Namita Kothari (NPI# 1700957594, PAC ID# 6709982580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1700957594 |
| PAC ID by PECOS | 6709982580 |
| Professional Enrollment ID | I20070511000262 |
| Full Name | Namita Kothari |
| Organization Legal Name | PHYSICIAN GROUP OF ARIZONA INC |
| Address |
455 E 6th St Suite 100 Mesa AZ 85203-7118 |
| Phone Number | 4808444702 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456439967 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030121 | MOUNTAIN VISTA MEDICAL CENTER, LP |
| Address | Phone | Organization |
|---|---|---|
| 1301 S Crimson Rd, Mesa, AZ 85209-3767 | 4803586100 | PHYSICIAN GROUP OF ARIZONA INC |
| 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 | 4808444702 | 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 |
455 E 6TH ST SUITE 100 |
| City | MESA |
| State | AZ |
| Zip | 85203-7118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Adamson | Obstetrics/gynecology | Physician Group of Arizona Inc | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MESA + OBSTETRICS/GYNECOLOGY |
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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.