Alan H Mallace (NPI# 1659341667, PAC ID# 4284694084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1659341667 |
| PAC ID by PECOS | 4284694084 |
| Professional Enrollment ID | I20041015000632 |
| Full Name | Alan H Mallace |
| Organization Legal Name | SCOTTSDALE HEALTHCARE CORP |
| Address |
1124 E Mckellips Rd Suite 110 Mesa AZ 85203-2766 |
| Phone Number | 4808827370 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1972 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 5991603110 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| 030038 | SCOTTSDALE OSBORN MEDICAL CENTER |
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1124 E Mckellips Rd, Suite 110, Mesa, AZ 85203-2766 | 4808827370 | SCOTTSDALE HEALTHCARE CORP |
| Organization Legal Name | SCOTTSDALE HEALTHCARE CORP |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna H Soweidan | Family Medicine | Scottsdale Healthcare Corp | 20745 N Scottsdale Rd, Scottsdale, AZ 85255-6453 |
| Alisha Lipsey | Nurse Practitioner | Scottsdale Healthcare Corp | 1626 S Priest Dr, Suite 104, Tempe, AZ 85281-6204 |
| Christa L O'mara | Nurse Practitioner | Scottsdale Healthcare Corp | 34525 N Scottsdale Rd, Scottsdale, AZ 85266-1201 |
| Mila Lopez | Undefined Physician Type (specify) | Scottsdale Healthcare Corp | 10419 E Mcdowell Mountain Ranch Rd, Suite A100, Scottsdale, AZ 85255-8697 |
| George P Roy | Family Medicine | Scottsdale Healthcare Corp | 1761 E Warner Rd, Suite 2, Tempe, AZ 85284-4560 |
| Bradley Rex Shumway | Family Practice | Scottsdale Healthcare Corp | 2530 E Southern Ave, Mesa, AZ 85204-5411 |
| Jacqueline L Stockton | Nurse Practitioner | Scottsdale Healthcare Corp | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 |
| Heidi E Symons | Nurse Practitioner | Scottsdale Healthcare Corp | 3311 N 44th St, Phoenix, AZ 85018-6461 |
| Paul E Larralde | Nurse Practitioner | Scottsdale Healthcare Corp | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 |
| Akshay V Shah | Gastroenterology | Scottsdale Healthcare Corp | 10510 N 92nd St, Suite 200, Scottsdale, AZ 85258-4566 |
| Street Address |
1124 E MCKELLIPS RD SUITE 110 |
| City | MESA |
| State | AZ |
| Zip | 85203-2766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Sutton | Family Medicine | Scottsdale Healthcare Corp | 1124 E Mckellips Rd, Suite 110, Mesa, AZ 85203-2766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Kesler-laclair | Nurse Practitioner | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Stephen Emerson Kessler | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Justin T Sawyer | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Megan G Davidson | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Scott M Brannan | Diagnostic Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Nikhil C Patel | Interventional Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Dalton Emil Ishmail | Physician Assistant | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Kristi Ford | Nurse Practitioner | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Jack R Hannallah | Diagnostic Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Cordell A Esplin | Interventional Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Find all physicians in zip 85203 | |||
| City | MESA |
| Zip Code | 85203 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | MESA + RHEUMATOLOGY |
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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.