Peter A Innes (NPI# 1255343455, PAC ID# 7315911294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1255343455 |
| PAC ID by PECOS | 7315911294 |
| Professional Enrollment ID | I20101207000322 |
| Full Name | Peter A Innes |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Address |
1828 E Florence Blvd Bldg A Suite 110 Casa Grande AZ 85122-4783 |
| Phone Number | 5208764006 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204002272 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030016 | BANNER CASA GRANDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 5203816300 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 | 5208764006 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| 37100 N Gantzel Rd, Suite 107, San Tan Valley, AZ 85140-7350 | 4803944480 | 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 |
| 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 |
| Legesse L Mekonnen | Infectious Disease | Banner Physician Specialists Arizona LLC | 9201 W Thomas Rd, Banner Health Clinic, Phoenix, AZ 85037-3332 |
| Street Address |
1828 E FLORENCE BLVD BLDG A SUITE 110 |
| City | CASA GRANDE |
| State | AZ |
| Zip | 85122-4783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Michael Szafranski | General Surgery | Banner Physician Specialists Arizona LLC | 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 |
| Steven C Simon | General Surgery | Banner Physician Specialists Arizona LLC | 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie M King | Clinical Social Worker | 550 E Cottonwood Lane B, Casa Grande, AZ 85122 | |
| Paul E Rosete | Psychologist, Clinical | 1298 E Avenida Grande, Casa Grande, AZ 85122-1006 | |
| Brittany Dawn Silverman | Physician Assistant | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Joyce Kate Forest | Family Medicine | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Kelly L Mullins | Nurse Practitioner | Community Intervention Associates Inc. | 1923 N Trekell Rd, Suite 101 102, Casa Grande, AZ 85122-1706 |
| Sangita B Patel | Nurse Practitioner | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | |
| Sheri Steincamp | Registered Dietitian Or Nutrition Professional | 1895 N Trekell Rd, Suite 3, Casa Grande, AZ 85122-1774 | |
| Sean P Jenkins | Chiropractic | 1891 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1792 | |
| Khushali D Shah | Optometry | Matthew Littlejohn Od PC | 1968 N Pearl Rd, Suite 12, Casa Grande, AZ 85122-2023 |
| Matthew K Littlejohn | Optometry | Matthew Littlejohn Od PC | 653 E Cottonwood Ln, Casa Grande Vision Center, Casa Grande, AZ 85122-2023 |
| Find all physicians in zip 85122 | |||
| City | CASA GRANDE |
| Zip Code | 85122 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CASA GRANDE + GENERAL SURGERY |
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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.