Jeffrey Thomas Maudlin (NPI# 1811930423, PAC ID# 1052397130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1811930423 |
| PAC ID by PECOS | 1052397130 |
| Professional Enrollment ID | I20040629000211 |
| Full Name | Jeffrey Thomas Maudlin |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Address |
1141 S La Canada Dr Green Valley AZ 85614-1945 |
| Phone Number | 5206943030 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719899871 |
| Number of Group Practice Members | 693 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030064 | BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS |
| 030111 | BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS |
| 031313 | HOLY CROSS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1141 S La Canada Dr, Green Valley, AZ 85614-1945 | 5206943030 | BANNER UNIVERSITY MEDICAL GROUP |
| 3950 S Country Club Rd, Suite 140, Tucson, AZ 85714-2203 | 5208744800 | BANNER UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Physicians | 732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lynn Salce | Nurse Practitioner | Banner University Medical Group | 3838 N Campbell Ave, Tucson, AZ 85719-1478 |
| Ritika Ohri | Nephrology | Banner University Medical Group | 2802 E District St 1st Flr, Univ Medicine Crisis Response, Tucson, AZ 85714-2081 |
| Hongyun June Zhu | Nuclear Medicine | Banner University Medical Group | 1501 N Campbell Ave, Suite 3324, Tucson, AZ 85724-0001 |
| Ashley F Krauser | Family Medicine | Banner University Medical Group | 7901 E 22nd St, Tucson, AZ 85710-8509 |
| Kyle Adam Suhr | Psychologist, Clinical | Banner University Medical Group | 535 N Wilmot Rd 2nd Flr, Whole Health Clinic, Tucson, AZ 85711-2600 |
| Lindsey R Trutter | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave Room, Tucson, AZ 85724-0001 |
| Emily S De La Rosa | Nurse Practitioner | Banner University Medical Group | 707 N Alvernon Way, Suite 101, Tucson, AZ 85711-1830 |
| Elizabeth K Meehan | Family Medicine | Banner University Medical Group | 3950 S Country Club Rd, Suite 130, Tucson, AZ 85714-2203 |
| Stephanie L Jones | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Jennifer L Pappalardo | Podiatry | Banner University Medical Group | 2800 E Ajo Way, Tucson, AZ 85713-6204 |
| Street Address |
1141 S LA CANADA DR |
| City | GREEN VALLEY |
| State | AZ |
| Zip | 85614-1945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Jones | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Hope A Goodman | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Gerald A Wolff | Cardiovascular Disease (cardiology) | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Jane M Davis | Family Medicine | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Kelly R Stevens | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Juan J Guzman | Internal Medicine | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriana Josefa Sanchez | Qualified Audiologist | Arizona Hearing Specialists | 512 E Whitehouse Canyon Rd, Suite 196, Green Valley, AZ 85614-0500 |
| Nicholas E Ramirez | Qualified Audiologist | Arizona Hearing Specialists | 512 E Whitehouse Canyon Rd, Suite 196, Green Valley, AZ 85614-0500 |
| Rodolfo Jimenez | Family Medicine | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Bldg 2, Green Valley, AZ 85614-0502 |
| Adrianne J Obrien | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Bldg 2, Green Valley, AZ 85614-0502 |
| Hannah M Vogan-darezzo | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Antionette Dennis Todd | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Rebecca Eposi Mukoko | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Shanae Murphy | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Angela M Robbins | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Elizabeth Silva | Nurse Practitioner | United Community Health Center-maria Auxiliadora, Inc. | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 |
| Find all physicians in zip 85614 | |||
| City | GREEN VALLEY |
| Zip Code | 85614 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREEN VALLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey Thomas Maudlin.
| 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.