Tara H Debardeleben (NPI# 1265828230, PAC ID# 6305157900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265828230 |
| PAC ID by PECOS | 6305157900 |
| Professional Enrollment ID | I20150624000275 |
| Full Name | Tara H Debardeleben |
| Organization Legal Name | OMG ARIZONA, LLC |
| Address |
2201 E Camelback Rd Suite 101a Phoenix AZ 85016-3495 |
| Phone Number | 6022184075 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638499247 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 | 6022184075 | OMG ARIZONA, LLC |
| Organization Legal Name | OMG ARIZONA, LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Lee Jones | Family Medicine | Omg Arizona, LLC | 15210 N Scottsdale Rd, Suite 275, Scottsdale, AZ 85254-8128 |
| Morgan Lobe | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Natasha Bhuyan | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Anais M Sonder | Internal Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Christian Daniel Long | Physician Assistant | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Dana Michael Klein | Family Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Giovani I Michieli | Family Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Rakeshkumar C Patel | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Nili Azhar | Internal Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Olivia R Anderson | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Street Address |
2201 E CAMELBACK RD SUITE 101A |
| City | PHOENIX |
| State | AZ |
| Zip | 85016-3495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Daniel Long | Physician Assistant | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Dana Michael Klein | Family Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Giovani I Michieli | Family Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Nili Azhar | Internal Medicine | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Maria Boritas Morton | Physician Assistant | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Yvonne A Riba | Physician Assistant | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Maria Antonieta Andrews | Nurse Practitioner | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Rebecca M Gordon | Nurse Practitioner | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Karen K Langdon | Physician Assistant | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Bill Dafnis | Family Practice | Omg Arizona, LLC | 2201 E Camelback Rd, Suite 101a, Phoenix, AZ 85016-3495 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stone Iii | Undefined Physician Type (specify) | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Shazia A Malik | Obstetrics/gynecology | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Paul W Dickerson | Chiropractic | Paul W Dickerson Dc, Ltd | 6522 N 16th St, Suite 4, Phoenix, AZ 85016-1343 |
| Jill A Mehlhaf | Anesthesiology | 6245 N 16th St, Phoenix, AZ 85016-1706 | |
| Timothy O Fearon | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| David M Roessler | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Lauri Lazarus | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Ryan Hamic | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| William M Jacobsen | Plastic and Reconstructive Surgery | 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130 | |
| Gagandeep Arora | Chiropractic | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Find all physicians in zip 85016 | |||
| City | PHOENIX |
| Zip Code | 85016 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHOENIX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara H Debardeleben.
| 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.