Ian Bates (NPI# 1427577873, PAC ID# 1759656655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1427577873 |
| PAC ID by PECOS | 1759656655 |
| Professional Enrollment ID | I20171003005532 |
| Full Name | Ian Bates |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Address |
1855 N Stapley Dr Mesa AZ 85203-3002 |
| Phone Number | 4808347546 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193628485 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| 1855 N Stapley Dr, Mesa, AZ 85203-3002 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahan Joseph Emmanuel | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Dana S Farris | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Matthew Khumalo | Family Medicine | Heritage Technologies LLC | 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225-6140 |
| Gene M Winfield | Internal Medicine | Heritage Technologies LLC | 11518 E Apache Tr, Suite 113, Apache Junction, AZ 85220-3531 |
| Faith Ann Phillips | Nurse Practitioner | Heritage Technologies LLC | 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 |
| Robert M Babbel | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Laura J Way | Physician Assistant | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Travis Warren Fisher | Internal Medicine | Heritage Technologies LLC | 10238 E Hampton Ave, Mesa, AZ 85209-3321 |
| Rachel S Erdmann | Nurse Practitioner | Heritage Technologies LLC | 10238 E Hampton Ave, Mesa, AZ 85209-3321 |
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Street Address |
1855 N STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip | 85203-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana S Farris | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Robert M Babbel | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Donald J White | Internal Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Nancy I Day | Nurse Practitioner | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Kesler-laclair | Nurse Practitioner | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Stephen Emerson Kessler | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Justin T Sawyer | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Megan G Davidson | Dermatology | Alta Dermatology Group Ltd | 130 S 63rd St Bldg 3, Suite 114, Mesa, AZ 85203-1620 |
| Scott M Brannan | Diagnostic Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Nikhil C Patel | Interventional Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Dalton Emil Ishmail | Physician Assistant | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Kristi Ford | Nurse Practitioner | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Jack R Hannallah | Diagnostic Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Cordell A Esplin | Interventional Radiology | Modern Vascular of Mesa, LLC | 535 E Mckellips Rd, Bldg S, Mesa, AZ 85203-2522 |
| Find all physicians in zip 85203 | |||
| City | MESA |
| Zip Code | 85203 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MESA + PHYSICIAN ASSISTANT |
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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.