Richard R Taylor (NPI# 1588736607, PAC ID# 6901078187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1588736607 |
| PAC ID by PECOS | 6901078187 |
| Professional Enrollment ID | I20180524002417 |
| Full Name | Richard R Taylor |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
3235 N Hunt Hwy Suite 103 Florence AZ 85132-6898 |
| Phone Number | 5202332770 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1968 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030130 | BANNER IRONWOOD MEDICAL CENTER |
| 030016 | BANNER CASA GRANDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 | 5202332770 | 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 |
3235 N HUNT HWY SUITE 103 |
| City | FLORENCE |
| State | AZ |
| Zip | 85132-6898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andri G Olafsson | General Surgery | Banner Physician Specialists Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Kevon P Mccarty | Family Medicine | Banner Primary Care Physicians Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Meilani Jamias | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Deana D O Gorman | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 3235 N Hunt Hwy, Suite 103, Florence, AZ 85132-6898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley S Watson | Physical Therapy | Affinity Physical Therapy LLC | 350 S Main St, Florence, AZ 85132 |
| Dario L Lizarraga | Family Medicine | 660 S Main St, Florence, AZ 85132-3052 | |
| Michael Treiman | Emergency Medicine | Steward Emergency Physicians of Arizona Inc | 4545 N Hunt Hwy, Florence, AZ 85132-6937 |
| Javier Figueroa | Emergency Medicine | Steward Emergency Physicians of Arizona Inc | 4545 N Hunt Hwy, Florence, AZ 85132-6937 |
| Brett R Beloud | Internal Medicine | Steward Emergency Physicians of Arizona Inc | 4545 N Hunt Hwy, Florence, AZ 85132-6937 |
| Samantha L Currier | Nurse Practitioner | Sun Life Family Health Center Inc | 174 W Hwy 287, Florence, AZ 85132-8170 |
| Debra Rodgers Herington | Nurse Practitioner | Sun Life Family Health Center Inc | 174 W Hwy 287, Florence, AZ 85132-8170 |
| City | FLORENCE |
| Zip Code | 85132 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FLORENCE + FAMILY PRACTICE |
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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.