Brian K Jorgensen
TATUM RIDGE INTERNAL MEDICINE PLC


Address: 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509
Phone: 6029715500

Brian K Jorgensen (NPI# 1730197658, PAC ID# 9234123050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1730197658
PAC ID by PECOS 9234123050
Professional Enrollment ID I20100325000182
Full Name Brian K Jorgensen
Organization Legal Name TATUM RIDGE INTERNAL MEDICINE PLC
Address 18404 N Tatum Blvd
Suite 205
Phoenix
AZ 85032-1509
Phone Number 6029715500
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 6901890821
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030014 HONORHEALTH JOHN C LINCOLN MEDICAL CENTER
030092 HONORHEALTH DEER VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 6029715500 TATUM RIDGE INTERNAL MEDICINE PLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 55%

Organization Information

Organization Legal Name TATUM RIDGE INTERNAL MEDICINE PLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
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

Office Location

Street Address 18404 N TATUM BLVD
SUITE 205
City PHOENIX
State AZ
Zip 85032-1509

Physicians in the same location

Name Specialty Organization Address
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
Michael N Luong Family Medicine John C Lincoln LLC 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511
Arash G Vishteh Neurosurgery 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509
Maciej Stanczak Physician Assistant Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
David L Elliott Internal Medicine Tatum Ridge Internal Medicine Plc 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509
Alfredo L Lim Internal Medicine John C Lincoln LLC 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511
Kandice Steiner Christian Physician Assistant Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
Find all physicians in the same address

Physicians in the same zip code

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
Lawrence P Gassner Internal Medicine Tatum Ridge Internal Medicine Plc 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509
Vicki A Rogove Emergency Medicine Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
Ashley R Mitchell Nurse Practitioner Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
Luis M Irizarry Family Medicine John C Lincoln LLC 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511
Purna Chettri Family Medicine Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
Shilpa Gujrathi Family Medicine John C Lincoln LLC 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511
Alyssa Haspel Siegel Nurse Practitioner Honorhealth Urgent Care, LLC 18404 N Tatum Blvd, Suite 101c, Phoenix, AZ 85032-1511
Simrat Kaur Geriatric Medicine John C Lincoln LLC 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1511
Find all physicians in zip 85032

Competitor

Search similar physicians

City PHOENIX
Zip Code 85032
Specialty INTERNAL MEDICINE
City + Specialty PHOENIX + INTERNAL MEDICINE

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Dataset Information

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.

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