Andrea E Goldberg (NPI# 1013189166, PAC ID# 3072783356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013189166 |
| PAC ID by PECOS | 3072783356 |
| Professional Enrollment ID | I20110823000998 |
| Full Name | Andrea E Goldberg |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
4375 E Irma Ln Phoenix AZ 85050-4312 |
| Phone Number | 4808905800 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030002 | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX |
| Address | Phone | Organization |
|---|---|---|
| 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 6238763800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| 4375 E Irma Ln, Phoenix, AZ 85050-4312 | 4808905800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Koike | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Angela Do Feng | Family Medicine | Banner Primary Care Physicians Arizona LLC | 1950 S Country Club Dr, Suite 101, Mesa, AZ 85210-6044 |
| Swathi Ponnathota | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 |
| Deborah L Mcgarry | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1917 S Crismon Rd, Mesa, AZ 85209-6216 |
| Esther Kamau | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 20751 W Market St, Buckeye, AZ 85396-7893 |
| William N Bottomley | Family Medicine | Banner Primary Care Physicians Arizona LLC | 17900 N Porter Rd, Maricopa, AZ 85138-4228 |
| Jeffrey R Smolin | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 155 E Warner Rd, Gilbert, AZ 85296-3082 |
| Christina Joyave | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1435 S Alma School Rd, Chandler, AZ 85286-7144 |
| Melody D Austin | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 8510 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-5386 |
| Andrea W Mathiason | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 4860 N Litchfield Rd, Suite 102, Litchfield Park, AZ 85340-5040 |
| Street Address |
4375 E IRMA LN |
| City | PHOENIX |
| State | AZ |
| Zip | 85050-4312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorna F Honan | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 4375 E Irma Ln, Phoenix, AZ 85050-4312 |
| Laura M Hellenthal | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 4375 E Irma Ln, Phoenix, AZ 85050-4312 |
| Michael J Germain | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 4375 E Irma Ln, Phoenix, AZ 85050-4312 |
| Sara Alderson | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 4375 E Irma Ln, Phoenix, AZ 85050-4312 |
| Danielle G Wicklow | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 4375 E Irma Ln, Phoenix, AZ 85050-4312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Friend | Clinical Social Worker | 3240 E Union Hills Dr, Phoenix, AZ 85050-2652 | |
| Thomas L Armbrust | Chiropractic | Active Life Center, Plc | 18777 N 32nd St, Phoenix, AZ 85050-3202 |
| Katherine A Mccabe | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Elizabeth A Fallers | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Michelle Ranee Gustafson | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Donnamarie Burris | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Anthony R Nagorka | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Bradley F Golner | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Gerald H Golner | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| John F Curley | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Find all physicians in zip 85050 | |||
| City | PHOENIX |
| Zip Code | 85050 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHOENIX + INTERNAL MEDICINE |
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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.