Despina M Tavlarides (NPI# 1457477226, PAC ID# 3971679853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457477226 |
| PAC ID by PECOS | 3971679853 |
| Professional Enrollment ID | I20080828000317 |
| Full Name | Despina M Tavlarides |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
4530 E Ray Rd Suite 190 Phoenix AZ 85044-6098 |
| Phone Number | 4808275420 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 6238763800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| 4530 E Ray Rd, Suite 190, Phoenix, AZ 85044-6098 | 4808275420 | 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 |
4530 E RAY RD SUITE 190 |
| City | PHOENIX |
| State | AZ |
| Zip | 85044-6098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca F Moran | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4530 E Ray Rd, Suite 190, Phoenix, AZ 85044-6098 |
| Ryan Rudd | Chiropractic | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Gregory Allen Love | Pain Management | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Eric C Breure | Chiropractic | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Rebecca Lee Goldman | Family Medicine | 4530 E Ray Rd, Suite 130, Phoenix, AZ 85044-6096 | |
| Everett C Young | Physical Therapy | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Ryan C Niedzielko | Physical Therapy | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Vicente Chavira | Chiropractic | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Raymond H Schneider Iii | Family Practice | Banner Primary Care Physicians Arizona LLC | 4530 E Ray Rd, Suite 150, Phoenix, AZ 85044-6097 |
| Joy G Wolfe | Family Practice | Az Health Centers, Pllc | 4530 E Ray Rd, 110 Az Spine Disc and Sport, Phoeinx, AZ 85044-6095 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor I Ramsdell | Chiropractic | 4425 E Agave Rd, Bldg 9 Suite 150, Phoenix, AZ 85044-0619 | |
| Julie L Docter | Physical Therapy | Ahwatukee Physical Therapy Inc | 4425 E Agave Rd, Suite 100, Phoenix, AZ 85044-0620 |
| Eric L Burness | Physical Therapy | Ahwatukee Physical Therapy Inc | 4425 E Agave Rd, Suite 100, Phoenix, AZ 85044-0620 |
| Natalia I Alvear | Clinical Social Worker | 4425 E Agave Rd, Phoenix, AZ 85044-0620 | |
| Tanya J Bindl | Chiropractic | 11011 S 48th St, Suite 108, Phoenix, AZ 85044-1787 | |
| Eric J Neufang | Chiropractic | 11011 S 48th St, Suite 108, Phoenix, AZ 85044-1787 | |
| Diana Medina | Psychologist, Clinical | 11011 S 48th St, Suite 200, Phoenix, AZ 85044-1788 | |
| Chelsea M Hoese | Nurse Practitioner | Whispering Palms Medical Inc | 12020 S Warner Elliot Loop, Suite 101, Phoenix, AZ 85044-2712 |
| Kevin Y Chan | Family Medicine | 12010 S Warner Elliot Loop, Suite 1, Phoenix, AZ 85044-2731 | |
| Zaid Fadul | Internal Medicine | Population Health Management LLC | 12010 S Warner Elliot Loop, Suite 1, Phoenix, AZ 85044-2731 |
| Find all physicians in zip 85044 | |||
| City | PHOENIX |
| Zip Code | 85044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHOENIX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Despina M Tavlarides.
| 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.