Alan J Anderson (NPI# 1003159005, PAC ID# 4082918883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1003159005 |
| PAC ID by PECOS | 4082918883 |
| Professional Enrollment ID | I20170714002757 |
| Full Name | Alan J Anderson |
| Organization Legal Name | BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC |
| Address |
7575 E Earll Dr Scottsdale AZ 85251-6915 |
| Phone Number | 4804487500 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3274782487 |
| Number of Group Practice Members | 341 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 4805432000 | BANNER CANCER CENTER SPECIALISTS LLC |
| 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 4804487500 | BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC |
| Organization Legal Name | BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC |
| Physicians | 349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roshan R Lala | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 14502 W Meeker Blvd, Sun City, AZ 85375-5282 |
| Srinivas Dannaram | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Mouhsen H Al Hakeem | Pulmonary Disease | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Ali Ahoui | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 2050 W Southern Ave, Apache Junction, AZ 85120-7305 |
| Steven A Baldwin | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Vidyasagargoud Marupakula | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sanjay B Kulkarni | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Raymond L Holsten | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Emmanuel A Bayongan | Critical Care (intensivists) | Banner Hospital Based Physicians Arizona LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sameer Bellapravalu | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Street Address |
7575 E EARLL DR |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85251-6915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yazhini Srivathsal | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Brandon J Laprade | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Navaid A Khan | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Lesley Williams | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Shipra Maheshwari | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Urszula H Kotlow | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Bahar Altaha | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Madison Chu | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Roumfort | Optometry | Dr. Simon Zmyslinski and Associates, P.l.l.c. | 7014 E Camelback Rd, Suite 2000, Scottsdale, AZ 85251-1239 |
| Natasha Bhuyan | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Anais M Sonder | Internal Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Carlton A Richie Iii | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Landon S Hoecker | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Christopher James Smallwood | Nurse Practitioner | 7150 E Camelback Rd, Suite 444, Scottsdale, AZ 85251-1257 | |
| Nicholas Bhojwani | Diagnostic Radiology | Cleveland Clinic Health Services Professional Association Inc | 4848 N Goldwater Blvd, Unit 202, Scottsdale, AZ 85251-1433 |
| Sarette Zecharia | Clinical Psychologist | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Floyd E Trinidad | Family Practice | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Diana Sussman | Clinical Social Worker | 7626 E Northland Dr, Scottsdale, AZ 85251-1517 | |
| Find all physicians in zip 85251 | |||
| City | SCOTTSDALE |
| Zip Code | 85251 |
| Specialty | PSYCHIATRY |
| City + Specialty | SCOTTSDALE + PSYCHIATRY |
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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.