DR. JEFFREY L PAKULA (NPI# 1821090408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821090408 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L PAKULA |
| Credential | D.O. |
| Practice Address |
13634 N 93rd Ave Suite 300 Peoria AZ 85381-4915 |
| Practice Telephone | 6238152484 |
| Practice Fax Number | 6238152483 |
| Mailing Telephone | 6238152484 |
| Mailing Fax Number | 6238152483 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3203 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 386351 | 05 |
| Street Address |
13634 N 93RD AVE SUITE 300 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121825 | Marc A Petein | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-08-11 |
| 1932731189 | Crysta Silas | Nurse Practitioner | 13634 N 93rd Ave, Peoria, AZ 85381-4914 | 2020-02-05 |
| 1053783340 | Alyssa Mae Tyler | Physician Assistant | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4914 | 2015-10-26 |
| 1235522020 | Amanda Janel Hasl | Nurse Practitioner | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4914 | 2015-03-18 |
| 1346678869 | Dr. Arlene D. Conte, P.C. | Family Medicine | 13634 N 93rd Ave, Suite 200, Peoria, AZ 85381-4914 | 2013-10-18 |
| 1730447830 | David Castillo | Nurse Practitioner | 13634 N 93rd Ave, 300, Peoria, AZ 85381-4914 | 2012-04-25 |
| 1508014648 | Valley Internal Medicine Associates, Pllc | Internal Medicine | 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381 | 2008-09-03 |
| 1659529816 | Nagaraju Veeramachaneni, M.d.p.c | Internal Medicine | 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381-4914 | 2008-08-29 |
| 1851479380 | Brian Harris Perlmutter | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2006-11-01 |
| 1730294844 | Jagdish B Patel | Specialist | 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381-4914 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553016 | Ashim Aggarwal | Internal Medicine | 13634 N 93rd Ave Ste 300, Peoria, AZ 85381 | 2007-08-17 |
| 1174672331 | Thanad S Shay | Internal Medicine | 1201 N North St, Peoria, IL 61606-1533 | 2007-01-09 |
| 1568558492 | Barry Rosen | Internal Medicine | 28685 N. 129th Ave, Peoria, AZ 85383 | 2006-10-05 |
| 1265535116 | Frank Gold | Internal Medicine | 112 Crescent Avenue, Peoria, IL 61603 | 2006-09-06 |
| 1912929118 | Alexander Adler | Internal Medicine | 112 Ne Crescent, 2nd Floor, Peoria, IL 61603 | 2006-07-24 |
| 1588691877 | Joseph J Sarmiento IIi | Internal Medicine | 5405 North Knoxville Avenue, Peoria, IL 61614 | 2006-06-26 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1649268723 | Gabor S Jilly | Internal Medicine | 13128 N 94th Dr, No 100, Peoria, AZ 85381-4252 | 2005-10-12 |
| 1003804170 | Manoj Rawal | Internal Medicine | 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381-4246 | 2005-10-12 |
| 1134121825 | Marc A Petein | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-08-11 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.