Henry Richard Mora (NPI# 1992735724, PAC ID# 8527013481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1992735724 |
| PAC ID by PECOS | 8527013481 |
| Professional Enrollment ID | I20050314001099 |
| Full Name | Henry Richard Mora |
| Organization Legal Name | VHS OUTPATIENT CLINICS INC |
| Address |
18185 N 83rd Ave Bldg D 107 Glendale AZ 85308-0520 |
| Phone Number | 6235830306 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4486566726 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030061 | BANNER BOSWELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 | 6235830306 | VHS OUTPATIENT CLINICS INC |
| Organization Legal Name | VHS OUTPATIENT CLINICS INC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lee | Orthopedic Surgery | Vhs Outpatient Clinics Inc | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5179 |
| Diana Thayer | Nurse Practitioner | Vhs Outpatient Clinics Inc | 1910 E Thomas Rd, Suite 200, Phoenix, AZ 85016-7767 |
| Leslee Hamadeh | Nurse Practitioner | Vhs Outpatient Clinics Inc | 5112 W Olive Ave, Suite C113, Glendale, AZ 85302-4209 |
| Lara Kristine Shleef | Physician Assistant | Vhs Outpatient Clinics Inc | 5130 W Baseline Rd, Suite 102, Laveen, AZ 85339-2984 |
| Karthik Raghavan | General Surgery | Vhs Outpatient Clinics Inc | 4524 N Maryvale Pkwy, Suite 220, Phoenix, AZ 85031-1732 |
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Eric Tomas Ovalle | Physician Assistant | Vhs Outpatient Clinics Inc | 3929 E Bell Rd, Phoenix, AZ 85032-2112 |
| Sasi K Ghanta | Family Medicine | Vhs Outpatient Clinics Inc | 525 S Watson Rd, Suite 200, Buckeye, AZ 85326-3451 |
| Perry A Brazel | Physician Assistant | Vhs Outpatient Clinics Inc | 3811 E Bell Rd, Phoenix, AZ 85032-2160 |
| Edward G Ghattas | Family Medicine | Vhs Outpatient Clinics Inc | 10180 W Happy Valley Rd, Suite 100, Peoria, AZ 85383-1389 |
| Street Address |
18185 N 83RD AVE BLDG D 107 |
| City | GLENDALE |
| State | AZ |
| Zip | 85308-0520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Waheeda Siddiqui Ahmed | Nurse Practitioner | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Will V Jeffers | Family Practice | Will Jeffers D.o., P.C. | 8251 W Union Hills Dr, 140 Now Care, Glendale, AZ 85308-0505 |
| James Francois | Optometry | Nationwide Optometry P.C. | 20221 N 67th Ave, Suite E8, Glendale, AZ 85308-0602 |
| David E Hawkins | Physical Therapy | Achieve Physical Therapy of Arizona, Pllc | 17235 N 75th Ave, Suite E145, Glendale, AZ 85308-0867 |
| Philip J Zair | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Melanie H Dias | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Kristina A Fawcett | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Michael L Berman | Internal Medicine | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Pamela Jeanne Waychoff | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| David S Villanueva | Physician Assistant | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| David M Smith | Vascular Surgery | 6320 W Union Hills Dr Bldg A, 140 Center for Venous Disease, Glendale, AZ 85308-1096 | |
| Find all physicians in zip 85308 | |||
| City | GLENDALE |
| Zip Code | 85308 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GLENDALE + 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.