Alexander A Pedenko (NPI# 1033116678, PAC ID# 2264491448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1033116678 |
| PAC ID by PECOS | 2264491448 |
| Professional Enrollment ID | I20120224000145 |
| Full Name | Alexander A Pedenko |
| Organization Legal Name | PREMIER ANESTHESIA CONSULTANTS PC |
| Address |
1400 S Dobson Rd Banner Desert Medical Center Mesa AZ 85202-4707 |
| Phone Number | 4804123000 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9931183415 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030112 | ARIZONA ORTHOPEDIC AND SURGICAL SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 | 4804123000 | PREMIER ANESTHESIA CONSULTANTS PC |
| Organization Legal Name | PREMIER ANESTHESIA CONSULTANTS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas James Krolick | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
| Christopher J Johnstad | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
| Mark A Knipmeyer | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
| Street Address |
1400 S DOBSON RD BANNER DESERT MEDICAL CENTER |
| City | MESA |
| State | AZ |
| Zip | 85202-4707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhsen H Al Hakeem | Pulmonary Disease | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Raymond J Hemmert | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Charles H Pshaenich | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Mark Murphy | Anesthesiology | Canyon State Anesthesiologists PC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Timothy E Black | Anesthesiology | Acacia Anesthesia, Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Yerko Borghero | Radiation Oncology | Banner Cancer Center Specialists LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Babak Tehranchi | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
| Jatinder Singh Somal | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
| Mary F Hahn | Pathology | Pathology Specialist of Arizona, LLP | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Thomas James Krolick | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren H Tripp Jr. | Family Medicine | 1140 S San Jose, Suite B, Mesa, AZ 85202-3879 | |
| Scott N Maling | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Mark R Pipher | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Jason C Harrill | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Thomas H Strong Jr. | Obstetrics/gynecology | Valley Perinatal Services LLC | 2242 W Southern Ave, Mesa, AZ 85202-4704 |
| Nathan R Beget | Anesthesiology | Canyon State Anesthesiologists PC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Charles M Smith | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Romen K Jha | Internal Medicine | Apollo Hospitalists Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Win Toe | Neurology | Banner Physician Specialists Arizona LLC | 1400 S Dobson Rd, Banner Health Clinic, Mesa, AZ 85202-4707 |
| Jamie Rae Sparrow | Hospice/palliative Care | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Find all physicians in zip 85202 | |||
| City | MESA |
| Zip Code | 85202 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MESA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Alexander A Pedenko.
| 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.