John H Udall (NPI# 1649477357, PAC ID# 5799839486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1649477357 |
| PAC ID by PECOS | 5799839486 |
| Professional Enrollment ID | I20150131000177 |
| Full Name | John H Udall |
| Organization Legal Name | BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC |
| Address |
1432 S Dobson Rd Mesa AZ 85202-4773 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7911173794 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1432 S Dobson Rd, Mesa, AZ 85202-4773 | BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC |
| Organization Legal Name | BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Miga | Cardiovascular Disease (cardiology) | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| S D Moss | Neurosurgery | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| Walter A Castro | Pulmonary Disease | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Suite 506, Mesa, AZ 85202-4778 |
| Tamis J Thrasher | Nurse Practitioner | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| Prasad S Ravi | Cardiovascular Disease (cardiology) | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Suite 512, Mesa, AZ 85202-4778 |
| Ariella A Friedman | Pediatric Medicine | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| Rahel Zubairi | Cardiovascular Disease (cardiology) | Banner Physician Super Specialists Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Ashley Pearl Gray-zlotnick | Pediatric Medicine | Banner Physician Super Specialists Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Anthony I Ani | Pediatric Medicine | Banner Physician Super Specialists Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Ashleigh Welko | Pediatric Medicine | Banner Physician Super Specialists Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Street Address |
1432 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip | 85202-4773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Miga | Cardiovascular Disease (cardiology) | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| Laura R Champagne | General Surgery | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Chad C Cherington | Hematology/oncology | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Clayton R Polowy | Medical Oncology | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Jennifer D Thompson | Nurse Practitioner | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Robert Dukjun Yoo | Hematology/oncology | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Mikhail I Shtivelband | Hematology/oncology | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| S D Moss | Neurosurgery | Banner Physician Super Specialists Arizona LLC | 1432 S Dobson Rd, Mesa, AZ 85202-4773 |
| Neel K Dharia | Medical Oncology | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Jennifer Barbosa | Nurse Practitioner | Ironwood Physicians PC | 1432 S Dobson Rd, Suite 106, Mesa, AZ 85202-4769 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren H Tripp Jr. | Family Medicine | 1140 S San Jose, Suite B, Mesa, AZ 85202-3879 | |
| Scott N Maling | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Mark R Pipher | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Jason C Harrill | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
| Thomas H Strong Jr. | Obstetrics/gynecology | Valley Perinatal Services LLC | 2242 W Southern Ave, Mesa, AZ 85202-4704 |
| Mouhsen H Al Hakeem | Pulmonary Disease | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Raymond J Hemmert | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Charles H Pshaenich | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Mark Murphy | Anesthesiology | Canyon State Anesthesiologists PC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
| Alexander A Pedenko | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
| Find all physicians in zip 85202 | |||
| City | MESA |
| Zip Code | 85202 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MESA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on John H Udall.
| 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.