Tena M Stark (NPI# 1104274505, PAC ID# 8729373592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104274505 |
| PAC ID by PECOS | 8729373592 |
| Professional Enrollment ID | I20160818002485 |
| Full Name | Tena M Stark |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
4720 E Greenway Rd Phoenix AZ 85032-4355 |
| Phone Number | 6024396000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4720 E Greenway Rd, Phoenix, AZ 85032-4355 | 6024396000 | 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 |
4720 E GREENWAY RD |
| City | PHOENIX |
| State | AZ |
| Zip | 85032-4355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Koike | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Lauraine M Jackson | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Randy S Gelow Ii | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Alka Batheja Bennion | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| John P Julius | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayurkumar D Bhakta | Interventional Cardiology | Scottsdale Healthcare Corp | 18404 N Tatum Blvd, Suite 201, Phoenix, AZ 85032-1508 |
| Ali E Wait | General Surgery | Scottsdale Healthcare Corp | 18404 N Tatum Blvd, Suite 201, Phoenix, AZ 85032-1508 |
| Arash G Vishteh | Neurosurgery | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 | |
| David L Elliott | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Lawrence P Gassner | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Brian K Jorgensen | Internal Medicine | Tatum Ridge Internal Medicine Plc | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 |
| Phillip V Pileggi | Family Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Patrick M Knowles | Family Medicine | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Melanie Patton | Family Medicine | John C Lincoln LLC | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511 |
| Chance J Moyer | Physician Assistant | Honorhealth Urgent Care, LLC | 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511 |
| Find all physicians in zip 85032 | |||
| City | PHOENIX |
| Zip Code | 85032 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHOENIX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tena M Stark.
| 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.