Legesse L Mekonnen (NPI# 1023222619, PAC ID# 4688708803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1023222619 |
| PAC ID by PECOS | 4688708803 |
| Professional Enrollment ID | I20110718000331 |
| Full Name | Legesse L Mekonnen |
| Organization Legal Name | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| Address |
9201 W Thomas Rd Banner Health Clinic Phoenix AZ 85037-3332 |
| Phone Number | 6233277313 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6204002272 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030115 | BANNER ESTRELLA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9201 W Thomas Rd, Banner Health Clinic, Phoenix, AZ 85037-3332 | 6233277313 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC |
| 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 6238324000 | 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 |
9201 W THOMAS RD BANNER HEALTH CLINIC |
| City | PHOENIX |
| State | AZ |
| Zip | 85037-3332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kai Sun | Anesthesiology | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | |
| Amanda P Beal | Physician Assistant | Banner Physician Specialists Arizona LLC | 9201 W Thomas Rd, Banner Health Clinic, Phoenix, AZ 85037-3332 |
| Bianca S Brunelli | Hospice/palliative Care | Banner Hospital Based Physicians Arizona LLC | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Christopher Eicher | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Riva Israel | Physician Assistant | Banner Physician Specialists Arizona LLC | 9201 W Thomas Rd, Banner Health Clinic, Phoenix, AZ 85037-3332 |
| Suchismita Dash | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Kristin N Smith | Nurse Practitioner | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | |
| James Leo Zukaitis | Anesthesiology | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | |
| Khalid Benkhadra | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Carrie M Jones | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey B Alpern | Vascular Surgery | 9515 W Camelback Rd, Suite 108, Phoenix, AZ 85037-1355 | |
| Daniel Para | General Surgery | 9515 W Camelback Rd, Suite 132, Phoenix, AZ 85037-1364 | |
| Herminia G Herrera-tan | Internal Medicine | Estrella Specialty Medical Care P C | 9515 W Camelback Rd, Suite 136, Phoenix, AZ 85037-1364 |
| Sherry Lynn Montoya-velasquez | Nurse Practitioner | Estrella Specialty Medical Care P C | 9515 W Camelback Rd, Suite 136, Phoenix, AZ 85037-1364 |
| Mischelle K Johnson | Physician Assistant | Estrella Specialty Medical Care P C | 9515 W Camelback Rd, Suite 136, Phoenix, AZ 85037-1364 |
| Ehab F Abdalah | Physical Medicine and Rehabilitation | 9515 W Camelback Rd, Suite 126, Phoenix, AZ 85037-1364 | |
| Roger Juarez | Optometry | 9515 W Camelback Rd, Suite 110, Phoenix, AZ 85037-1365 | |
| Paravasthu S Ramanujam | Colorectal Surgery (proctology) | West Valley Colon and Rectal Surgery Center, LLC | 9515 W Camelback Rd, Suite 102, Phoenix, AZ 85037-1365 |
| Chandra Vivian Sorrelle | Nurse Practitioner | Sonoran Pulmonary and Critical Care Pllc | 9515 W Camelback Rd, Suite 118, Phoenix, AZ 85037-1365 |
| Ramit K Sharma | Pulmonary Disease | Sonoran Pulmonary and Critical Care Pllc | 9515 W Camelback Rd, Suite 118, Phoenix, AZ 85037-1365 |
| Find all physicians in zip 85037 | |||
| City | PHOENIX |
| Zip Code | 85037 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | PHOENIX + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Legesse L Mekonnen.
| 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.