Leslie M Rach (NPI# 1629384284, PAC ID# 5395926182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629384284 |
| PAC ID by PECOS | 5395926182 |
| Professional Enrollment ID | I20110228000351 |
| Full Name | Leslie M Rach |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
13995 W Statler Blvd Bldg 1 Surprise AZ 85374-5501 |
| Phone Number | 6234783100 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030093 | BANNER DEL E. WEBB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 6238763800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| 13995 W Statler Blvd, Bldg 1, Surprise, AZ 85374-5501 | 6234783100 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Koike | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Angela Do Feng | Family Medicine | Banner Primary Care Physicians Arizona LLC | 1950 S Country Club Dr, Suite 101, Mesa, AZ 85210-6044 |
| Swathi Ponnathota | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 |
| Deborah L Mcgarry | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1917 S Crismon Rd, Mesa, AZ 85209-6216 |
| Esther Kamau | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 20751 W Market St, Buckeye, AZ 85396-7893 |
| William N Bottomley | Family Medicine | Banner Primary Care Physicians Arizona LLC | 17900 N Porter Rd, Maricopa, AZ 85138-4228 |
| Jeffrey R Smolin | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 155 E Warner Rd, Gilbert, AZ 85296-3082 |
| Christina Joyave | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1435 S Alma School Rd, Chandler, AZ 85286-7144 |
| Melody D Austin | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 8510 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-5386 |
| Andrea W Mathiason | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 4860 N Litchfield Rd, Suite 102, Litchfield Park, AZ 85340-5040 |
| Street Address |
13995 W STATLER BLVD BLDG 1 |
| City | SURPRISE |
| State | AZ |
| Zip | 85374-5501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin C Damico | Physical Therapy | Center for Orthopedic Research and Education LLC | 13995 W Statler Blvd, Suite 165, Surrise, AZ 85374-5501 |
| Deborah Kathleen Rupae | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13995 W Statler Blvd, Bldg 1, Surprise, AZ 85374-5501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beat E Bisenz | Psychologist, Clinical | 15508 W Bell Rd, Suite 101 146, Surprise, AZ 85374-0901 | |
| Charles W Enouen | Chiropractic | 15508 W Bell Rd, Suite 105, Surprise, AZ 85374-2432 | |
| Tanay J Amin | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Janice L Croll | Occupational Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Rommel Paulo P Mesola | Family Medicine | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Barbara K Bialowolska Romaniuk | Internal Medicine | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Daniel Schneider | Physical Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Jeffrey Ryan Willenbrecht | Physical Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Cody Paul Olson | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Albert C Ruttinger | Family Medicine | 13951 W Grand Ave, Suite 230, Surprise, AZ 85374-2436 | |
| Find all physicians in zip 85374 | |||
| City | SURPRISE |
| Zip Code | 85374 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SURPRISE + NURSE PRACTITIONER |
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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.