Hyon Su Wilson (NPI# 1205351723, PAC ID# 9436482247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205351723 |
| PAC ID by PECOS | 9436482247 |
| Professional Enrollment ID | I20190611001406 |
| Full Name | Hyon Su Wilson |
| Organization Legal Name | THE PAIN CENTER OF ARIZONA, PC |
| Address |
20333 N 19th Ave Suite 100 Phoenix AZ 85027-3602 |
| Phone Number | 6235168252 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749183325 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11022 N 28th Dr, Suite 270, Phoenix, AZ 85029-5639 | 6029710304 | WINGS OF HOPE MEDICAL SERVICES, LLC |
| 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 | 6235168252 | THE PAIN CENTER OF ARIZONA, PC |
| 3811 E Bell Rd, Suite 100, Phoenix, AZ 85032-2158 | 6235168252 | THE PAIN CENTER OF ARIZONA, PC |
| Organization Legal Name | THE PAIN CENTER OF ARIZONA, PC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jarrett Michael Leathem | Interventional Pain Management | The Pain Center of Arizona, PC | 1976 E Baseline Rd, Suite 102, Tempe, AZ 85283-1533 |
| Richard M Smiehorowski | Nurse Practitioner | The Pain Center of Arizona, PC | 3900 E Camelback Rd, Suite 190, Phoenix, AZ 85018-2657 |
| Marybeth Barcome | Nurse Practitioner | The Pain Center of Arizona, PC | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4210 |
| Kaylene John | Nurse Practitioner | The Pain Center of Arizona, PC | 3900 E Camelback Rd, Suite 190, Phoenix, AZ 85018-2657 |
| Jennifer D Okidegbe | Nurse Practitioner | The Pain Center of Arizona, PC | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 |
| Steven Adler | Physician Assistant | The Pain Center of Arizona, PC | 3900 E Camelback Rd, Suite 190, Phoenix, AZ 85018-2657 |
| Sandra Renee Erickson | Nurse Practitioner | The Pain Center of Arizona, PC | 3900 E Camelback Rd, Suite 190, Phoenix, AZ 85018-2657 |
| Todd W Turley | Interventional Pain Management | The Pain Center of Arizona, PC | 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 |
| Linda Marie Ellsworth | Nurse Practitioner | The Pain Center of Arizona, PC | 1976 E Baseline Rd, Suite 102, Tempe, AZ 85283-1533 |
| Ramoun D Jones | Interventional Pain Management | The Pain Center of Arizona, PC | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 |
| Street Address |
20333 N 19TH AVE SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip | 85027-3602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd W Turley | Interventional Pain Management | The Pain Center of Arizona, PC | 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 |
| Alicia A Hollister | Nurse Practitioner | The Pain Center of Arizona, PC | 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 |
| Alpana Saini | Interventional Pain Management | The Pain Center of Arizona, PC | 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 |
| Abram Hans Burgher | Interventional Pain Management | The Pain Center of Arizona, PC | 20333 N 19th Ave, Suite 100, Phoenix, AZ 85027-3602 |
| Diane F Seago | Nurse Practitioner | The Pain Center of Arizona, PC | 20333 N 19th Ave, Phoenix, AZ 85027-3602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlee Farrer Garcia | Nurse Practitioner | United Wound Healing Ps | 2155 W Pinnacle Peak Rd, Suite 201, Phoenix, AZ 85027-1203 |
| Denis Shub | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michelle V Sipe | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Alicia L Cowdrey | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Andrea L Raby | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michael Fisher | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michael J Fermo | Psychiatry | 2545 W Quail Ave, Phoenix, AZ 85027-2418 | |
| Michael L Vines | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Jacob Thomas Demenna | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Deborah Anne Gladding | Clinical Psychologist | 21615 N 27th Ave, Suite 102, Phoenix, AZ 85027-2495 | |
| Find all physicians in zip 85027 | |||
| City | PHOENIX |
| Zip Code | 85027 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHOENIX + NURSE PRACTITIONER |
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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.