Jacqueline L Agenbroad (NPI# 1447222328, PAC ID# 6406811348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447222328 |
| PAC ID by PECOS | 6406811348 |
| Professional Enrollment ID | I20041119000932 |
| Full Name | Jacqueline L Agenbroad |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Address |
10401 W Thunderbird Blvd Sun City AZ 85351-3004 |
| Phone Number | 6238324000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204002272 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030093 | BANNER DEL E WEBB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 6238324000 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Physicians | 175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith K Ferriell | Nurse Practitioner | Banner Physician Specialists Arizona LLC | 1600 W Chandler Blvd, Suite 180, Chandler, AZ 85224-6164 |
| Loyd B Olson Iii | General Surgery | Banner Physician Specialists Arizona LLC | 117 E Main St, A100 Banner Health Clinic, Payson, AZ 85541-4606 |
| Christopher J Danielson | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Alfonso G Ballesteros | General Surgery | Banner Physician Specialists Arizona LLC | 803 S Ponderosa St C, Banner Health Clinic, Payson, AZ 85541-5521 |
| Andri G Olafsson | General Surgery | Banner Physician Specialists Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Vijayaratna Chockalingam | Endocrinology | Banner Physician Specialists Arizona LLC | 9165 W Thunderbird Rd, Banner Health Clinic, Peoria, AZ 85381-4847 |
| Lauren A Abert | Registered Dietitian Or Nutrition Professional | Banner Physician Specialists Arizona LLC | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 |
| Peter A Innes | General Surgery | Banner Physician Specialists Arizona LLC | 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 |
| Kristine S Brazzel | Psychologist, Clinical | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Gilbert, AZ 85234-1625 |
| William Tindall | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 120 E Main St A, Banner Health Clinic, Payson, AZ 85541-5488 |
| Street Address |
10401 W THUNDERBIRD BLVD |
| City | SUN CITY |
| State | AZ |
| Zip | 85351-3004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manoj Rawal | Interventional Cardiology | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | |
| Murli K Raman | Cardiovascular Disease (cardiology) | 10401 W Thunderbird Blvd, Banner Boswell Medical Center, Sun City, AZ 85351-3004 | |
| Brian L Marasigan | Anesthesiology | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | |
| Sirisha Gayam | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Michael V Koss | Gastroenterology | Banner Physician Specialists Arizona LLC | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Ramesh C Patri | Vascular Surgery | 10401 W Thunderbird Blvd, Banner Boswell, Sun City, AZ 85351-3004 | |
| Christina Bentley | Hospitalist | Banner Hospital Based Physicians Arizona LLC | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Mark A Benson | Urology | Banner Cancer Center Specialists LLC | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Samuel H Bairu | Infectious Disease | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | |
| Toyo A Trenou | Emergency Medicine | Cep America- Arizona, PC | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Carroll Chen | Dermatology | Patricia A Carroll, M.d.p.c | 13640 N 99th Ave, Suite 300, Sun City, AZ 85351-0001 |
| Amy L Knapp | Psychologist, Clinical | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Timothy P Salmon | Dermatology | Patricia A Carroll, M.d.p.c | 13640 N 99th Ave, Suite 300, Sun City, AZ 85351-0001 |
| Stephanie S Hurd | Physician Assistant | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Harvinder Singh Bedi | Orthopedic Surgery | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Noemi Pimentel | Nurse Practitioner | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Navkirat S Bajwa | Orthopedic Surgery | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Brian Klinck | Psychologist, Clinical | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Chhavi Manchanda | Pain Management | Az Integrated Neuro Spine and Pain LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Heather Peden | Physical Therapy | Center for Orthopedic Research and Education LLC | 13640 N 99th Ave, Suite 100, Sun City, AZ 85351-0001 |
| Find all physicians in zip 85351 | |||
| City | SUN CITY |
| Zip Code | 85351 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUN CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline L Agenbroad.
| 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.