Ray Lorenzo Hamilton (NPI# 1184198475, PAC ID# 4880928118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184198475 |
| PAC ID by PECOS | 4880928118 |
| Professional Enrollment ID | I20190620001401 |
| Full Name | Ray Lorenzo Hamilton |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC |
| Address |
2451 E Baseline Rd Suite 430 Gilbert AZ 85234-2473 |
| Phone Number | 6023134391 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901183235 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2451 E Baseline Rd, Suite 430, Gilbert, AZ 85234-2473 | 6023134391 | CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lora A Mangiafico | Physician Assistant | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Rob R Ashby | Addiction Medicine | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Nicki D Rippeteau | Anesthesiology | Cleanslate Medical Group of Arizona Pllc | 15255 N 40th St, Suite 105, Phoenix, AZ 85032-4636 |
| Kelly A Maurer | Nurse Practitioner | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate Medical Group of Arizona Pllc | 15255 N 40th St, Suite 105, Phoenix, AZ 85032-4636 |
| Neil J Sapin | Internal Medicine | Cleanslate Medical Group of Arizona Pllc | 15255 N 40th St, Suite 105, Phoenix, AZ 85032-4636 |
| Sally Combest | Anesthesiology | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Adam Heath | Family Medicine | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Perla Quinones | Nurse Practitioner | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Guy Petersen | Anesthesiology | Cleanslate Medical Group of Arizona Pllc | 8410 W Thomas Rd, Phoenix, AZ 85037-3329 |
| Street Address |
2451 E BASELINE RD SUITE 430 |
| City | GILBERT |
| State | AZ |
| Zip | 85234-2473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce Kendall Garst | Chiropractic | The Well Chiropractic Clinic, LLC | 2451 E Baseline Rd, Suite 450, Gilbert, AZ 85234-2473 |
| W R Horn | Nurse Practitioner | 2451 E Baseline Rd, Suite 425, Gilbert, AZ 85234-2471 | |
| Lorraine M Deibler | Physical Therapy | 2451 E Baseline Rd, Suite 220, Gilbert, AZ 85234-2405 | |
| Michael J Fairfax | Rheumatology | 2451 E Baseline Rd, Suite 440, Gilbert, AZ 85234-2473 | |
| Eric N Garst | Chiropractic | The Well Chiropractic Clinic, LLC | 2451 E Baseline Rd, Suite 450, Gilbert, AZ 85234-2473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Gann | Registered Dietitian Or Nutrition Professional | Eating for Life, LLC | 3820 E Leah Ct, Gilbert, AZ 85234-0013 |
| Aida E Amado | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Michelle Branton | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Ala Eddin Samir Sagar | Pulmonary Disease | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Andrew M Weinberg | Gastroenterology | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Reeshma S Mohammed | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Marwan M Oleiwi | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Tessa Meyer | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Karthik R Donuur | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Rosemary Bloom | Physician Assistant | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Find all physicians in zip 85234 | |||
| City | GILBERT |
| Zip Code | 85234 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GILBERT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ray Lorenzo Hamilton.
| 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.