John T Pellerito Jr. (NPI# 1356443154, PAC ID# 7012935695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356443154 |
| PAC ID by PECOS | 7012935695 |
| Professional Enrollment ID | I20051103000065 |
| Full Name | John T Pellerito Jr. |
| Organization Legal Name | OLD PUEBLO HEALTHCARE LLC |
| Address |
5981 E Grant Rd Suite 115 Tucson AZ 85712-2363 |
| Phone Number | 5208865315 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 4981607512 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 | 5208865315 | OLD PUEBLO HEALTHCARE LLC |
| Organization Legal Name | OLD PUEBLO HEALTHCARE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn B Schooley | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Craig W Connor | Physician Assistant | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Heather D Jones | Physician Assistant | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Dustin A Smith | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Lynn M Kling | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Janice L. Fawcett | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Michael P Ridge | Internal Medicine | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Kevin G Hall | Physician Assistant | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Catherine Hallmark | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| John N Herrod | Internal Medicine | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Street Address |
5981 E GRANT RD SUITE 115 |
| City | TUCSON |
| State | AZ |
| Zip | 85712-2363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie L Townsend | Nurse Practitioner | Old Pueblo Healthcare LLC | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 |
| Nancie J Swerdfeger | Nurse Practitioner | Old Pueblo Healthcare LLC | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 |
| Leann D Hess | Nurse Practitioner | Old Pueblo Healthcare LLC | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 |
| James R Lamb | Nurse Practitioner | Old Pueblo Healthcare LLC | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Diez De Pinos | Psychiatry | La Frontera Center, Inc. | E4891e Grant Rd, Tucson, AZ 85712 |
| Christina Frances Guido-felix | Clinical Social Worker | La Frontera Center, Inc. | E4891e Grant Rd, Tucson, AZ 85712 |
| Steven J Bupp | Psychiatry | 5160 E Glenn St, Suite 100, Tucson, AZ 85712-0300 | |
| Leslie M Weintraub | Optometry | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Lynn Polonski | Ophthalmology | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Ovette F Villavicencio | Ophthalmology | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Joseph Charles Deboe | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Scott F Lopez | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Lee R Goldberg | Cardiovascular Disease (cardiology) | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Imran Ata | Cardiovascular Disease (cardiology) | 3925 E Fort Lowell Rd, Suite 105, Tucson, AZ 85712-1053 | |
| Find all physicians in zip 85712 | |||
| City | TUCSON |
| Zip Code | 85712 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TUCSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John T Pellerito Jr..
| 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.