Walter C Damper (NPI# 1639309180, PAC ID# 5496995854) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1639309180 |
| PAC ID by PECOS | 5496995854 |
| Professional Enrollment ID | I20130708000309 |
| Full Name | Walter C Damper |
| Organization Legal Name | PHYSICIAN GROUP OF ARIZONA INC |
| Address |
1492 S Mill Ave Suite 113 Tempe AZ 85281-5660 |
| Phone Number | 6025533113 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1456439967 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030037 | ST LUKE'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 6025533113 | PHYSICIAN GROUP OF ARIZONA INC |
| Organization Legal Name | PHYSICIAN GROUP OF ARIZONA INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Kavanaugh | Orthopedic Surgery | Physician Group of Arizona Inc | 230 S 3rd St, Phoenix, AZ 85004-2697 |
| Wesley D High | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Mesa, AZ 85209-3322 |
| Leah C Brown | Orthopedic Surgery | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Andrew R Adamson | Obstetrics/gynecology | Physician Group of Arizona Inc | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 |
| Shannon M Mclean | Physical Therapy | Physician Group of Arizona Inc | 2835 E Brown Rd, Suite 101, Mesa, AZ 85213-5470 |
| Rob Schuster | General Surgery | Physician Group of Arizona Inc | 555 N 18th St, Suite 300, Phoenix, AZ 85006-3759 |
| Raul A Lopez Gonzalez | General Surgery | Physician Group of Arizona Inc | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 |
| Daniel T Fang | General Surgery | Physician Group of Arizona Inc | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 |
| Patricia T Mayborne | Nurse Practitioner | Physician Group of Arizona Inc | 1301 S Crimson Rd, Mesa, AZ 85209-3767 |
| James A Taylor Jr. | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Suite 301a, Mesa, AZ 85209-3322 |
| Street Address |
1492 S MILL AVE SUITE 113 |
| City | TEMPE |
| State | AZ |
| Zip | 85281-5660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Brown | Orthopedic Surgery | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Laura J Way | Physician Assistant | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Albert Hsia | Family Medicine | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Judith Scott | Obstetrics/gynecology | Healogics Specialty Physicians of Arizona LLC | 1492 S Mill Ave, Suite 103, Tempe, AZ 85281-5660 |
| Amy Jo F Overlin | Family Medicine | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Sarah Michelle Thompson | Qualified Audiologist | Ent Specialists of Arizona, P.C. | 1492 S Mill Ave, Suite 301, Tempe, AZ 85281-5676 |
| Theodore R Bosch | General Surgery | Healogics Specialty Physicians of Arizona LLC | 1492 S Mill Ave, Suite 103, Tempe, AZ 85281-5660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn F Wexler | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Stephanie L Adamovich | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Kristin A Samuelson | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Elizabeth Trueba | Qualified Speech Language Pathologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Aparna Rao | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Jennifer E Gonzalez | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Ingrid K Mcbride | Qualified Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Mollie M Harding | Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Augusta Helms Tillery | Speech Language Pathologist | Arizona State University | 975 S Myrtle Ave Coor Hall, 2211 Asu Speech and Hearing Clinic, Tempe, AZ 85281 |
| Jacqueline E Busen | Audiologist | Arizona State University | 975 S Myrtle Ave Coor Hall, Tempe, AZ 85281 |
| Find all physicians in zip 85281 | |||
| City | TEMPE |
| Zip Code | 85281 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | TEMPE + PHYSICAL MEDICINE AND REHABILITATION |
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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.