Sophia Brown (NPI# 1184810699, PAC ID# 4385956911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184810699 |
| PAC ID by PECOS | 4385956911 |
| Professional Enrollment ID | I20150709002565 |
| Full Name | Sophia Brown |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
| Phone Number | 6238763800 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204002272 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030093 | BANNER DEL E. WEBB MEDICAL CENTER |
| 030061 | BANNER BOSWELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 6238763800 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Physicians | 175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith K Ferriell | Nurse Practitioner | Banner Physician Specialists Arizona LLC | 1600 W Chandler Blvd, Suite 180, Chandler, AZ 85224-6164 |
| Loyd B Olson Iii | General Surgery | Banner Physician Specialists Arizona LLC | 117 E Main St, A100 Banner Health Clinic, Payson, AZ 85541-4606 |
| Christopher J Danielson | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Alfonso G Ballesteros | General Surgery | Banner Physician Specialists Arizona LLC | 803 S Ponderosa St C, Banner Health Clinic, Payson, AZ 85541-5521 |
| Andri G Olafsson | General Surgery | Banner Physician Specialists Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Vijayaratna Chockalingam | Endocrinology | Banner Physician Specialists Arizona LLC | 9165 W Thunderbird Rd, Banner Health Clinic, Peoria, AZ 85381-4847 |
| Lauren A Abert | Registered Dietitian Or Nutrition Professional | Banner Physician Specialists Arizona LLC | 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 |
| Peter A Innes | General Surgery | Banner Physician Specialists Arizona LLC | 1828 E Florence Blvd Bldg A, Suite 110, Casa Grande, AZ 85122-4783 |
| Kristine S Brazzel | Psychologist, Clinical | Banner Physician Specialists Arizona LLC | 1920 N Higley Rd, Gilbert, AZ 85234-1625 |
| William Tindall | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 120 E Main St A, Banner Health Clinic, Payson, AZ 85541-5488 |
| Street Address |
13640 N PLAZA DEL RIO BLVD |
| City | PEORIA |
| State | AZ |
| Zip | 85381-4846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Porter | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| John M Heyer | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| David A Silberman | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Gera R Barnard | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Marti Neave Khoury | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Linda E Leech | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Krupa Shah | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Gerald L Oldham | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Paul Schrickel | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Anil Minocha | Gastroenterology | Banner Physician Specialists Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEORIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sophia Brown.
| 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.