Jessica L Vondrak (NPI# 1245687185, PAC ID# 3072803733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245687185 |
| PAC ID by PECOS | 3072803733 |
| Professional Enrollment ID | I20190613002184 |
| Full Name | Jessica L Vondrak |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Address |
265 W Ina Rd Tucson AZ 85704-6204 |
| Phone Number | 5206945437 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719899871 |
| Number of Group Practice Members | 693 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030111 | BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS |
| 030064 | BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 265 W Ina Rd, Tucson, AZ 85704-6204 | 5206945437 | BANNER UNIVERSITY MEDICAL GROUP |
| 2800 E Ajo Way, Suite 100 105, Tucson, AZ 85713-6204 | 5208742000 | BANNER UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Physicians | 732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lynn Salce | Nurse Practitioner | Banner University Medical Group | 3838 N Campbell Ave, Tucson, AZ 85719-1478 |
| Ritika Ohri | Nephrology | Banner University Medical Group | 2802 E District St 1st Flr, Univ Medicine Crisis Response, Tucson, AZ 85714-2081 |
| Hongyun June Zhu | Nuclear Medicine | Banner University Medical Group | 1501 N Campbell Ave, Suite 3324, Tucson, AZ 85724-0001 |
| Ashley F Krauser | Family Medicine | Banner University Medical Group | 7901 E 22nd St, Tucson, AZ 85710-8509 |
| Kyle Adam Suhr | Psychologist, Clinical | Banner University Medical Group | 535 N Wilmot Rd 2nd Flr, Whole Health Clinic, Tucson, AZ 85711-2600 |
| Lindsey R Trutter | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave Room, Tucson, AZ 85724-0001 |
| Emily S De La Rosa | Nurse Practitioner | Banner University Medical Group | 707 N Alvernon Way, Suite 101, Tucson, AZ 85711-1830 |
| Elizabeth K Meehan | Family Medicine | Banner University Medical Group | 3950 S Country Club Rd, Suite 130, Tucson, AZ 85714-2203 |
| Stephanie L Jones | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Jennifer L Pappalardo | Podiatry | Banner University Medical Group | 2800 E Ajo Way, Tucson, AZ 85713-6204 |
| Street Address |
265 W INA RD |
| City | TUCSON |
| State | AZ |
| Zip | 85704-6204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Siravo | Occupational Therapy | Bhsm Rehabilitation, LLC | 265 W Ina Rd, Suite 103, Tucson, AZ 85704-6204 |
| Roxann G Lafferty | Physician Assistant | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Dean K Douglas | Physician Assistant | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Raed A Sukerji | Internal Medicine | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Michel Taylor | Orthopedic Surgery | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Nathan Eugene Coffman | Internal Medicine | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Leonard D Latt | Orthopedic Surgery | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Indu S Partha | Internal Medicine | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| David B Lieberman | Internal Medicine | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Merri Pendergrass | Endocrinology | Banner University Medical Group | 265 W Ina Rd, Tucson, AZ 85704-6204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Teubner | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Mohamed Coulibaly Dit Fall | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Jeneane M Keller | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Elisa N Gumm | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Kim A Greenwood | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Timothy R Berigan | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Victoria O Soyannwo | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Rainier Jose Diaz | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Baldassarre Stea | Radiation Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 |
| Mohammad R Khreiss | Surgical Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Bldg 1, Tucson, AZ 85704-1116 |
| Find all physicians in zip 85704 | |||
| City | TUCSON |
| Zip Code | 85704 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TUCSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jessica L Vondrak.
| 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.