Jacqueline M Carter (NPI# 1669468807, PAC ID# 7416917299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669468807 |
| PAC ID by PECOS | 7416917299 |
| Professional Enrollment ID | I20041015000485 |
| Full Name | Jacqueline M Carter |
| Organization Legal Name | ARIZONA INSTITUTE OF MEDICINE AND PEDIATRICS, PLC |
| Address |
6828 E Brown Rd Suite 102 Mesa AZ 85207-3761 |
| Phone Number | 4809818650 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7416120126 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 | 4809818650 | ARIZONA INSTITUTE OF MEDICINE AND PEDIATRICS, PLC |
| Organization Legal Name | ARIZONA INSTITUTE OF MEDICINE AND PEDIATRICS, PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirit N Patel | Internal Medicine | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Daksha Patel | Internal Medicine | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Eric Scott Koenig | Nurse Practitioner | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Street Address |
6828 E BROWN RD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip | 85207-3761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirit N Patel | Internal Medicine | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Daksha Patel | Internal Medicine | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Eric Scott Koenig | Nurse Practitioner | Arizona Institute of Medicine and Pediatrics, Plc | 6828 E Brown Rd, Suite 102, Mesa, AZ 85207-3761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scarlett Lauren White | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Tyson C Adair | Chiropractic | 6824 E Brown Rd, Suite 101, Mesa, AZ 85207-3705 | |
| Kent T Lewis | Family Medicine | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Shanoor N Khan | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Vanessa B Mitchell | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Tyler S Dennison | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Marivic Badilla Guanso | Nurse Practitioner | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
| Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207-3755 | |
| Lane R Bigler | Dermatology | 6832 E Brown Rd, Bigler Dermatology, Mesa, AZ 85207-3755 | |
| Alfonso A Tan | Internal Medicine | 6844 E Brown Rd, Suite 101, Mesa, AZ 85207-3758 | |
| Find all physicians in zip 85207 | |||
| City | MESA |
| Zip Code | 85207 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MESA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacqueline M Carter.
| 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.