Yasmin Iqbal Bootwala (NPI# 1922284579, PAC ID# 8325217011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1922284579 |
PAC ID by PECOS | 8325217011 |
Professional Enrollment ID | I20130722000174 |
Full Name | Yasmin Iqbal Bootwala |
Organization Legal Name | ARIZONA STATE UROLOGY LLC |
Address |
6401 E Thomas Rd Suite 105 Scottsdale AZ 85251-6078 |
Phone Number | 6023378500 |
Gender | F |
Medical School | BAYLOR COLLEGE OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 4486088952 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
030094 | ARROWHEAD HOSPITAL |
030030 | ABRAZO CENTRAL CAMPUS |
030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6525 W Sack Dr, Suite 201, Glendale, AZ 85308-7106 | 6023378500 | ARIZONA STATE UROLOGY LLC |
6401 E Thomas Rd, Suite 105, Scottsdale, AZ 85251-6078 | 6023378500 | ARIZONA STATE UROLOGY LLC |
Organization Legal Name | ARIZONA STATE UROLOGY LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas B Masson | Urology | Arizona State Urology LLC | 1661 E Camelback Rd, Suite 102, Phoenix, AZ 85016-3912 |
Howard P Tay | Urology | Arizona State Urology LLC | 1661 E Camelback Rd, Suite 102, Phoenix, AZ 85016-3912 |
Street Address |
6401 E THOMAS RD SUITE 105 |
City | SCOTTSDALE |
State | AZ |
Zip | 85251-6078 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christine M Brown | Physician Assistant | Kathleen Gerace Dopc | 6401 E Thomas Rd, Suite 103, Scottsdale, AZ 85251-6078 |
Tamara Sue Lister | Nurse Practitioner | Kathleen Gerace Dopc | 6401 E Thomas Rd, Suite 103, Scottsdale, AZ 85251-6078 |
Kathleen A Gerace | Internal Medicine | Kathleen Gerace Dopc | 6401 E Thomas Rd, Suite 103, Scottsdale, AZ 85251-6078 |
Tiffany Vossoughi | Nurse Practitioner | Kathleen Gerace Dopc | 6401 E Thomas Rd, 103 Allcare Internal Medicine, Scottsdale, AZ 85251-6078 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelsey Roumfort | Optometry | Dr. Simon Zmyslinski and Associates, P.l.l.c. | 7014 E Camelback Rd, Suite 2000, Scottsdale, AZ 85251-1239 |
Natasha Bhuyan | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
Anais M Sonder | Internal Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
Carlton A Richie Iii | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
Landon S Hoecker | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
Christopher James Smallwood | Nurse Practitioner | 7150 E Camelback Rd, Suite 444, Scottsdale, AZ 85251-1257 | |
Nicholas Bhojwani | Diagnostic Radiology | Cleveland Clinic Health Services Professional Association Inc | 4848 N Goldwater Blvd, Unit 202, Scottsdale, AZ 85251-1433 |
Sarette Zecharia | Clinical Psychologist | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
Floyd E Trinidad | Family Practice | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
Diana Sussman | Clinical Social Worker | 7626 E Northland Dr, Scottsdale, AZ 85251-1517 | |
Find all physicians in zip 85251 |
City | SCOTTSDALE |
Zip Code | 85251 |
Specialty | UROLOGY |
City + Specialty | SCOTTSDALE + UROLOGY |
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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.