Brian K Estavillo (NPI# 1972694727, PAC ID# 1951392240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1972694727 |
| PAC ID by PECOS | 1951392240 |
| Professional Enrollment ID | I20061020000368 |
| Full Name | Brian K Estavillo |
| Organization Legal Name | KOKOPELLI EYE CARE PC |
| Address |
2820 N Glassford Hill Rd Suite 101 Prescott Valley AZ 86314-2256 |
| Phone Number | 9287755606 |
| Gender | M |
| Credential | CNA |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7618916586 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 | 9287755606 | KOKOPELLI EYE CARE PC |
| Organization Legal Name | KOKOPELLI EYE CARE PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Kopp | Optometry | Kokopelli Eye Care PC | 15033 W Bell Rd, Suite 150, Surprise, AZ 85374-3262 |
| Michael Lee Ham | Ophthalmology | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Gary L Morgan | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Bradley D Packer | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Amy M Czyz | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Street Address |
2820 N GLASSFORD HILL RD SUITE 101 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip | 86314-2256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Lee Ham | Ophthalmology | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Gary L Morgan | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Bradley D Packer | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Amy M Czyz | Optometry | Kokopelli Eye Care PC | 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314-2256 |
| Russell L Hunter | Dermatology | Arizona Associates In Dermatology and Cosmetic Surgery | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-2256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Futral | Chiropractic | 8098 E State Route 69, Prescott Valley, AZ 86314 | |
| Thomas E Walls | Nurse Practitioner | Prescott Quick Care, LLC | 3075 N Windsong Dr, Suite A, Prescott Valley, AZ 86314-1208 |
| Scott R Madsen | Physical Therapy | 3075 N Windsong Dr C, Prescott Valley, AZ 86314-1208 | |
| Patricia Louise Benard-walls | Nurse Practitioner | Prescott Quick Care, LLC | 3075 N Windsong Dr, Suite A, Prescott Valley, AZ 86314-1208 |
| Kimberleigh Marie Telling | Nurse Practitioner | Arizona Oncology Associates PC | 3188 N Windsong Dr A, Prescott Valley, AZ 86314-1220 |
| Iyad S Hamarneh | Hematology/oncology | Arizona Oncology Associates PC | 3188 N Windsong Dr A, Prescott Valley, AZ 86314-1220 |
| Allison Kirshner | Nurse Practitioner | Arizona Oncology Associates PC | 3188 N Windsong Dr A, Prescott Valley, AZ 86314-1220 |
| Alan D Langerak | Hematology/oncology | Arizona Oncology Associates PC | 3188 N Windsong Dr A, Prescott Valley, AZ 86314-1220 |
| Angela Marie Gonzalez | Nurse Practitioner | Southwest I.d. and Medical Clinic, Lc | 3235 N Windsong Dr, Prescott Valley, AZ 86314-1222 |
| Jennifer K Stern | Physician Assistant | Davis Orthopaedics | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 |
| Find all physicians in zip 86314 | |||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PRESCOTT VALLEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Brian K Estavillo.
| 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.