Theresa Salvatore (NPI# 1144682584, PAC ID# 1052607348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144682584 |
| PAC ID by PECOS | 1052607348 |
| Professional Enrollment ID | I20171212002423 |
| Full Name | Theresa Salvatore |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Address |
1501 S Yale St Suite 252 Flagstaff AZ 86001-7336 |
| Phone Number | 9287741811 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820981053 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030023 | FLAGSTAFF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 S Yale St, Suite 252, Flagstaff, AZ 86001-7336 | 9287741811 | NORTH COUNTRY HEALTHCARE INC |
| 2920 N 4th St, Flagstaff, AZ 86004-1816 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheilkeela S Howard-gurley | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Diana Mcnally | Nurse Practitioner | North Country Healthcare Inc | 1510 N Stockton Hill Rd, Kingman, AZ 86401-5173 |
| Elizabeth Miller | Nurse Practitioner | North Country Healthcare Inc | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 |
| Sarah A Stoit | Nurse Practitioner | North Country Healthcare Inc | 301 S 7th St, Williams, AZ 86046-2324 |
| Rebecca Lietzow | Nurse Practitioner | North Country Healthcare Inc | 708 S Coeur D Alene Lane B, Payson, AZ 85541-5662 |
| Patti W Mugo | Family Medicine | North Country Healthcare Inc | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 |
| Flint C Hales | Family Medicine | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Timothy L Jackson | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Jane E Dill | Family Medicine | North Country Healthcare Inc | 1120 W University Ave, Suite 101, Flagstaff, AZ 86001-2851 |
| Elaine M Accomando | Physician Assistant | North Country Healthcare Inc | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
1501 S YALE ST SUITE 252 |
| City | FLAGSTAFF |
| State | AZ |
| Zip | 86001-7336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake Robert Pennock Ii | Chiropractic | Munderloh Medical LLC | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7336 |
| Timothy James Munderloh | Chiropractic | Munderloh Medical LLC | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7336 |
| Bridget Wicks | Nurse Practitioner | North Country Healthcare Inc | 1501 S Yale St, Suite 252, Flagstaff, AZ 86001-7336 |
| Travis C Stiegler | General Practice | Munderloh Medical LLC | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7336 |
| Brandon Abbott | Internal Medicine | North Country Healthcare Inc | 1501 S Yale St, Suite 252, Flagstaff, AZ 86001-7336 |
| Norina Witt | Pediatric Medicine | North Country Healthcare Inc | 1501 S Yale St, Suite 252, Flagstaff, AZ 86001-7336 |
| Jessie Thibedeau | Certified Nurse Midwife (cnm) | North Country Healthcare Inc | 1501 S Yale St, Suite 252, Flagstaff, AZ 86001-7336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather K Boyle | Psychiatry | 1515 N San Francisco, Flagstaff, AZ 86001 | |
| Carrie J Monroy | Family Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Christine M Mcgregor | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Terry Smith | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Stephan Stellmacher | Internal Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Jessica K Newton | Physician Assistant | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Katherine E Sherman | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Rebecca Le Roy | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Ari D Plosker | Diagnostic Radiology | Steward Medical Group Inc | 2520 N Eddy Dr, Flagstaff, AZ 86001-1000 |
| Teresa A Dunn | Clinical Social Worker | 21 W Pine Ave, Flagstaff, AZ 86001-1338 | |
| Find all physicians in zip 86001 | |||
| City | FLAGSTAFF |
| Zip Code | 86001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLAGSTAFF + 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.