 1680 E Bldg F

Saint George, UT 84790

(866) 874-6496 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Vanderbilt University Med Ctr

Vanderbilt University Medical

Center

Mesa View Regional Hospital

Lord, Ron K, MD, (M), B

Retina Assoc Of Southern Utah

Provider ID 002363759001

NPI: 1790991107

230 N 1680 E Bldg F

Saint George, UT 84790

(866) 874-6496 EB, P, R

Web address: www.southernutahreti

na.com

Ages: 0-99

Hospital Affiliations:

Truman Lakewood

Cedar City Hospital

Banner Page Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Mesa View Regional Hospital

Ophthalmology Retina Surgery /

Cirugía De Retina De

Oftalmología

Lord, Ron K, MD, (M)

Retina Assoc Of Southern Utah

Provider ID 002363759001

NPI: 1790991107

230 N 1680 E Bldg F

Saint George, UT 84790

(866) 874-6496 EB, P, R

Web address: www.southernutahreti

na.com

Ages: 0-99

Hospital Affiliations:

Truman Lakewood

Cedar City Hospital

Banner Page Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Mesa View Regional Hospital

Orthopaedic Surgery / Cirugía

Ortopédica

Clark, Randy R, MD, (M), B

Revere Health

Provider ID 003486543002

NPI: 1679781140

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Los Robles Regional Med Ctr

Dixie Regional Medical Center

Valley Presbyterian Hospital

Clark, Randy R, MD, (M), B

Revere Health

Provider ID 003486543002

NPI: 1679781140

736 S 900 E Ste 203

Saint George, UT 84790

(435) 628-9393 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Los Robles Regional Med Ctr

Dixie Regional Medical Center

Valley Presbyterian Hospital

Green, Michael R, MD, (M), B

Dr Michael R Green

Provider ID 001274576001

NPI: 1356384226

1490 E Foremaster Dr Ste 260

Saint George, UT 84790

(435) 688-0156 EB, P, R

Languages Spoken:

Provider: Spanish

Utah - Washington Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Mo - 8:00 AM - 5:00 PM

Tu,We,Th - 9:00 AM - 5:00 PM

Fr - 9:00 AM - 1:00 PM

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

O'brien, Aaron M, MD, (M), B

Revere Health

Provider ID 005184266003

NPI: 1114155074

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cleveland Clinic Foundation

Dixie Regional Medical Center

Parry, Scott A, MD, (M), B

Revere Health

Provider ID 001374575003

NPI: 1285611475

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Languages Spoken:

Provider: French

Ages: 0-99

Hospital Affiliations:

Kane County Hospital

Dixie Regional Medical Center

Delta Community Hospital

Mesa View Regional Hospital

Parry, Todd R, MD, (M), B

Revere Health

Provider ID 002096544002

NPI: 1114905932

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Christus Good Shepherd Medical

Center

Mesa View Regional Hospital

Sutak, Alan K, MD, (M)

Revere Health

Provider ID 005161088002

NPI: 1679915847

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Duke Regional Hospital

Otolaryngology / Otolaringología

Chase, Steven P, MD, (M), B

Southern Utah Ear Nose Throat

Provider ID 002547497003

NPI: 1831108042

617 E Riverside Dr Ste 201

Saint George, UT 84790

(435) 628-3334 EB, P, R

Languages Spoken:

Provider: French

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Doxey, G P, MD, (M), B

Southern Utah Ear Nose Throat

Provider ID 000066097003

NPI: 1245298959

617 E Riverside Dr Ste 201

Saint George, UT 84790

(435) 628-3334 EB, P, R

Languages Spoken:

Provider: Italian, Spanish

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Gardner, Kent E, MD, (M), B

Southern Utah Ear Nose Throat

Provider ID 001873930003

NPI: 1881702355

617 E Riverside Dr Ste 201

Saint George, UT 84790

(435) 628-3334 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Jacob, Joseph R, MD, (M), B

Southern Utah Ear Nose Throat

Provider ID 005484734002

NPI: 1134446891

617 E Riverside Dr Ste 201

Saint George, UT 84790

(435) 628-3334 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Specialists / Especialistas Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Vaughan, Andrew H, MD, (M), B

Southern Utah Ear Nose Throat

Provider ID 003070655002

NPI: 1164684643

617 E Riverside Dr Ste 201

Saint George, UT 84790

(435) 628-3334 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Pain Management / Tratamiento

Del Dolor

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

2051 Red Hill Pkway Ste 7

St George, UT 84790

(435) 656-2424 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

301 N 200 E Ste 2a

St George, UT 84770

(435) 688-7246 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 656-2424 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Frieden, Derek L, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 002460730001

NPI: 1528059201

2051 E Red Hills Pkwy Ste 7

Saint George, UT 84770

(435) 656-2424 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Sevier Valley Hospital

Frieden, Derek L, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 002460730001

NPI: 1528059201

2107 W Sunset Blvd Ste 102

Saint George, UT 84770

(435) 656-2424 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Sevier Valley Hospital

Frieden, Derek L, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 002460730001

NPI: 1528059201

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 215-0228 EB, P, R

Languages Spoken:

Staff: Spanish

Mo-Th - 8:00 AM - 5:00 PM

Fr - 8:00 AM - 1:00 PM

Web address: www.southwestspinea

ndpain.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Sevier Valley Hospital

Hillstead, Alan P, MD, (M)

Southwest Spine & Pain Care

Specialists

Provider ID 003641599008

NPI: 1144431958

2051 E Red Hills Pkwy Ste 7

Saint George, UT 84770

(435) 656-2424 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Utah - Washington Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Hillstead, Alan P, MD, (M)

Southwest Spine & Pain Care

Specialists

Provider ID 003641599005

NPI: 1144431958

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 656-2424 EB, P, R

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Sevier Valley Hospital

Physical Medicine And

Rehabilitation / Physiatry /

Medicina Física Y De

Rehabilitación/Fisiatría

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

2051 Red Hill Pkway Ste 7

St George, UT 84790

(435) 656-2424 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

301 N 200 E Ste 2a

St George, UT 84770

(435) 688-7246 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Christensen, Bryt A, MD, (M), B

Southwest Spine & Pain Care

Specialists

Provider ID 005564439001

NPI: 1710203047

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 656-2424 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Root, Bradley D, DO, (M)

Revere Health

Provider ID 001732894002

NPI: 1154312197

1424 E Foremaster Dr Ste 120

Saint George, UT 84790

(435) 656-8800 EB, P, R

Languages Spoken:

Provider: Dutch

Mo-Fr - 7:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Root, Max R, MD, (M)

Revere Health

Provider ID 000058093002

NPI: 1295725380

1424 E Foremaster Dr Ste 120

Saint George, UT 84790

(435) 656-8800 EB, P, R

Languages Spoken:

Provider: Dutch

Ages: 0-99

Hospital Affiliations:

Cedar City Hospital

Dixie Regional Medical Center

Physician Assistant / Asistente

Médico

Aston, Nathan W, PA, (M)

Revere Health

Provider ID 003361194002

NPI: 1568754364

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Cox, Brandon R, PA, (M)

Revere Health

Provider ID 005302318001

NPI: 1508275868

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Dickson, Alysha N, PA, (F)

Revere Health

Provider ID 006569969001

NPI: 1275081358

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Specialists / Especialistas Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Johnson, Dayne A, PA, (M)

Southwest Spine & Pain Care

Specialists

Provider ID 003311419001

NPI: 1669505178

652 S Medical Center Dr Ste 110

Saint George, UT 84790

(435) 656-2424 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Kaonohi, Leighton K, PA, (M)

Revere Health

Provider ID 003711007002

NPI: 1548518343

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Mcpherson, Bruce A, PA, (M)

Revere Health

Provider ID 002321601001

NPI: 1265419451

1490 E Foremaster Dr Ste 150

Saint George, UT 84790

(435) 628-9393 EB, P, R

Ages: 0-99

Petersen, Colby B, PA, (M)

Revere Health

Provider ID 002743045001

NPI: 1740229913

1380 E Medical Center Dr # 4100

Saint George, UT 84790

(435) 251-2900 EB, P, R

Ages: 0-99

Stucki, Sean J, PA, (M)

Revere Health

Provider ID 006450938001

NPI: 1245296383

1424 E Foremaster Dr Ste 120

Saint George, UT 84790

(435) 656-8800 EB, P, R

Mo-Fr - 7:00 AM - 5:00 PM

Ages: 0-99

Swift, Travis J, PA, (M)

Utah Surgical Associates

Provider ID 003378330003

NPI: 1053691238

1380 E Medical Center Dr

Saint George, UT 84790

(435) 628-1641 EB, P, R

Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Desert Medical Center

Banner Estrella Medical Center

Banner Gateway Medical Center

Swift, Travis J, PA, (M)

Utah Surgical Associates

Provider ID 003378330003

NPI: 1053691238

1490 E Foremaster Dr Ste 200

Saint George, UT 84790

(435) 628-1641 EB, P, R

Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Banner Thunderbird Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Banner Desert Medical Center

Banner Estrella Medical Center

Banner Gateway Medical Center

Podiatry / Podiatría

Burton, Stephen K, DPM, (M), B

Foot & Ankle Institute

Provider ID 000404217001

NPI: 1306843099

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Web address: www.feetnet.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Peterson, Ryan T, DPM, (M)

Foot & Ankle Institute

Provider ID 003323809001

NPI: 1245486307

1380 E Medical Center Dr

Saint George, UT 84790

(435) 628-2671 EB, P, R

Ages: 0-99

Utah - Washington Specialists / Especialistas

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Peterson, Ryan T, DPM, (M)

Foot & Ankle Institute

Provider ID 003323809001

NPI: 1245486307

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Ages: 0-99

Powell, Andrew B, DPM, (M), B

Foot & Ankle Institute

Provider ID 002094172003

NPI: 1861499568

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Web address: www.feetnet.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Reber, Keith R, DPM, (M), B

Foot & Ankle Institute

Provider ID 000404218001

NPI: 1669479358

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Web address: www.feetnet.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Reber, Leon K, DPM, (M), B

Foot & Ankle Institute

Provider ID 002644864001

NPI: 1336179886

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Languages Spoken:

Staff: Spanish

Web address: www.feetnet.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Smith, Lary J, DPM, (M), B

Foot & Ankle Institute

Provider ID 001363347001

NPI: 1093713539

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Web address: www.feetnet.com

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Van Gils, Carl C, DPM, (M)

Foot & Ankle Institute

Provider ID 001891628002

NPI: 1518964212

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Languages Spoken:

Staff: Spanish

Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Pulmonary Medicine / Medicina

Pulmonar

Saifee, Mustufa T, MD, (M), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002207312001

NPI: 1568428357

1380 E Medical Center Dr

Saint George, UT 84790

(435) 251-2600 EB, P, R

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Saifee, Mustufa T, MD, (M), B

Advanced Pulmon Sleep Disord &

Int Med

Provider ID 002207312001

NPI: 1568428357

640 E 700 S Ste 105

Saint George, UT 84770

(435) 688-7770

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Radiation Oncology / Oncología

De Radiación

Richards, Ray S, MD, (M), B

Gammawest Brachytherapy

Provider ID 000828200002

NPI: 1063551695

1490 E Foremaster Dr Bldg C

Saint George, UT 84790

(801) 359-8956 EB, P, R

Languages Spoken:

Provider: Japanese

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Delta Community Hospital

Salt Lake Regional Med Ctr

Timpanogos Regional Hospital

Ogden Regional Medical Center

Specialists / Especialistas Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Arizona

Gila

Dentistry / Odontología

King, Shellese A, DDS, (F)

Provider ID 000025430200

NPI: 1790740512

410 S Sixth St

Globe, AZ 85501

(928) 425-0972

Languages Spoken:

Provider: Arabic, Hindi, Spanish,

English

Mo-Th - 7:00 AM - 5:00 PM

Fr - 7:00 AM - 4:00 PM

Sa - 8:00 AM - 2:00 PM

Ages: 0-99

Mandap, Marissa P, DMD, (F)

Provider ID 000070473700

NPI: 1104018886

410 S Sixth St

Globe, AZ 85501

(928) 425-0972

Languages Spoken:

Provider: Arabic, Hindi, Spanish,

English

Mo-Th - 7:00 AM - 5:00 PM

Fr - 7:00 AM - 4:00 PM

Sa - 8:00 AM - 2:00 PM

Ages: 0-99

Arizona - Gila Dental Providers / Proveedores De Servicios Dentales

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Arizona

Gila

Optometry / Optometría

Woods, Russell, OD, (M)

Provider ID 815100001536

NPI: 1609832054

520 S. Hill Street

Globe, AZ 85501

(928) 425-8989 P

Cultural Competency: Y

Web address: nationwidevision.com

Ages: 0-99

Pinal

Optometry / Optometría

Ethington, Roger, OD, (M)

Provider ID 835000001530

NPI: 1679545776

371 West Central

Coolidge, AZ 85218

(520) 723-3000 P

Cultural Competency: Y

Web address: nationwidevision.com

Ages: 0-99

Jackson, Jeffrey, OD, (M)

Provider ID 837800001601

NPI: 1003014051

560 N Camino Mercado Ste 1

Casa Grande, AZ 85222

(520) 426-9224 P

Cultural Competency: Y

Web address: nationwidevision.com

Ages: 0-99

Walker, Bradley, OD, (M)

Provider ID 831200001530

NPI: 1003889460

371 West Central

Coolidge, AZ 85218

(520) 723-3000 P

Cultural Competency: Y

Web address: nationwidevision.com

Ages: 0-99

Nationwide Vision Providers / Proveedores De NationwideVision Arizona - Pinal

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Arizona

Gila

Pharmacy / Farmacia

Bashas

Provider ID 0352409

NPI: 1972684181

142 E Highway 260

Payson, AZ 85541

(928) 474-7039 X N

Languages Spoken:

Provider: English, Spanish,

French

Mo-Fr - 8:00 AM - 8:00 PM

Sa - 9:00 AM - 6:00 PM

Su - 10:00 AM - 5:00 PM

Ages: 0-99

Cobre Valley Pharmacy

Provider ID 0322583

NPI: 1639384233

5880 S Hospital Drive

Pharmacy Dept

Globe, AZ 85501

(928) 402-1192

Languages Spoken:

Provider: English, Spanish

Sa - 8:00 AM - 2:00 PM

Ages: 0-99

Cvs Pharmacy #

Provider ID 0305955

NPI: 1659371854

100 N Broad St

Globe, AZ 85501

(928) 425-5777 X N

Languages Spoken:

Provider: Spanish, English

Ages: 0-99

Frys Food And Drug

Provider ID 0318798

NPI: 1801838420

2115 Us Highway 60 Suite 200

Miami, AZ 85539

(928) 425-8165 X N

Languages Spoken:

Provider: English

Mo-Fr - 9:00 AM - 9:00 PM

Sa - 9:00 AM - 6:00 PM

Su - 10:00 AM - 6:00 PM

Ages: 0-99

Genoa Healthcare, LLC

Provider ID 0357055

NPI: 1255630661

404 W. Aero Dr

Payson, AZ 85547

(928) 238-3024

Languages Spoken:

Provider: English

Mo-Fr - 8:30 AM - 5:00 PM

Ages: 0-99

Safeway Pharmacy #1536

Provider ID 0322292

NPI: 1700815750

401 E Hwy 260

Payson, AZ 85541

(928) 472-8242 EB, IB, P, R, S

X N

Languages Spoken:

Provider: English

Mo-Fr - 8:00 AM - 8:00 PM

Sa - 9:00 AM - 6:00 PM

Su - 10:00 AM - 6:00 PM

Ages: 0-99

Walgreens #6533

Provider ID 0315463

NPI: 1033124375

100 S Beeline Hwy

Payson, AZ 85541

(928) 474-1599 X N

Languages Spoken:

Provider: English

Mo-Fr - 8:00 AM - 8:00 PM

Sa,Su - 9:00 AM - 5:00 PM

Ages: 0-99

Walmart Pharmacy 10-1334

Provider ID 0316681

NPI: 1598783920

100 South Ragus Rd

Claypool, AZ 85532

(928) 425-7661 E, EB, IB, P, R,

S, T X N

Mo-Sa - 9:00 AM - 6:00 PM

Su - 10:00 AM - 6:00 PM

Cultural Competency: Y

Ages: 0-99

Walmart Pharmacy 10-1369

Provider ID 0316908

NPI: 1255358461

300 N Beeline Hwy

Payson, AZ 85541

(928) 474-0034 E, EB, IB, P, R,

S, T X N

Mo-Fr - 8:00 AM - 9:00 PM

Sa - 9:00 AM - 7:00 PM

Su - 10:00 AM - 7:00 PM

Cultural Competency: Y

Ages: 0-99

Pinal

Pharmacy / Farmacia

Arizona - Gila Pharmacy / Farmacia

All providers are proficient in English unless otherwise noted. These provider are AHCCCS Complete(Medicaid + CRS Fully Integrated + CRS Partially Integrated only providers.

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Sun Life Family Health Center

Provider ID 0324070

NPI: 1851457295

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2236 X N

Languages Spoken:

Provider: English, Spanish

Web address: www.sunlifepharmac

yaz.com

Ages: 0-99

Pharmacy / Farmacia Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services

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Arizona

Gila

Critical Care / Cuidado Crítico

Salim, Muhammad M

Provider ID 000076997001

NPI: 1760467419

5880 S Hospital Dr

Globe, AZ 85501

(480) 821-0129 EB, P, R

Hospital Affiliations:

Detar Hospital Navarro

Tempe St Lukes Hosp A Campus

Of St Lukes

Banner Baywood Heart Hospital

Banner Desert Medical Center

Chandler Regional Medical Center

Dialysis Center / Centro De

Diálisis

Rcg Globe

Provider ID 002768418001

NPI: 1306958111

2250 Us Hwy 60 Ste 02

Miami, AZ 85539

(928) 425-2624 EB, P, R

Durable Medical Equipment /

Equipo Médico Duradero

Preferred Homecare

Provider ID 001957929001

NPI: 1306886700

119 W Aero Dr

Payson, AZ 85541

(928) 474-6293 EB, P, R

Web address: www.preferredhomec

are.com

Home Health Agency / Agencia

De Cuidado De La Salud A

Domicilio

Banner Home Care Arizona

Provider ID 006874088001

NPI: 1821031485

708 E State Highway 260 Ste A1

Payson, AZ 85541

(928) 472-5245 EB, P, R

Web address: www.bannerhealth.co

m/locations

Copper State Home Health

Provider ID 006591755003

NPI: 1972999100

966 N Broad St Ste 7

Globe, AZ 85501

(928) 200-9708 EB, P, R

Kc's Home Health Care

Provider ID 002743103001

NPI: 1174576672

114 E State Highway 260

Payson, AZ 85541

(928) 468-5242 EB, P, R

Hospice / Centro De Cuidados

Paliativos

Aviant Hospice Gila

Provider ID 006258610001

NPI: 1952578957

136 S Broad St

Globe, AZ 85501

(928) 425-5400 EB, P, R

Hospice Compassus

Provider ID 003689467001

NPI: 1023048857

511 S Mud Springs Rd

Payson, AZ 85541

(928) 238-3211 EB, P, R

Thema Health Services

Provider ID 006489617001

NPI: 1811981566

2123 Sunset Pt Ste B3

Miami, AZ 85539

(602) 889-4400 EB, P, R

Occupational Therapy / Terapia

Ocupacional

Beecham, Christine A

Provider ID 006097981003

NPI: 1528412509

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Blanc, Carol A

Provider ID 006090364003

NPI: 1558715052

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Ideal Therapies

Provider ID 005394143001

NPI: 1245629237

603 N Double Tree Cir

Payson, AZ 85541

(928) 301-4397 EB, P, R

Jones, Holly R

Provider ID 006097946002

NPI: 1497109011

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Lindstrom, Rebecca T

Provider ID 006797877001

NPI: 1902230758

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Arizona - Gila Ancillary Providers / Proveedores Auxiliares

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Tew, Debbie M

Provider ID 006089071003

NPI: 1265603609

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Orthotics/Prosthetics /

Ortesis/Prótesis

Hanger Prosthetics & Orthotics

West

Provider ID 006376259001

NPI: 1780758672

1106 N Beeline Hwy

Payson, AZ 85541

(928) 537-5119 EB, P, R

Physical Therapy / Fisioterapia

Ahern, Naquita

Provider ID 006498837001

NPI: 1114447653

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Bartow, Brian E

Provider ID 005894168002

NPI: 1295134914

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Bernstein, Desmond J

Provider ID 006112357002

NPI: 1942659651

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Languages Spoken:

Provider: Spanish

Bludworth, Lesley M

Provider ID 002843890006

NPI: 1568501443

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Languages Spoken:

Provider: Spanish

Mo-Th - 8:00 AM - 7:00 PM

Fr - 8:00 AM - 5:00 PM

Brisco, Dustin R

Provider ID 002615629003

NPI: 1538243183

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Callahan, Robin L

Provider ID 003182732003

NPI: 1669546958

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Clauss, Kristin M

Provider ID 006595798002

NPI: 1972032977

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Costello, Catherine M

Provider ID 007071512001

NPI: 1043777097

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Hospital Affiliations:

Mayo Clinic Hospital

Generoso, Julie E

Provider ID 006918655002

NPI: 1609289594

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Languages Spoken:

Provider: Spanish

Herzberg, David A

Provider ID 002410690003

NPI: 1013074210

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Jean Philippe, Alethea D

Provider ID 005922843003

NPI: 1912382284

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Hospital Affiliations:

Banner Univ Medical Cntr

Phoenix Campus

Kempton Physical Therapy

Provider ID 001703009001

NPI: 1568455608

1100 N Broad St Ste A

Globe, AZ 85501

(480) 807-9000 EB, IB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Mo,We,Fr - 7:00 AM - 6:00 PM

Tu,Th - 7:00 AM - 12:00 PM

Kempton, James P

Provider ID 006468068001

NPI: 1508395492

1100 N Broad St Ste A

Globe, AZ 85501

(928) 961-1345 EB, IB, P, R

Ancillary Providers / Proveedores Auxiliares Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Laukonen, Sabrina R

Provider ID 006129131002

NPI: 1497109086

126 E Main St Ste C

Payson, AZ 85541

(928) 471-3445 EB, P, R

Noack, Victoria D

Provider ID 002104286003

NPI: 1629528971

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 522-9410 EB, P, R

Nossek, Scott J

Provider ID 002662597001

NPI: 1861495210

405 W Main St Ste D

Payson, AZ 85541

(928) 474-0429 EB, IB, P, R

Mo-Fr - 7:30 AM - 5:00 PM

Web address: www.paysonphysicalt

herapy.com

Payson Physical Therapy

Provider ID 000788655001

NPI: 1194943423

405 W Main St Ste D

Payson, AZ 85541

(928) 474-0429 EB, IB, P, R

Languages Spoken:

Provider: Spanish

Mo-Fr - 7:30 AM - 5:00 PM

Sherrill, Christine C

Provider ID 000945044006

NPI: 1659552370

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Tisoncik, Alyssa M

Provider ID 006900373001

NPI: 1932681343

126 E Main St Ste C

Payson, AZ 85541

(928) 468-8907 EB, P, R

Walden, Daniel H

Provider ID 006049347002

NPI: 1881066819

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Skilled Nursing Facility / Centro

De Enfermería Especializada

Haven Of Globe

Provider ID 002126592001

NPI: 1467868075

1100 E Monroe St

Globe, AZ 85501

(928) 425-5721 EB, IB, P, PL, R

Languages Spoken:

Staff: Apache, Spanish

Heritage Health Care Center

Provider ID 001441622002

NPI: 1154368132

1300 E South St

Globe, AZ 85501

(928) 425-3118 EB, P, R

Payson Care Center

Provider ID 000792432001

NPI: 1033177308

107 E Lone Pine Dr

Payson, AZ 85541

(928) 474-6896 EB, P, R

Rim Country Hlth & Retirement

Community

Provider ID 000284378001

NPI: 1578568267

807 W Longhorn Rd

Payson, AZ 85541

(928) 474-1120 EB, P, R

Pinal

Dialysis Center / Centro De

Diálisis

Rcg Mammoth

Provider ID 002768419001

NPI: 1104928373

14786 S Hwy 77

Mammoth, AZ 85618

(520) 487-0150 EB, P, R

Physical Therapy / Fisioterapia

Desert Palms Physical Therapy

Catalina

Provider ID 003061804001

NPI: 1134308596

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-4066 EB, P, R

Languages Spoken:

Provider: Spanish

Interpreter: Spanish

Nevada

Clark

Physical Therapy / Fisioterapia

Arizona - Pinal Ancillary Providers / Proveedores Auxiliares

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Harward, Aaron A

Provider ID 005302116001

NPI: 1194121350

340 Falcon Ridge Pkwy Ste 500

Mesquite, NV 89027

(702) 346-3105 EB, P, R

Languages Spoken:

Staff: Spanish

Mo,We,Fr - 7:00 AM - 5:00 PM

Tu,Th - 9:00 AM - 5:00 PM

Johnson, Benjamin J

Provider ID 003135476001

NPI: 1548490196

340 Falcon Ridge Pkwy Ste 500

Mesquite, NV 89027

(702) 346-3105 EB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Laird, Trenton E

Provider ID 006028882001

NPI: 1396101572

340 Falcon Ridge Pkwy Ste 500

Mesquite, NV 89027

(702) 397-6700 EB, P, R

Languages Spoken:

Staff: Spanish

Wakefield, Travis L

Provider ID 003023907001

NPI: 1013006469

1301 Bertha Howe Ave Ste 7

Mesquite, NV 89027

(702) 346-1899 EB, P, R

Languages Spoken:

Staff: Spanish

Utah

Kane

Home Health Agency / Agencia

De Cuidado De La Salud A

Domicilio

Zions Way Home Health &

Hospice

Provider ID 003612988002

NPI: 1588930705

217 E 300 S Ste 204

Kanab, UT 84741

(435) 688-0648 EB, P, R

Washington

Ambulatory Surgery Center /

Centro De Cirugía Ambulatoria

Coral Desert Surgery Center

Provider ID 002389460001

NPI: 1346205176

1490 E Foremaster Dr Bldg C

Saint George, UT 84790

(435) 674-5230 EB, P, R

South Main Surgery Center

Provider ID 001236542002

NPI: 1972528537

754 S Main St Ste 3

Saint George, UT 84770

(435) 628-2671 EB, P, R

Dialysis Center / Centro De

Diálisis

Liberty Dialysis St George

Provider ID 002975646002

NPI: 1861671422

624 S 1000 E Ste 101

Saint George, UT 84790

(435) 656-4596 EB, P, R

Home Health Agency / Agencia

De Cuidado De La Salud A

Domicilio

Zions Way Home Health &

Hospice

Provider ID 003612988002

NPI: 1588930705

1173 S 250 W Ste 401

Saint George, UT 84770

(435) 688-0648 EB, P, R

Orthotics/Prosthetics /

Ortesis/Prótesis

Hanger Prosthetics & Orthotics

Provider ID 006374534001

NPI: 1881768778

630 S 400 E Ste 102

Saint George, UT 84770

(435) 673-6449 EB, P, R

Physical Therapy / Fisioterapia

Blatter, Grant L

Provider ID 003566493001

NPI: 1558377309

1424 E Foremaster Dr Ste 120

Saint George, UT 84790

(435) 656-8800 EB, P, R

Hospital Affiliations:

Cedar City Hospital

Blatter, Grant L

Provider ID 003566493001

NPI: 1558377309

1449 N 1400 W Ste 21

Saint George, UT 84770

(435) 656-8800 EB, P, R

Hospital Affiliations:

Cedar City Hospital

Ancillary Providers / Proveedores Auxiliares Utah - Washington

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Johnson, Richard J

Provider ID 001266136001

NPI: 1508844069

1490 E Foremaster Dr Ste 110

Saint George, UT 84790

(435) 652-4455 EB, P, R

Languages Spoken:

Staff: Spanish

Tomlinson, Stephen J

Provider ID 002444333001

NPI: 1043325715

1424 E Foremaster Dr Ste 120

Saint George, UT 84790

(435) 656-8800 EB, P, R

Tomlinson, Stephen J

Provider ID 002444333001

NPI: 1043325715

1449 N 1400 W Ste 21

Saint George, UT 84770

(435) 656-8800 EB, P, R

Utah - Washington Ancillary Providers / Proveedores Auxiliares

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Arizona

Gila

Federally Qualified Health Care

Agency / Agencia De Salud

Federalmente Calificados

Canyonlands Health Care Globe

Integrated

Provider ID 006659800001

NPI: 1891169561

111 W Blake St Ste 12

Globe, AZ 85501

(928) 425-8158 EB, P, R

Federally Qualified Health Care Agency/Rural Health Clinic/ Agencia De Atención Médica Con CertificaciónFederal/Clínica De Salud Rural Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services

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Arizona

Gila

Obstetrics & Gynecology /

Obstetricia Y Ginecología

Booth, Cynthia D, MD, (F), B

Banner Physician Specialists

Arizona

Provider ID 001898102002

NPI: 1215938022

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4700 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Booth, Cynthia D, MD, (F), B

Banner Physician Specialists

Arizona

Provider ID 001898102002

NPI: 1215938022

120 E Main St Ste A

Payson, AZ 85541

(928) 596-4700 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Abrazo Arrowhead Campus

Abrazo Scottsdale Campus

Bryan, Michael C, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 003057119005

NPI: 1720278666

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Bryan, Michael C, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 003057119012

NPI: 1720278666

186 E Stephens Way

Tonto Basin, AZ 85553

(928) 479-2871 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Bryan, Michael C, MD, (M), B

The Az Partnership For

Immunization

Provider ID 003057119011

NPI: 1720278666

5515 S Apache Ave Ste 100

Globe, AZ 85501

(602) 288-7572 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Bryan, Michael C, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 003057119007

NPI: 1720278666

5880 S Hospital Dr

Globe, AZ 85501

(928) 425-3247 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Bryan, Michael C, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 003057119008

NPI: 1720278666

5886 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Bryan, Michael C, MD, (M), B

Cobre Valley Tonto Basin Clinic

Provider ID 003057119009

NPI: 1720278666

5994 S Hospital Dr

Globe, AZ 85501

(928) 425-7108 EB, P, R

Languages Spoken:

Provider: Spanish

Arizona - Gila

Primary Care Obstetricians / Obstetras De Atención

Primaria

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Ages: 0-99

Hospital Affiliations:

Cobre Valley Regional Medical

Center

Banner Del E Webb Medical

Center

Banner Boswell Medical Center

Daniels, Anthony E, MD, (M), B

Cobre Valley Regional Medical

Center

Provider ID 000051510001

NPI: 1326072901

124 N Tewksbury Blvd

Young, AZ 85554

(928) 462-3435 EB, P, R

Mo,We - 8:00 AM - 5:00 PM

Tu,Fr - 9:00 AM - 10:00 PM

Th - 9:00 AM - 4:30 PM

Ages: 0-99

Does Not Accept Male Patients

Hospital Affiliations:

Baptist Health Medical Ctr-hot

Spring Ct

Cobre Valley Regional Medical

Center

South Central Regional Med Ctr

Saline Hospital

Northside Hospital

Great River Medical Center

Lee, Katie, MD, (F)

North Country Healthcare

Provider ID 006852851001

NPI: 1801290457

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 12-99

Does Not Accept Male Patients

Salvino, Cora F, MD, (F), B

North Country Healthcare

Provider ID 002741329002

NPI: 1205881059

708 Coeur D'alene Ste B

Payson, AZ 85541

(928) 468-8610 E, EB, IB, P, R

Ages: 0-99

Does Not Accept Male Patients

Hospital Affiliations:

Wyoming Medical Center

Flagstaff Medical Center

Mountain View Regional Hospital

Tindall, William C, DO, (M)

Banner Physician Specialists

Arizona

Provider ID 002073220007

NPI: 1003929878

117 E Main St Ste A100

Payson, AZ 85541

(928) 596-4700 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Summit Regional Medical Center

Banner Page Hospital

Tindall, William C, DO, (M)

Banner Physician Specialists

Arizona

Provider ID 002073220007

NPI: 1003929878

120 E Main St Ste A

Payson, AZ 85541

(928) 596-4700 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Payson Medical Center

Summit Regional Medical Center

Banner Page Hospital

Whitehair, Jennifer J, MD, (F), B

North Country Healthcare

Provider ID 005532549002

NPI: 1134236607

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Does Not Accept Male Patients

California

San Bernardino

Obstetrics & Gynecology /

Obstetricia Y Ginecología

London, Theodore D, MD, (M), B

Tri-State Ob-Gyn

Provider ID 001055572003

NPI: 1417950742

1600 Bailey Ave

Needles, CA 92363

(928) 704-2229 EB, P, R

Ages: 0-99

Hospital Affiliations:

Colorado River Medical Center

Western Arizona Regional

Medical

Valley View Medical Center

Utah

Washington

Obstetrics & Gynecology /

Obstetricia Y Ginecología

Primary Care Obstetricians / Obstetras De AtenciónPrimaria California - San Bernardino

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Benham, Brady N, MD, (M), B

Valley Obstetrics & Gynecology

Provider ID 002520448005

NPI: 1952380685

295 S 1470 E # 200

Saint George, UT 84790

(435) 628-1662 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Brown, Coby T, MD, (M)

Valley Obstetrics & Gynecology

Provider ID 005356471003

NPI: 1083907059

295 S 1470 E Ste 200

Saint George, UT 84790

(435) 628-1662

Ages: 0-99

Hospital Affiliations:

Dixie Regional Medical Center

Primary Care Obstetricians / Obstetras De Atención

Primaria

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Arizona

Gila

Advanced Practice Registered

Psychiatric Nurse Practitioner /

Enfermera Psiquiátrica Titulada

En Práctica Avanzada

Albarracin, Janette M, MS, (F)

Community Bridges

Provider ID 003349731002

NPI: 1982913034

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Coordination,telemental Health

Capability

Albarracin, Janette M, MS, (F)

Community Bridges

Provider ID 003349731002

NPI: 1982913034

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Coordination,telemental Health

Capability

Dery, Jessica L, MA, (F)

Southwest Behavioral Services

Provider ID 003535301002

NPI: 1043561624

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Areas of Expertise: Telemental

Health Capability

Ekman, John K, FNP, (M)

Southeastern Arizona Behavioral

Health S

Provider ID 002455301001

NPI: 1194722256

996 N Broad St Ste 10

Globe, AZ 85501

(928) 425-2185 EB, P, R

Ages: 0-99

Hospital Affiliations:

Mt Graham Regional Medical

Cente

Areas of Expertise: Serious Mental

Illness

Fargas Rodriguez, Arnaldo, MA,

(M)

Southwest Behavioral Services

Provider ID 003624150001

NPI: 1689831794

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Green, Christie A, NP, (F)

Community Bridges

Provider ID 006702307002

NPI: 1982153649

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care Coordination

Hatfield, Laura, MS, (F)

Southwest Behavioral Services

Provider ID 003632708001

NPI: 1205178613

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Kazaka, Katharine A, MS, (F)

Community Bridges

Provider ID 003226614001

NPI: 1386889517

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,provider Led Integrated Care

Coordination,telemental Health

Capability

Kazaka, Katharine A, MS, (F)

Community Bridges

Provider ID 003226614001

NPI: 1386889517

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,provider Led Integrated Care

Coordination,telemental Health

Capability

Manco, Sarah, NP, (F)

Mountain Health And Wellness

Provider ID 003450057001

NPI: 1396907598

2250 Hwy 60, Suite I

Globe, AZ 85501

(928) 740-2803 EB, P, R

Ages: 0-99

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Mccarvell, Kathleen A, NP, (F)

Horizon Health And Wellness

Provider ID 003179911003

NPI: 1154500981

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Tacoma General Allenmore

Padilla, Shannon L, MS, (F)

Health Group Providers LLC

Provider ID 003505938002

NPI: 1871840520

1100 E Monroe St

Globe, AZ 85501

(602) 734-5664 EB, IB, P, PL, R

Ages: 0-99

Areas of Expertise: Serious Mental

Illness

Pupillo, Andrea M, NP, (F)

Southwest Behavioral Services

Provider ID 005528898001

NPI: 1265812135

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Rankovic, Alecia, MSN, (F)

Community Bridges

Provider ID 003360055001

NPI: 1205129384

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Chem

Depend/sub Abuse/sud,provider Led

Integrated Care

Coordination,telemental Health

Capability

Rankovic, Alecia, MSN, (F)

Community Bridges

Provider ID 003360055001

NPI: 1205129384

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Chem

Depend/sub Abuse/sud,provider Led

Integrated Care

Coordination,telemental Health

Capability

Sexton, Alicia A, MS, (F)

Southwest Behavioral Services

Provider ID 006592681001

NPI: 1932627395

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Staires, Marilyn A, MS, (F)

Community Bridges

Provider ID 003232652003

NPI: 1962724799

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Chem

Depend/sub Abuse/sud,provider Led

Integrated Care

Coordination,telemental Health

Capability

Vaughn, Kimara M, MS, (F)

Community Bridges

Provider ID 003046303001

NPI: 1003068727

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Coordination,telemental Health

Capability

Vaughn, Kimara M, MS, (F)

Community Bridges

Provider ID 003046303001

NPI: 1003068727

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Coordination,telemental Health

Capability

Young, Jillian E, MS, (F)

Community Bridges

Provider ID 006882835002

NPI: 1134614324

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Zak, Svetlana V, MS, (F)

Mountain Health And Wellness

Provider ID 003182856033

NPI: 1386831832

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Languages Spoken:

Provider: Russian

Ages: 0-99

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Nurse Prac - Mental Health /

Enfermera Especialista - Salud

Mental

Manco, Sarah, NP, (F)

Mountain Health And Wellness

Provider ID 003450057001

NPI: 1396907598

2250 Hwy 60, Suite I

Globe, AZ 85501

(928) 740-2803 EB, P, R

Ages: 0-99

Physician Assistant-Behavioral /

Comportamiento Del Asistente

Médico

Madsen, Roman K, PA, (M)

Mountain Health And Wellness

Provider ID 005903304001

NPI: 1750784617

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Madsen, Roman K, PA, (M)

Mountain Health And Wellness

Provider ID 005903304001

NPI: 1750784617

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Mcdonald, Jennifer P, PA, (F)

Mountain Health And Wellness

Provider ID 005607787019

NPI: 1144605171

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Mcminn, Sylvia E, PA, (F)

Health Group Providers LLC

Provider ID 002897426006

NPI: 1063631760

1100 E Monroe St

Globe, AZ 85501

(602) 734-5664 EB, IB, P, PL, R

Cultural Competency: Y

Ages: 0-99

Areas of Expertise: Serious Mental

Illness

Sarko, Genowefa H, PA, (F)

Southwest Behavioral Services

Provider ID 002167829002

NPI: 1225139322

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Polish, Russian

Ages: 0-99

Professional Counselor /

Consejero Profesional

Appleby Kittle, Carrie L, MA, (F)

Community Bridges

Provider ID 007132860001

NPI: 1871867085

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Benitez, Jose, LPC, (M)

North Country Healthcare

Provider ID 007160389001

NPI: 1619233624

126 E Main St Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Castle, Roxanne L, MA, (F)

Pathways Of Az

Provider ID 006575885001

NPI: 1700219318

Foster Care Only Provider

Payson, AZ 85541

(540) 710-6085

Ages: 0-99

Davenport, Lori C, MA, (F)

Southwest Behavioral Services

Provider ID 006797188001

NPI: 1689171654

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Edgerly, Bennett, PHD, (M)

North Country Healthcare

Provider ID 006556272001

NPI: 1114442316

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Fargas Rodriguez, Arnaldo, MA,

(M)

Southwest Behavioral Services

Provider ID 003624150001

NPI: 1689831794

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Hollingsworth, Randolph S, MS,

(M)

Southeastern Arizona Behavioral

Health S

Provider ID 003101693001

NPI: 1285871855

996 N Broad St Ste 10

Globe, AZ 85501

(928) 425-2185 EB, P, R

Cultural Competency: Y

Ages: 0-99

Areas of Expertise: Chem

Depend/sub Abuse/sud

Long, Kristen L, LPC, (F)

Southwest Behavioral Services

Provider ID 006165876001

NPI: 1275808883

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Martorana, Diana, MA, (F)

Community Bridges

Provider ID 006527441001

NPI: 1629516786

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care Coordination

Mccartney Belcher, Susie, MA,

(F)

Pathways Of Az

Provider ID 006577385001

NPI: 1255497038

Foster Care Only Provider

Payson, AZ 85541

(540) 710-6085

Ages: 0-99

Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Todd, Rock A, LPC, (M)

North Country Healthcare

Provider ID 003226853001

NPI: 1205073582

708 S Coeur D Alene Ln Ste B

Payson, AZ 85541

(928) 468-8610 EB, P, R

Ages: 0-99

Wilhelm, Jared M, MA, (M)

Southeastern Arizona Behavioral

Health S

Provider ID 002539998001

NPI: 1326130634

996 N Broad St Ste 10

Globe, AZ 85501

(928) 425-2185 EB, P, R

Ages: 0-99

Wilkinson, Linda Z, MA, (F)

Southwest Behavioral Services

Provider ID 006725130001

NPI: 1679886188

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Willis, Chad R, MA, (M)

Community Bridges

Provider ID 006977740001

NPI: 1184190324

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Psychiatric Nurse / Enfermera

Psiquiátrica

Dery, Jessica L, MA, (F)

Southwest Behavioral Services

Provider ID 003535301002

NPI: 1043561624

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Areas of Expertise: Telemental

Health Capability

Psychiatry / Psiquiatría

Franz, Douglas M, MD, (M), B

University Physician Specialists

LLC

Provider ID 002920276005

NPI: 1053582221

807 S Ponderosa St

Payson, AZ 85541

(928) 474-3222 EB, P, R

Ages: 0-99

Hospital Affiliations:

Banner Del E Webb Medical

Center

Banner Univ Medical Cntr

Phoenix Campus

Banner Estrella Medical Center

Banner Goldfield Medical Center

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Mccall, Scott C, MD, (M), B

Southwest Behavioral Services

Provider ID 000418611002

NPI: 1083625883

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Languages Spoken:

Provider: Spanish

Web address: www.sbhservices.org

Ages: 0-99

Sadr, Payam M, MD, (M), B

Community Bridges

Provider ID 003170808002

NPI: 1043479249

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Languages Spoken:

Provider: German, Persian,

Spanish

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Areas of Expertise: Provider Led

Integrated Care Coordination

Sadr, Payam M, MD, (M), B

Community Bridges

Provider ID 003170808002

NPI: 1043479249

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Languages Spoken:

Provider: German, Persian,

Spanish

Ages: 0-99

Hospital Affiliations:

Valleywise Health

Areas of Expertise: Provider Led

Integrated Care Coordination

Tharani, Shalini, MD, (F)

Southwest Behavioral Services

Provider ID 003490817001

NPI: 1386841252

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Areas of Expertise: Telemental

Health Capability

Zamanian, Arash, MD, (M)

Southwest Behavioral Services

Provider ID 003433868005

NPI: 1184924904

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Psychiatry Group / Grupo De

Psiquiatría

Canyonlands Community Health

Care Vista

Provider ID 006161966001

NPI: 1619945904

111 W Blake St Ste 12

Globe, AZ 85501

(928) 425-8158 EB, P, R

Ages: 0-99

Caring Connections Special Needs

LLC

Provider ID 005687547002

NPI: 1255517587

600 E State Highway 260

Payson, AZ 85541

(520) 732-9524

Ages: 0-99

Community Bridges

Provider ID 006193503001

NPI: 1649426909

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Languages Spoken:

Provider: Spanish

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,chem Depend/sub

Abuse/sud,opioid Treatment

Service,serious Mental

Illness,substance Abuse

Professional,telemental Health

Capability

Community Bridges

Provider ID 006193503001

NPI: 1649426909

5734 Hope Ln

Globe, AZ 85501

(928) 425-2415 EB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Mo-Fr - 8:00 AM - 4:00 PM

Web address: https://communitybrid

gesaz.org/

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,chem Depend/sub

Abuse/sud,opioid Treatment

Service,serious Mental

Illness,substance Abuse

Professional,telemental Health

Capability

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Community Bridges

Provider ID 006193503001

NPI: 1649426909

5734 Hope Ln Ste 2

Globe, AZ 85501

(928) 425-2415 EB, P, R

Languages Spoken:

Provider: Spanish

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,chem Depend/sub

Abuse/sud,opioid Treatment

Service,serious Mental

Illness,substance Abuse

Professional,telemental Health

Capability

Community Bridges

Provider ID 006193503001

NPI: 1649426909

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Languages Spoken:

Provider: Spanish

Staff: Spanish

Web address: https://communitybrid

gesaz.org/

Ages: 0-99

Areas of Expertise: Buprenorphine

Mat,chem Depend/sub

Abuse/sud,opioid Treatment

Service,serious Mental

Illness,substance Abuse

Professional,telemental Health

Capability

Horizon Health And Wellness

Provider ID 005839333001

NPI: 1659308989

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness,telemental Health Capability

Horizon Health And Wellness

Provider ID 005839333001

NPI: 1659308989

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness,telemental Health Capability

Mountain Health And Wellness

Provider ID 005836729001

NPI: 1164729745

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Mountain Health And Wellness

Provider ID 005836729001

NPI: 1164729745

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Pathways Of Az

Provider ID 005663721004

NPI: 1275845646

Foster Care Only Provider

Pine, AZ 85544

(540) 710-6085

Ages: 0-99

Psychology Specialists

Provider ID 002265487001

NPI: 1053368605

621 S Fifth St

Globe, AZ 85501

(309) 706-3190 E, EB, IB, P, R

Ages: 0-99

Southwest Behavioral Services

Provider ID 005692338001

NPI: 1104030980

111 W Cedar Ln Ste A

Payson, AZ 85541

(928) 468-8055 E, EB, IB, P, R

Ages: 0-99

Southwest Behavioral Services

Provider ID 005692338001

NPI: 1104030980

111 W Cedar Ln Ste B

Payson, AZ 85541

(928) 468-8055 EB, P, R

Ages: 0-99

Southwest Behavioral Services

Provider ID 005692338001

NPI: 1104030980

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Psychology / Psicología

Livesay, Lynette, PHD, (F)

Southwest Behavioral Services

Provider ID 003761821001

NPI: 1972819688

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Vaughn, Kimara M, MS, (F)

Community Bridges

Provider ID 003046303001

NPI: 1003068727

5734 E Hope Lane

Globe, AZ 85501

(928) 425-2415

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Coordination,telemental Health

Capability

Vaughn, Kimara M, MS, (F)

Community Bridges

Provider ID 003046303001

NPI: 1003068727

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Ages: 0-99

Areas of Expertise: Provider Led

Integrated Care

Coordination,telemental Health

Capability

Willcoxon, Ronald L, PHD, (M)

Southwest Behavioral Services

Provider ID 000784562001

NPI: 1003947698

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Social Worker - Licensed /

Trabajador Social - Licenciada

Fiscus, Georgina L, MA, (F)

Southeastern Arizona Behavioral

Health S

Provider ID 003274926001

NPI: 1780621862

996 N Broad St Ste 10

Globe, AZ 85501

(928) 425-2185 EB, P, R

Ages: 0-99

Grudowski, Rebecca, MA, (F)

Southwest Behavioral Services

Provider ID 006715575001

NPI: 1386145803

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Hoffman, Christine M, MA, (F)

Southwest Behavioral Services

Provider ID 003767496001

NPI: 1558657296

404 W Aero Dr

Payson, AZ 85541

(928) 474-3303 EB, P, R

Ages: 0-99

Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

2250 Hwy 60 Ste I

Globe, AZ 85501

(928) 402-8032 EB, P, R

Ages: 0-99

Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

415 W Baseline Spur

Globe, AZ 85501

(928) 402-9297 EB, P, R

Ages: 0-99

Pinal

Advanced Practice Registered

Psychiatric Nurse Practitioner /

Enfermera Psiquiátrica Titulada

En Práctica Avanzada

Mccarvell, Kathleen A, NP, (F)

Horizon Health And Wellness

Provider ID 003179911003

NPI: 1154500981

980 E Mt Lemmon Road

Oracle, AZ 85623

(480) 983-0065 EB, P, R

Cultural Competency: Y

Ages: 0-99

Hospital Affiliations:

Tacoma General Allenmore

Schrodetzki, Candice, MS, (F)

Horizon Health And Wellness

Provider ID 006789617004

NPI: 1235630427

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Cultural Competency: Y

Ages: 0-99

Wise, Elise C, NP, (F)

Horizon Health And Wellness

Provider ID 003323308004

NPI: 1245265917

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 896-9240 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness

Wise, Elise C, NP, (F)

Horizon Health And Wellness

Provider ID 003323308004

NPI: 1245265917

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-9240 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Pinal

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Physician Assistant-Behavioral /

Comportamiento Del Asistente

Médico

Madsen, Roman K, PA, (M)

Mountain Health And Wellness

Provider ID 005903304001

NPI: 1750784617

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-9240 EB, P, R

Ages: 0-99

Mcdonald, Jennifer P, PA, (F)

Mountain Health And Wellness

Provider ID 005607787016

NPI: 1144605171

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Nelson, Thomas J, PA, (M)

Horizon Health And Wellness

Provider ID 004987683004

NPI: 1508293713

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Professional Counselor /

Consejero Profesional

Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-9240 EB, P, R

Ages: 0-99

Psychiatry Group / Grupo De

Psiquiatría

Banner University Medical Group

Provider ID 000118542004

NPI: 1508809427

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Ages: 0-99

Horizon Health And Wellness

Provider ID 005839333001

NPI: 1659308989

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 896-9240 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness,telemental Health Capability

Horizon Health And Wellness

Provider ID 005839333001

NPI: 1659308989

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Areas of Expertise: Naltrexone

Injectiible Mat,serious Mental

Illness,telemental Health Capability

Mountain Health And Wellness

Provider ID 005836729001

NPI: 1164729745

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 896-9240 EB, P, R

Ages: 0-99

Mountain Health And Wellness

Provider ID 005836729001

NPI: 1164729745

980 E Mt Lemmon Rd

Oracle, AZ 85623

(520) 896-6019 EB, P, R

Ages: 0-99

Psychology / Psicología

Aldridge, Sarah M, CP, (F)

Sun Life Family Health Ct

Provider ID 006430293001

NPI: 1679004667

1870 W American Ave

Oracle, AZ 85623

(520) 896-2092 EB, P, R

Sa - 8:00 AM - 12:00 PM

Ages: 0-99

Social Worker - Licensed /

Trabajador Social - Licenciada

Horn, Rebecca J, MS, (F)

Sun Life Family Health Center

Provider ID 003514294003

NPI: 1295087740

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Cultural Competency: Y

Ages: 0-99

Areas of Expertise: Hiv/aids/arc

Horn, Rebecca J, MS, (F)

Sun Life Family Health Center

Provider ID 003514294003

NPI: 1295087740

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Cultural Competency: Y

Ages: 0-99

Areas of Expertise: Hiv/aids/arc

Arizona - Pinal Behavioral Health Providers / Proveedores De Salud Mental

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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Park, Lori A, MA, (F)

Horizon Health And Wellness

Provider ID 003285325002

NPI: 1053561431

980 E Mt Lemmon Road

Oracle, AZ 85623

(520) 896-9240 EB, P, R

Ages: 0-99

Robison, Cecelia M, MS, (F)

Sun Life Family Health Ct

Provider ID 005202743001

NPI: 1275938540

1870 W American Way

Oracle, AZ 85623

(520) 896-2092 E, EB, IB, P, R,

RE, S, T

Languages Spoken:

Staff: Spanish

Cultural Competency: Y

Ages: 0-99

Robison, Cecelia M, MS, (F)

Sun Life Family Health Ct

Provider ID 005202743001

NPI: 1275938540

23 S Mcnab Pkwy

San Manuel, AZ 85631

(520) 385-2234 EB, P, R

Sa - 8:00 AM - 12:00 PM

Cultural Competency: Y

Ages: 0-99

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Pinal

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building R = Restroom E = Exam Room T = Exam Table/Scale/ChairsG = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents

= Telehealth Services = 24-hour

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Arizona

Gila

Community Mental Health

Center / Centro De Salud Mental

En La Comunidad

Community Bridges Hope Ln

Provider ID 007018610001

NPI: 1093960304

5734 Hope Ln Ste 2

Globe, AZ 85501

(928) 425-2415 EB, P, R

Community Bridges Payson

Provider ID 006939441001

NPI: 1548416514

803 W Main St

Payson, AZ 85541

(928) 468-0022 EB, P, R

Payson Outpatient Service

Provider ID 007041477001

NPI: 1548709173

803 W Main St

Payson, AZ 85541

(480) 631-7566 EB, P, R

Psychiatric Hospital / Instituto De

Salud Mental

Horizon Health And Wellness

Provider ID 002763959002

NPI: 1821489527

415 W Baseline Spur

Globe, AZ 85502

(480) 983-0571 EB, P, R

Areas of Expertise: Detoxification

Southwest Behavioral Health

Services

Provider ID 007135577001

NPI: 1255448833

8985 W Stageline Rd

Payson, AZ 85541

(928) 468-2399 EB, P, R

Areas of Expertise: Sa Residential

Arizona - Gila Behavioral Health Facilities / Servicios De Salud Mental

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providersare proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS

Fully Integrated + CRS Partially Integrated only providers.

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AAbbott, Brandon H, DO.......................... 35Abdo, Joseph G, MD. ............................. 60Ahern, Naquita...................................... 121Ahmad, Nazish, DO................................ 62Albarracin, Janette M, MS.................... 129Aldridge, Sarah M, CP. ........................ 136Alexander, Roberto B, PA.............. 100, 99Ali, Sheiba, NP. ...................................... 90Alkhatib, Basil J, MD. ............................ 54Alten, Kimberly B, FNP. ........................ 32Alvarez-Corona, April C, MD................ 39Andersen, Nisha D, NP................. 108, 109Anderson, Phan T, PA. ........................... 40Andrade, Oscar E, MD. .......................... 32Appleby Kittle, Carrie L, MA. ............. 131Arias, Sylvia K, NP. ............................... 90Askari, Ali A, MD. ..................... 52, 54, 63Aslam, Kaleem, MD............................... 68Aston, Nathan W, PA. .......................... 113Atalla, Jamal, MD................................... 69Austin, Glen D, DO. ............................... 39Aviant Hospice Gila. ............................ 120

BBadhwar, Shruti, DO. ............................. 89Bahu, Marwan M, MD. .......................... 54Bakall, Benjamin B, MD. ....................... 93Balakrishnan, Radhakrishnan B, MD. .... 69Ballou, Elise W, PA.............................. 100Balraj, Praveen C, MD. ........................ 104Banner Home Care Arizona. ................ 120Banner Payson Medical Center. ............. 31Banner University Medical Group. ...... 136Barakat, Mark R, MD. ............................ 93Barry, Courtney J, NP....................... 44, 46Bartholomew, Patricia A, NP. ................ 36Barton, Deborah D, NP......................... 109Barton, Scott D, MD............................... 49Bartow, Brian E. ................................... 121Bashas. .................................................. 118Bean, Thomas S, PA............................... 51Bechtold, Lance L, MD. ......................... 69Beecham, Christine A........................... 120Beenfield, Scott, PA. .............................. 41Belen, Cary D, DO. ................................ 69Benedict, Kelly A, MD........................... 98Benham, Brady N, MD......................... 128Benitez, Jose, LPC................................ 131Benoit, Martin J, MD.............................. 95Berbos, Zachary J, MD........................... 93Bernstein, Desmond J. .......................... 121Bheemanathini, Praveen, MD................. 63Bi, Sucai, MD. .................................. 62, 92Bibb, Javier M, MD.......................... 69, 70Biehn, Jeffrey L, DO. ............................. 95Bingham, Ryan D, MS. .......................... 91Bishop, Karen, NP. ................................. 36Bista, Amar B, MD................................. 70

Black, Cameron T, MD. ....................... 108Blanc, Carol A. ..................................... 120Blatter, Grant L..................................... 123Bludworth, Lesley M............................ 121Boon, Roberta E, NP. ............................. 36Boorman, David C, MD. ...................... 108Booth, Cynthia D, MD. ........................ 126Bottiglione, Richard G, MD. .................. 57Bowman, Jonathan C, MD. .................... 49Brisco, Dustin R. .................................. 121Brown, Coby T, MD............................. 128Brown, Delana P, FNP. .......................... 58Brown, Hosea E, MD. .......................... 105Brown, Mark S, PA. ............................... 41Brown, Melissa L, NP. ........................... 46Bryan, Joseph S, MD.............................. 93Bryan, Michael C, MD. ................ 126, 127Bucchireddigari, Lokeswari, FNP. ......... 58Bueno, Damaso S, MD. .......................... 70Burdick, Jeremy K, NP........................... 36Burstein, David M, MD.......................... 70Burton, Stephen K, DPM...................... 114Buxton-Fattohy, Suzan S, MD. .............. 71Byrne, Timothy J, DO. ........................... 54

CCallahan, Kimberly A, NP...................... 36Callahan, Robin L................................. 121Campbell, Chad, PA. .............................. 41Campbell, Douglas J, MD. ..................... 33Campton, Carley R, NP. ......................... 58Canyonlands Community Health Care

Vista...................................................... 133Canyonlands Health Care Globe

Integrated. ............................................. 125Canyonlands Hlthcr-Globe. .................... 34Capampangan, Dan J, MD...................... 89Caring Connections Special Needs LLC.

.............................................................. 133Carlile, Maranda S, NP................... 36, 109Carlson, Joshua N, MD................. 105, 110Carpenter, Derek B, PA.......................... 48Carstens, Sarah J, MD. ........................... 63Castle, Roxanne L, MA. ....................... 131Celani, Lacey B, NP. .............................. 36Chadha, Manpreet K, MD. ..................... 92Chalasani, Rajendra, MD........................ 71Challa, Suresh, MD. ............................... 64Chamberlain, Howard L, MD................. 50Chandra-Shekharan, Binoy, MD. ........... 35Channis, Basel, MD................................ 71Chase, Robyn N, DO. ............................. 64Chase, Steven P, MD............................ 111Chaudhary, Asad J, MD. .................. 64, 71Chen, Ang, MD. ..................................... 72Cherukuri, Madhavagopal V, MD.......... 54Christensen, Bryt A, MD.............. 112, 113Christiansen, Sheena A, FNP. ................ 58Chugh, Tarun, MD.................................. 72

Chukwurah, Chinwe N, MD................... 45Clark, Randy R, MD............................. 110Clauss, Kristin M.................................. 121Cobbs, Brian W, FNP. ............................ 58Cobre Valley Pharmacy........................ 118Cobre Valley Regional Medical Center.. 31Community Bridges...................... 133, 134Community Bridges Hope Ln............... 138Community Bridges Payson. ................ 138Cooper, Heather A, PA........................... 41Cooper, Randal, MD............................... 33Copper State Home Health. .................. 120Coral Desert Surgery Center................. 123Corrigan, Teresa A, FNP. ....................... 58Cortez, Andrew J, DO. ........................... 72Costello, Catherine M........................... 121Cox, Brandon R, PA. .................... 106, 113Crane, Heather A, NP. ............................ 37Crawford, John T, DO. ........................... 45Croft, Scott T, MD.................................. 96Cumbria, Wayne M, MD............ 64, 72, 73Currier, Samantha L, NP. ....................... 46Curry, Irene S, FNP. ............................... 44Cvs Pharmacy #. ................................... 118

DDahl, Katharine C, MD........................... 73Daniels, Anthony E, MD. ..................... 127Dardy, Sandra K, NP. ............................. 46Davenport, Lori C, MA. ....................... 131Davis, Jessica R, FNP............................. 58Day, Trevor J, DO. ............................... 108De Long, Michael J, MD. ....................... 73De Retana, Natalija, NP.......................... 91Demack, Michael K, PA......................... 41Dery, Jessica L, MA. .................... 129, 132Desai, Sachin N, MD........................ 73, 74Desert Palms Physical Therapy Catalina.

.............................................................. 122Desouza, Stephen A, MD. ...................... 93Dickson, Alysha N, PA......................... 113Dixie Regional Medical Center. ............. 31Dixon, Megan B, MD. ............................ 74Doxey, G P, MD. .................................. 111Draper, Joann, NP................................... 37Druschel, Michael J, MD........................ 33

EEckhardt, Jody, FNP............................... 58Edelman, Steven R, FNP. ....................... 91Edgerly, Bennett, PHD. ........................ 131Ekman, John K, FNP. ..................... 129, 58Engelman, Holly J, FNP. ........................ 58Ethington, Roger, OD........................... 117Evans, Robert T, DPM. ........................ 102

FFader, Paul F, MD. ................................. 33Fadia, Amit J, MD. ................................. 74Falke, Sharon L, NP. .............................. 37Fargas Rodriguez, Arnaldo, MA. . 129, 131

Index

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Fiscus, Georgina L, MA. ...................... 135Fisler, Rita E, MD................................... 57Foulger, Jordan, PA. ............................... 41Franz, Douglas M, MD......................... 132Freeburg, Dominic D, PA..................... 100Freeman, Monica, NP............................. 37Frieden, Derek L, MD. ......................... 112Frys Food And Drug............................. 118

GGalitsky, Anthony, MD. ......................... 60Gandhi, Zahabia T, MD.................... 49, 50Garber, Jason E, MD. ........................... 109Garcia, Matilda C, MD. .......................... 40Gardner, Kent E, MD. .......................... 111Gatchalian, Raul A, MD. ........................ 74Gawelko, Gary E, PA. ............................ 41Generoso, Julie E. ................................. 121Genoa Healthcare, LLC........................ 118Geyer, Katelyn A, DO. ........................... 45Gleason, Philip E, MD............................ 99Goldenberg, David T, MD...................... 94Goodman, Brian W, DO. ........................ 33Goodman, Darenie, MD. ........................ 97Goodman, Herbert D, MD...................... 97Gordon, Alan J, MD. .............................. 94Goswami, Puja, MD. .............................. 75Green, Christie A, NP..................... 129, 37Green, Michael R, MD. ........................ 111Griffin, Brandie D, FNP. ........................ 91Griffin, Kelly D, NP. ........................ 44, 46Grover, Rajinder S, MD. .................. 61, 62Grudowski, Rebecca, MA. ................... 135Gurley, Mindy R, NP............................ 109Gwinn, Karen S, FNP. ............................ 32

HHachem, Hassan A, MD. ........................ 75Halepota, Maqbool A, MD. .............. 62, 64Hall, Hugh R, DPM. ............................. 103Halter, Mitchell R, MD........................... 97Hanger Prosthetics & Orthotics. ........... 123Hanger Prosthetics & Orthotics West... 121Hanna, Abboud, MD. ............................. 75Harward, Aaron A. ............................... 123Hatfield, Laura, MS. ............................. 129Haven Of Globe.................................... 122Heaton, Rex, NP. .................................... 50Heritage Health Care Center................. 122Herzberg, David A................................ 121Hill, Jennifer L, MD. .............................. 52Hillstead, Alan P, MD. ................. 112, 113Ho, Warren Reyes, MD. ................... 65, 76Hoffman, Christine M, MA. ................. 135Hoffsten, Pilar M, FNP........................... 44Hollingshead, Bryson J, DO. .................. 49Hollingsworth, Randolph S, MS........... 132Holsten, Raymond L, MD. ..................... 33Horizon Health And Wellness.134, 136,

138

Horn, Rebecca J, MS. ................... 136, 137Horne, Susan C, MD............................... 60Hospice Compassus. ............................. 120Howlader, Anjuman A, MD. .................. 76Hsieh, Stephanie S, MD. ........................ 98Hubbard, Jonathan P, DO. ...................... 50Hunt, Judith A, MD. ............................... 40Hutzler, Rachel L, FNP. ......................... 58

IIdeal Therapies. .................................... 120Islam, Shahedul, MD. ............................. 35

JJackson, Jeffrey, OD............................. 117Jacob, Joseph R, MD. ........................... 111Jaffe, William M, DO. ...................... 52, 55Jain, Neal, MD.................................. 40, 52Jarrell, Christopher, NP. ......................... 37Jazayeri, Sadra S, MD. ........................... 57Jean Philippe, Alethea D. ..................... 121Jebaily, Nicholas X, MD. ....................... 55Jennings, Cameron S, MD............ 108, 109Jensen, David L, DO............................... 33Jimenez, Angela C, MD. ........................ 40Johnson, Benjamin J. ............................ 123Johnson, Benjamin J, PT. ..................... 106Johnson, Dayne A, PA.......................... 114Johnson, Richard J. ............................... 124Jones, Holly R....................................... 120Jones, Jamison C, MD. ......... 105, 107, 108Jose, Emily, NP. ..................................... 91Joseph, Mark W, MD. ............................ 98Judd, Lois M, NP.................................... 37

KKane County Hospital. ........................... 31Kaonohi, Leighton K, PA. .................... 114Kartoumah, Almutaz B, MD. ................. 76Kazaka, Katharine A, MS..................... 129Kc's Home Health Care. ....................... 120Keen, Brent L, MD. ................................ 33Kelly, Lawrence J, MD........................... 96Kempton Physical Therapy. ................. 121Kempton, James P. ............................... 121Khan, Yulia K, MD. ............................... 57Kigundu, Jacqueline, NP. ....................... 37Kim, Jin K, MD. ..................................... 76Kimble, Guatemala D, NP................ 46, 47King, Shellese A, DDS. ........................ 116Kitchen, Dallon R, PA.......................... 100Klein, Neal A, MD. .......................... 55, 67Klein-Mascia, Kendra A, MD. ............... 94Klug, Ronald G, NP................................ 91Knecht, Richard D, MD.......................... 33Koppal, Theresa D, PA......................... 100Krause, Lonny D, NP. .................. 105, 109Krieble, Barry F, MD. ............................ 77Kulkarni, Sanjay B, MD. ........................ 65Kwong, Henry M, MD. .......................... 94

LLaird, Trenton E. .................................. 123Langford, Martin B, MD. ........... 61, 65, 92Lassen, Judith M, NP.............................. 37Laukonen, Sabrina R. ........................... 122Laurel, Edgardo R, MD. ......................... 77Ledesma, Linda-Michelle, DO. .............. 60Lee, Katie, MD. .................................... 127Lee-Iannotti, Joyce K, MD. .................... 90Leopold, Peter S, DO........................ 65, 77Lewis, Wesley K, DPM........................ 103Lex, Stephen F, MD. ............................ 102Liao, Tina Y, MD. .................................. 48Liberty Dialysis St George. .................. 123Lien, Yeong-Hau H, MD........................ 78Lietzow, Rebecca J, NP. ................... 37, 38Lindner, Clare J, MD.............................. 99Lindner, Elizabeth J, FNP................. 59, 91Lindstrom, Rebecca T........................... 120Liu, Zhao, MD. ....................................... 78Livesay, Lynette, PHD. ........................ 134Logan, Joy L, MD................................... 78Loli, Akil I, MD................................ 55, 68London, Theodore D, MD. ................... 127Long, Kristen L, LPC. .......................... 132Lord, Ron K, MD. ........................ 106, 110Lunders, Shannon E, PA......................... 41Lunt, Bryce C, MD. ................................ 50

MMadsen, Roman K, PA. ................ 131, 136Maki, Peter C, MD. .......................... 55, 68Manco, Sarah, NP......................... 129, 131Mandap, Marissa P, DMD.................... 116Manor, Cynthia, NP................................ 47Martin, Cynthia E, MD..................... 35, 40Martorana, Diana, MA.......................... 132Marupakula, Vidyasagargoud, MD. ....... 65Maxwell, Krissie, NP.............................. 32Mc Bride, Wade J, PA. ......................... 100Mcbride, Zachariah, PA.................... 41, 42Mccall, Scott C, MD............................. 133Mccartney Belcher, Susie, MA............. 132Mccarvell, Kathleen A, NP........... 130, 135Mcdevitt, Kyle K, NP. ............................ 47Mcdonald, Jennifer P, PA.131, 136, 100,

105Mcelroy, Crystal L, FNP. ....................... 91Mcguffin, Martha R, NP......................... 38Mclaws, Ivan D, DPM.......................... 103Mcleod, Robert J, PA. .......................... 100Mcminn, Sylvia E, PA.................. 131, 100Mcpherson, Bruce A, PA.............. 106, 114Mcweeney, Colleen, NP. ........................ 38Melde, Richard A, MD. .......................... 35Memon, Abdul Q, MD. ........ 53, 56, 66, 68Mercado-Depaz, Disnilda L, PA. ..... 48, 49Merrill, Jarilynne B, MD. ....................... 59Michels, Alan P, MD.............................. 36

Index

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Miles, Jenny W, FNP.............................. 59Millbourn, Lorna J, NP........................... 91Miller, Elizabeth G, NP. ......................... 38Mishler, Rick E, MD. ............................. 78Mix, Michelle, MD................................. 53Monson, Melissa M, NP. ........................ 47Montano, Gilbert J, FNP................... 59, 91Morales, Alejandro, MD......................... 79Morales, Ralph E, MD............................ 56Morgan, John M, MD. ...................... 53, 56Morse, Suzanne, NP. .................. 38, 91, 98Mortenson, Duane S, PA. ............... 42, 100Mountain Health And Wellness. .. 134, 136Mugo, Patti W, MD. ............................... 34Mumick, Guneet K, MD......................... 79Munoz, Luis A, MD. .............................. 60Mustafa, Esmat M, MD. ......................... 79Myers, Brad A, MD.............................. 109Myers, Janet, FNP. ................................. 59

NNabha, Anil, MD. ................................... 80Nasim, Kashif, MD................................. 66Nayyar, Deepak, MD.............................. 45Nelson, Gloriajean, NP........................... 38Nelson, Thomas J, PA. ................. 136, 105Neumann, Thomas V, MD. .................... 80Newland, Anne M, MD. ......................... 36Neyra, Nilda R, MD. .............................. 80Ngo-Truong, Lisa L, MD. ...................... 66Nguyen, Dat D, MD. ...................... 103, 66Nica, Romanita D, MD..................... 80, 81Nichols, Cameron L, PA......................... 42Nichols, Deborah, FNP..................... 32, 38Nichols, Logan R, PA............................. 49Nilson, Wendell T, MD. ......................... 50Nimer, Lynn R, MD. ............................ 108Noack, Victoria D................................. 122North Country Hlth-Payson.............. 34, 35Nossek, Scott J...................................... 122

OO'brien, Aaron M, MD. ................ 106, 111O'brien, Mary Jane, FNP. ....................... 59Ochieng, Judith M, NP. .......................... 47Olson, Loyd B, MD. ............................... 60

PPacker, Jeffrey, DO. ............................... 81Padilla, Shannon L, MS........................ 130Palo Verde Hospital................................ 31Paolini, David J, MD. ........................... 104Parekh, Shehzad M, MD......................... 81Park, Lori A, MA.......... 132, 135, 136, 137Parker, Ronald D, MD............................ 59Parry, Ami, NP. .................................... 110Parry, Scott A, MD. .............. 106, 108, 111Parry, Todd R, MD. ...................... 106, 111Patalinghug, Neal P, MD........................ 34Pathways Of Az. ................................... 134Patil, Arun S, MD. ............................ 53, 56

Payne, Jeremy R, MD............................. 90Payson Care Center. ............................. 122Payson Outpatient Service.................... 138Payson Physical Therapy...................... 122Peifer, Peter B, PA.................................. 42Pendleton, Gus C, MD............................ 50Perveze, Zeeshan, MD............................ 81Petersen, Colby B, PA. ......................... 114Peterson, Richard N, PA....................... 100Peterson, Ryan T, DPM........ 107, 114, 115Philip, Selin, FNP. .................................. 47Pierce, Donald L, NP.............................. 38Pleasant Valley Comm Medi. ................. 44Pokharel, Milap, MD. ....................... 81, 82Porter, Andrew R, PA........................... 101Porter, Levi, PA. ............................. 42, 101Powell, Andrew B, DPM...................... 115Preferred Homecare. ............................. 120Psychology Specialists. ........................ 134Pupillo, Andrea M, NP. ........................ 130Pyles, Ryan M, DO................................. 66

QQueior, Paul, PA..................................... 42Quesada, Nikki C, NP............................. 47Quigley, Jack B, MD. ........................... 102

RRaja, Rubina A, MD. .............................. 36Rakkar, Amol N, MD. ................ 62, 92, 93Ramat, Shanna, NP................................. 38Ramos, Alberto X, MD..................... 63, 66Rankovic, Alecia, MSN........................ 130Raposas, Stella C, MD............................ 48Raskin, David A, MD. ...................... 67, 82Rcg Globe. ............................................ 120Rcg Mammoth. ..................................... 122Reber, Keith R, DPM. .......................... 115Reber, Leon K, DPM.................... 107, 115Rector, Tamara H, FNP. ......................... 32Reddy, Rahul K, MD.............................. 94Reyes, Carlos, MD.................................. 82Richards, Bradley D, PA. ................. 42, 43Richards, Ray S, MD............................ 115Riesenman, Paul J, MD. ....................... 104Rim Country Hlth & Retirement

Community. .......................................... 122Risser, Christian F, MD.......................... 94Rivero, Alejandro J, MD. ................. 82, 83Robb, Wendy A, NP. .............................. 92Robey, Jean T, MD................................. 83Robison, Cecelia M, MS....................... 137Robison, Glen N, DPM......................... 103Rodgers Herington, Debra A, NP. .... 44, 48Rogers, Scott T, PA. ............................. 101Rokkam, Vamsi, MD.............................. 83Rooney, Holly E, MD............................. 34Root, Bradley D, DO. ........................... 113Root, Eric J, DO. .................................... 49Root, Max R, MD. ................................ 113

Rust, Jeffery, PA................................... 101S

Saadat, Sharareh, MD................. 67, 83, 84Sacks, Paul, MD. .................................... 84Sadr, Payam M, MD. ............................ 133Safeway Pharmacy #1536. ................... 118Saha, Deepa J, FNP. ............................... 59Sahani, Mandeep M, MD. ................ 60, 84Saifee, Mustufa T, MD. ................ 107, 115Salehi-Rad, Reza, DO............................. 84Salim, Muhammad M. .......................... 120Salim, Muhammad M, MD................... 103Salvatore, Theresa S, NP. ....................... 38Salvino, Cora F, MD............................. 127Sangave, Amit A, MD. ........................... 95Sanna, Sathish, MD. ............................... 85Santos, Peter W, DO............................... 85Sarko, Genowefa H, PA. .............. 131, 101Savage, Colleen M, NP........................... 38Sawyer, Steven J, MD. ........................... 61Scales, Krystal, NP. ................................ 38Schmidt, Heidi M, PA. ........................... 43Scholzen, David T, PA. ........................ 101Schrodetzki, Candice, MS. ................... 135Scott, Diane M, PA............................... 101Sepich, Dustin J, MD.............................. 97Sexton, Alicia A, MS............................ 130Shackelford, Laura, NP. ......................... 38Shakil, Bassam S, MD............................ 85Shanah, Sara, NP. ................................... 38Shank, Lawrence P, MD......................... 97Sheftel, Scott N, MD. ....................... 57, 58Sherrill, Christine C. ............................. 122Shimamoto, Sam R, MD......................... 52Shuja, Khawaja F, MD. .......................... 67Sikuyayenga, Mutende J, MD. ............... 67Silveira, Gina, NP............................. 38, 39Singh, Harnath, MD.......................... 85, 86Smith, Gary A, MD. ............................... 34Smith, Lary J, DPM...................... 107, 115Smith, Michael C, PA............................. 43Song, Miran J, MD. ................................ 40Sorenson, David S, PA. ........................ 101South Main Surgery Center. ................. 123Southwest Behavioral Health Services. 138Southwest Behavioral Services. ........... 134Speakman, J Jared, MD. ....................... 109Staires, Marilyn A, MS......................... 130Stallings, Shantay, PA. ......................... 102Stanley, Lisa A, NP. ............................... 32Stevenson, Troy G, PA. ................ 102, 105Stoit, Sarah, NP. ..................................... 39Stover, Linda C, FNP. ............................ 59Stratford, C K, MD. ................................ 50Strickland, Suzanne L, PA.................... 102Stucki, Sean J, PA................................. 114Sullivan, Rachel, NP............................... 92Sumar, Riyaz A, MD. ....................... 56, 68

Index

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Sun Life Family - Oracle. ....................... 45Sun Life Family Health Center............. 119Sun Life Family Health Ct...................... 45Sun Life Family-San Manue................... 45Sutak, Alan K, MD. .............................. 111Swaminathan, Ariv, MD......................... 86Swanson, Jennifer, PA.......................... 102Swidinsky, Teddi, MD............................ 61Swift, Travis J, PA................................ 114

TTani, Jason C, MD.................................. 97Taylor, Kimberly E, FNP. ...................... 48Tew, Debbie M. .................................... 121Thakkar, Snehal G, MD.................... 62, 63Tharani, Shalini, MD. ........................... 133Thema Health Services. ........................ 120Thomas, Robert A, MD. ......................... 95Thompson, Coralee G, MD. ................... 45Thompson, Joseph C, DO....................... 34Tindall, William C, DO. ....................... 127Ting, Steven C, MD................................ 86Tisoncik, Alyssa M............................... 122Todd, Rock A, LPC. ............................. 132Tomlinson, Stephen J. .......................... 124Tong, Shumei, MD. ................................ 49Torzala, Daniel T, MD. .......................... 90Toth, Sharon L, FNP............................... 59Truong, Frank, MD................................. 34Tuli, Ajay, MD. ...................... 46, 104, 105Tunuguntla, Rashmi, DO........................ 48Turner, Adam C, PA............................... 43Turney-Shaw, Jean R, NP....................... 39Twiggs, Jerry D, MD.............................. 51

UUdall, John H, MD. ................................ 99Uddin, Muhammad A, MD............... 86, 87Ungar, Scott A, DO. ............................... 87

VVakil, Hiva, MD. .............................. 53, 57Van Gils, Carl C, DPM......................... 115Vaughan, Andrew H, MD..................... 112Vaughn, Kimara M, MS. .............. 130, 135Veltkamp, Claire, FNP. .......................... 39Vigil, Lynne A, FNP............................... 32

WWade, Laura, MD. .................................. 34Wakefield, Travis L. ............................. 123Walden, Daniel H. ................................ 122Walgreens #6533. ................................. 118Walker, Bradley, OD. ........................... 117Walmart Pharmacy 10-1334. ................ 118Walmart Pharmacy 10-1369. ................ 118Wang, Shouwen, MD. ............................ 87Watabe, Jayson, PA. ............................... 43Watkins, Katherine, NP. ......................... 39Watson, Fanae F, NP. ............................. 39Watson, Joy M, PA................................. 43Welch, Matthew J, MD........................... 95

Wheeler, John C, MD. ............................ 97White, Andrew C, PA........................... 102White, Shari J, PA. ................................. 43Whitehair, Jennifer J, MD. ................... 127Whittman, David T, MD......................... 87Wilhelm, Jared M, MA......................... 132Wilkinson, Linda Z, MA. ..................... 132Willcoxon, Ronald L, PHD. ................. 135Williamson, Pamela, NP......................... 39Willis, Chad R, MA.............................. 132Wilson, Robin D, FNP...................... 44, 48Wise, Elise C, NP. ........................ 135, 136Witt, Norina, MD.................................... 40Wombold, Leroy D, DO. ........................ 61Woods, Russell, OD. ............................ 117Wurtz, Eric S, PA. ................................ 102Wyma, Mark, PA.............................. 43, 44

XXie, Bing, FNP. ...................................... 48

YYancy, Holly M, DO. ............................. 90Yoder, Paul T, MD. ................................ 34Young, Jillian E, MS. ........................... 130Yu, Stephanie P, PA. .............................. 44

ZZaharia, Valentin, MD............................ 88Zak, Svetlana V, MS............... 130, 131, 92Zamanian, Arash, MD. ......................... 133Zar, Tausif, MD. ..................................... 88Zhao, Hui J, MD. .................................... 88Zhao, Joseph, MD................................... 89Ziemianski, Matthew C, MD.................. 95Zions Way Home Health & Hospice.123,

123Zmrzel, Sara, NP. ................................... 39Zou, Lixian, MD..................................... 89

Index

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CSAZ.18.999.01.9.017