Theodore R Bosch (NPI# 1912032962, PAC ID# 1052382579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1912032962 |
| PAC ID by PECOS | 1052382579 |
| Professional Enrollment ID | I20170322001299 |
| Full Name | Theodore R Bosch |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC |
| Address |
1492 S Mill Ave Suite 103 Tempe AZ 85281-5660 |
| Phone Number | 4803335152 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1951686559 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030037 | ST LUKE'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1492 S Mill Ave, Suite 103, Tempe, AZ 85281-5660 | 4803335152 | HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Scott | Obstetrics/gynecology | Healogics Specialty Physicians of Arizona LLC | 1492 S Mill Ave, Suite 103, Tempe, AZ 85281-5660 |
| Street Address |
1492 S MILL AVE SUITE 103 |
| City | TEMPE |
| State | AZ |
| Zip | 85281-5660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Brown | Orthopedic Surgery | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Laura J Way | Physician Assistant | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Albert Hsia | Family Medicine | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Walter C Damper | Physical Medicine and Rehabilitation | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Judith Scott | Obstetrics/gynecology | Healogics Specialty Physicians of Arizona LLC | 1492 S Mill Ave, Suite 103, Tempe, AZ 85281-5660 |
| Amy Jo F Overlin | Family Medicine | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Sarah Michelle Thompson | Qualified Audiologist | Ent Specialists of Arizona, P.C. | 1492 S Mill Ave, Suite 301, Tempe, AZ 85281-5676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn F Wexler | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Stephanie L Adamovich | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Kristin A Samuelson | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Elizabeth Trueba | Qualified Speech Language Pathologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Aparna Rao | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Jennifer E Gonzalez | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Ingrid K Mcbride | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Mollie M Harding | Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Augusta Helms Tillery | Speech Language Pathologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Jacqueline E Busen | Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, Tempe, AZ 85281 |
| Find all physicians in zip 85281 | |||
| City | TEMPE |
| Zip Code | 85281 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TEMPE + GENERAL SURGERY |
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| 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.