Craig Kenyon Udall (NPI# 1396180477, PAC ID# 0840427183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1396180477 |
| PAC ID by PECOS | 0840427183 |
| Professional Enrollment ID | I20170711003557 |
| Full Name | Craig Kenyon Udall |
| Organization Legal Name | INTEGRATED MEDICAL SERVICES INC |
| Address |
14415 W Mcdowell Rd D102 West Valley Pain Management Goodyear AZ 85395-2521 |
| Phone Number | 6235124190 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1052328408 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030024 | ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14415 W Mcdowell Rd, D102 West Valley Pain Management, Goodyear, AZ 85395-2521 | 6235124190 | INTEGRATED MEDICAL SERVICES INC |
| Organization Legal Name | INTEGRATED MEDICAL SERVICES INC |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kia Renee Lambeth | Nurse Practitioner | Integrated Medical Services Inc | 10815 W Mcdowell Rd, Stes 201 203 205 304 305, Avondale, AZ 85392-5007 |
| Pranav V Doshi | Interventional Cardiology | Integrated Medical Services Inc | 3815 E Bell Rd, Stes 1300/2300/3200 3300/3600/4100/4110, Phoenix, AZ 85032-2122 |
| Robinette C Reed | Nurse Practitioner | Integrated Medical Services Inc | 1500 S Watson Rd, Suite 104, Buckeye, AZ 85326-8689 |
| Susan E Bray | Physician Assistant | Integrated Medical Services Inc | 1301 S 7th Ave, Phoenix, AZ 85007-3974 |
| John E Vandruff | Family Medicine | Integrated Medical Services Inc | 111 W Cedar Ln A, Payson, AZ 85541-5417 |
| Jane M Barnes | Nurse Practitioner | Integrated Medical Services Inc | 9059 W Lake Pleasant Pkwy, Suite 320, Peoria, AZ 85382-8394 |
| Adhar Seth | Cardiovascular Disease (cardiology) | Integrated Medical Services Inc | 7734 N 59th Ave, Glendale, AZ 85301-7816 |
| Benvinda Pereira | Nurse Practitioner | Integrated Medical Services Inc | 5996 Hospital Dr, Globe, AZ 85501-9462 |
| Kelly L Rauch | Nurse Practitioner | Integrated Medical Services Inc | 4550 E Bell Rd, Bldg 8 Suite 280, Phoenix, AZ 85032-9393 |
| Larissa Nikolayevna Flores | Nurse Practitioner | Integrated Medical Services Inc | 10815 W Mcdowell Rd, Stes 201 203 205 304 305, Avondale, AZ 85392-5007 |
| Street Address |
14415 W MCDOWELL RD D102 WEST VALLEY PAIN MANAGEMENT |
| City | GOODYEAR |
| State | AZ |
| Zip | 85395-2521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Skabo | Chiropractic | 1650 N Dysart Rd, Suite 1, Goodyear, AZ 85395-1116 | |
| Gloria Ong | Internal Medicine | Med-cure Internal Medicine, Plc | 1325 N Litchfield Rd, Suite 110, Goodyear, AZ 85395-1228 |
| Marie E Houseal | Nurse Practitioner | Tri-city Express Care Pllc | 1507 N Litchfield Rd, 200 Fastmed Urgent Care, Goodyear, AZ 85395-1237 |
| Teresita M Stutzke | Psychologist, Clinical | 1616 N Litchfield Rd, Suite 240, Goodyear, AZ 85395-1252 | |
| Todd J Wheeler | Physical Therapy | Spooner Rehab PC | 1616 N Litchfield Rd, Goodyear, AZ 85395-1252 |
| Michael A Davis | Chiropractic | Michael Davis Dc LLC | 1646 N Litchfield Rd, Suite 100, Goodyear, AZ 85395-1270 |
| Renee Nicole Thompson | Chiropractic | Michael Davis Dc LLC | 1646 N Litchfield Rd, Suite 100, Goodyear, AZ 85395-1270 |
| Troy H Peters | Chiropractic | 1616 N Litchfield Rd, Suite 100, Goodyear, AZ 85395-1278 | |
| Megan Hedges | Physical Therapy | Spooner Physical Therapy and Hand Rehab PC | 1626 N Litchfield Rd, Suite 310, Goodyear, AZ 85395-1397 |
| Dane A Higgins | Psychologist, Clinical | 2440 N Litchfield Rd, Suite 210, Goodyear, AZ 85395-1664 | |
| Find all physicians in zip 85395 | |||
| City | GOODYEAR |
| Zip Code | 85395 |
| Specialty | PODIATRY |
| City + Specialty | GOODYEAR + PODIATRY |
Please comment or provide details below to improve the information on Craig Kenyon Udall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.