Sahan Joseph Emmanuel (NPI# 1245686872, PAC ID# 3678816857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245686872 |
| PAC ID by PECOS | 3678816857 |
| Professional Enrollment ID | I20190510002107 |
| Full Name | Sahan Joseph Emmanuel |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Address |
20928 E Heritage Loop Rd Suite 106 Queen Creek AZ 85142-3900 |
| Phone Number | 4808347546 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193628485 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10238 E Hampton Ave, Suite 508, Mesa, AZ 85209-3321 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana S Farris | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Matthew Khumalo | Family Medicine | Heritage Technologies LLC | 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225-6140 |
| Gene M Winfield | Internal Medicine | Heritage Technologies LLC | 11518 E Apache Tr, Suite 113, Apache Junction, AZ 85220-3531 |
| Faith Ann Phillips | Nurse Practitioner | Heritage Technologies LLC | 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 |
| Robert M Babbel | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Laura J Way | Physician Assistant | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Travis Warren Fisher | Internal Medicine | Heritage Technologies LLC | 10238 E Hampton Ave, Mesa, AZ 85209-3321 |
| Ian Bates | Physician Assistant | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Rachel S Erdmann | Nurse Practitioner | Heritage Technologies LLC | 10238 E Hampton Ave, Mesa, AZ 85209-3321 |
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Street Address |
20928 E HERITAGE LOOP RD SUITE 106 |
| City | QUEEN CREEK |
| State | AZ |
| Zip | 85142-3900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Tracy L Stevenson | Physician Assistant | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Linda L Lau | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Heywood | Physical Therapy | 18540 E San Tan Blvd, Suite 101, Queen Creek, AZ 85142-2203 | |
| Brandon Lee Becken | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Kevin J Russell | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Monica Viteri-giordano | Internal Medicine | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| John C Wheeler Ii | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Brett M Baker | Chiropractic | Arizona's Premier Chiropractic and Rehab Pllc | 20851 E Rittenhouse Rd, Queen Creek, AZ 85142-4493 |
| Jigar M Rathod | Neurology | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| David J Rope | Nurse Practitioner | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Michael J Piccirillo | Physical Therapy | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Broderick C Howard | Family Medicine | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Find all physicians in zip 85142 | |||
| City | QUEEN CREEK |
| Zip Code | 85142 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | QUEEN CREEK + FAMILY 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.