Trena Mallory (NPI# 1245668326, PAC ID# 9133356496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1245668326 |
| PAC ID by PECOS | 9133356496 |
| Professional Enrollment ID | I20131211001128 |
| Full Name | Trena Mallory |
| Organization Legal Name | ECCO ANESTHESIA PLLC |
| Address |
3543 N 7th St Phoenix AZ 85014-5204 |
| Phone Number | 6022779399 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7012082902 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3543 N 7th St, Phoenix, AZ 85014-5204 | 6022779399 | ECCO ANESTHESIA PLLC |
| 1500 S Mill Ave, Tempe, AZ 85281-6699 | 8773519355 | ECCO ANESTHESIA PLLC |
| Organization Legal Name | ECCO ANESTHESIA PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saman A Farnoush | Anesthesiology | Ecco Anesthesia Pllc | 3260 N Hayden Rd, Suite 210, Scottsdale, AZ 85251-6651 |
| Susan L Braun | Anesthesiology | Ecco Anesthesia Pllc | 604 W Warner Rd, Chandler, AZ 85225-2900 |
| Street Address |
3543 N 7TH ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85014-5204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Gear Jr. | Chiropractic | 3543 N 7th St, Phoenix, AZ 85014-5204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole A Foster Pitts | Clinical Social Worker | 1110 E Missouri, Suite 390, Phoenix, AZ 85014 | |
| Eve M Katzen | Physician Assistant | Advanced Dermatology of Arizona PC | 740 E Highland Ave, Suite 101, Phoenix, AZ 85014-0001 |
| Edith A Yoder | Clinical Social Worker | 1536 E Maryland Ave, Suite C101, Phoenix, AZ 85014-1470 | |
| Deborah J Partington | Psychologist, Clinical | 6232 N 7th St, Suite 204, Phoenix, AZ 85014-1852 | |
| John C Stapert | Psychologist, Clinical | 6232 N 7th St, 206b, Phoenix, AZ 85014-1861 | |
| Xuan Vu | Family Medicine | Medi-first Medical Center Pllc | 727 E Bethany Home Rd, Suite A101, Phoenix, AZ 85014-2192 |
| Brock A Merritt | Family Medicine | Medi-first Medical Center Pllc | 727 E Bethany Home Rd, Suite A101, Phoenix, AZ 85014-2192 |
| Mohamad Ali Saghir | Diagnostic Radiology | Steward Medical Group Inc | 5662 N 12th St, Phoenix, AZ 85014-2331 |
| Virginia Prendergast | Nurse Practitioner | 1424 E Marshall Ave, Phoenix, AZ 85014-2358 | |
| Harold D Blackwood | Psychologist, Clinical | 1515 E Missouri Ave, Suite 110, Phoenix, AZ 85014-2443 | |
| Find all physicians in zip 85014 | |||
| City | PHOENIX |
| Zip Code | 85014 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PHOENIX + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.