Jen Jung Pan (NPI# 1811073166, PAC ID# 0345386587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1811073166 |
| PAC ID by PECOS | 0345386587 |
| Professional Enrollment ID | I20171003006326 |
| Full Name | Jen Jung Pan |
| Organization Legal Name | BANNER-UNIVERSITY PHYSICIAN SPECIALISTS LLC |
| Address |
1441 N 12th St Fl 2 Phoenix AZ 85006-2837 |
| Phone Number | 8442424664 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991008054 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030002 | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX |
| 030111 | BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 | 8442424664 | BANNER-UNIVERSITY PHYSICIAN SPECIALISTS LLC |
| Organization Legal Name | BANNER-UNIVERSITY PHYSICIAN SPECIALISTS LLC |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Alexander | Physical Therapy | Banner-university Physician Specialists LLC | 1320 N 10th St, Suite B, Phoenix, AZ 85006-2710 |
| William T Williams | Otolaryngology | Banner-university Physician Specialists LLC | 1300 N 12th St, Suite 508, Phoenix, AZ 85006-2849 |
| Bernadette R Huerta | Nurse Practitioner | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| Dan J Capampangan | Neurology | Banner-university Physician Specialists LLC | 1012 E Willetta St, Phoenix, AZ 85006-2749 |
| Chijioke S Offor | Obstetrics/gynecology | Banner-university Physician Specialists LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Vidette Villareal Argente | Nurse Practitioner | Banner-university Physician Specialists LLC | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 |
| Melinda M Gutierrez | Physician Assistant | Banner-university Physician Specialists LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Radha Selvar Gopalan | Cardiovascular Disease (cardiology) | Banner-university Physician Specialists LLC | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 |
| Richard D Sue | Critical Care (intensivists) | Banner-university Physician Specialists LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Elizabeth D Clements | Psychiatry | Banner-university Physician Specialists LLC | 1300 N 12th St, Suite 320, Phoenix, AZ 85006-2858 |
| Street Address |
1441 N 12TH ST FL 2 |
| City | PHOENIX |
| State | AZ |
| Zip | 85006-2837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette R Huerta | Nurse Practitioner | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| Anna Hershkowitz | Nurse Practitioner | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| David J Drewitz | Gastroenterology | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| James R Evans | Psychologist, Clinical | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| Rajiv D Poduval | Nephrology | Banner University Super Specialists LLC | 1441 N 12th St, Fl 3, Phoenix, AZ 85006-2837 |
| Mahmoud Alsayed | Endocrinology | Banner-university Physician Specialists LLC | 1441 N 12th St, Phoenix, AZ 85006-2837 |
| Kathleen Powers | Obstetrics/gynecology | Banner-university Physician Specialists LLC | 1441 N 12th St, Phoenix, AZ 85006-2837 |
| Shiva K Ratuapli | Gastroenterology | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 3, Phoenix, AZ 85006-2837 |
| Rosemarie Metzger | General Surgery | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| Kelley T Saunders | Obstetrics/gynecology | Banner-university Physician Specialists LLC | 1441 N 12th St, Fl 2, Phoenix, AZ 85006-2837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Lawayne Minor | Nurse Practitioner | Asap Health Solutions Inc | 1750 E Windsor Ave, Phoenix, AZ 85006-1237 |
| Rajagopalan Ravi | Vascular Surgery | Vhs Arizona Heart Institute Inc | 2632 N 20th St, Phoenix, AZ 85006-1339 |
| Christopher M Fecarotta | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| James L Plotnik | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Robert B Bailey | Urology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Amanda Marie Campos | Endocrinology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Richard L Golub | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Reeti Chawla | Endocrinology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Martin A Turman | Nephrology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Michael L Ritchey | Urology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Find all physicians in zip 85006 | |||
| City | PHOENIX |
| Zip Code | 85006 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PHOENIX + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jen Jung Pan.
| 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.