Jose A Lara (NPI# 1104824812, PAC ID# 4789614173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104824812 |
| PAC ID by PECOS | 4789614173 |
| Professional Enrollment ID | I20120302000605 |
| Full Name | Jose A Lara |
| Organization Legal Name | GONSTEAD PHYSICAL MEDICINE PC |
| Address |
2735 W Union Hills Dr Suite 102 Phoenix AZ 85027-5033 |
| Phone Number | 6029731630 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1993 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3274519640 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 | 6029731630 | GONSTEAD PHYSICAL MEDICINE PC |
| Organization Legal Name | GONSTEAD PHYSICAL MEDICINE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter S Timko | Chiropractic | Gonstead Physical Medicine PC | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 |
| John Gangemi | Chiropractic | Gonstead Physical Medicine PC | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 |
| Street Address |
2735 W UNION HILLS DR SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip | 85027-5033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter S Timko | Chiropractic | Gonstead Physical Medicine PC | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 |
| John Gangemi | Chiropractic | Gonstead Physical Medicine PC | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlee Farrer Garcia | Nurse Practitioner | United Wound Healing Ps | 2155 W Pinnacle Peak Rd, Suite 201, Phoenix, AZ 85027-1203 |
| Denis Shub | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michelle V Sipe | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Alicia L Cowdrey | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Andrea L Raby | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michael Fisher | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Michael J Fermo | Psychiatry | 2545 W Quail Ave, Phoenix, AZ 85027-2418 | |
| Michael L Vines | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Jacob Thomas Demenna | Psychiatry | Uhs of Phoenix LLC | 2545 W Quail Ave, Phoenix, AZ 85027-2418 |
| Deborah Anne Gladding | Clinical Psychologist | 21615 N 27th Ave, Suite 102, Phoenix, AZ 85027-2495 | |
| Find all physicians in zip 85027 | |||
| City | PHOENIX |
| Zip Code | 85027 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PHOENIX + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jose A Lara.
| 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.