Craig W Heise (NPI# 1629398912, PAC ID# 9234364050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629398912 |
| PAC ID by PECOS | 9234364050 |
| Professional Enrollment ID | I20131104000990 |
| Full Name | Craig W Heise |
| Organization Legal Name | EMERGENCY PHYSICIANS SOUTHWEST PC |
| Address |
501 N Navajo Dr Page AZ 86040-1447 |
| Phone Number | 5206452424 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264538529 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031304 | PAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 N Navajo Dr, Page, AZ 86040-1447 | 5206452424 | EMERGENCY PHYSICIANS SOUTHWEST PC |
| 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 6028392000 | BANNER-UNIVERSITY PHYSICIAN SPECIALISTS LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS SOUTHWEST PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis J Foley | Family Medicine | Emergency Physicians Southwest PC | 501 N Navajo Dr, Page, AZ 86040-1447 |
| David E Boesch | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Mark R Solem | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Abrar U Khan | Internal Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Mark A Tosca | General Practice | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Samantha J Reeder | Emergency Medicine | Emergency Physicians Southwest PC | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 |
| Nick Stavridis | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Ivynnell Sandifer | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Paul J Gilbert | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| David J Bennett | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Street Address |
501 N NAVAJO DR |
| City | PAGE |
| State | AZ |
| Zip | 86040-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis J Foley | Family Medicine | Emergency Physicians Southwest PC | 501 N Navajo Dr, Page, AZ 86040-1447 |
| Aaron Daniel Knudson | Internal Medicine | Emergency Physicians Southwest PC | 501 N Navajo Dr, Page, AZ 86040-1447 |
| Benjamin J Cluff | Family Medicine | Emergency Physicians Southwest PC | 501 N Navajo Dr, Page, AZ 86040-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eben J Clattenburg | Emergency Medicine | Tuba City Regional Health Care Corporation | 3 Miles S of Page Az Coppermine Rd, Lechee Health Facility, Page, AZ 86040 |
| David F Mallavia | Optometry | 420 N Navajo, Page, AZ 86040 | |
| Raymond L Holsten | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Raul Galvez-trevino | Diagnostic Radiology | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Julie A Lindholm | General Surgery | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Deven Dell Cox | Diagnostic Radiology | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Mark Anthony Rodriguez | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Melissa Lynn Hall | Certified Registered Nurse Anesthetist (crna) | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Francis Ozim | General Surgery | Banner Hospital Based Physicians Arizona LLC | 501 N Navajo, Page, AZ 86040 |
| Joyce K Lee Iannotti | Neurology | Banner-university Physician Specialists LLC | 501 N Navajo, Page, AZ 86040 |
| Find all physicians in zip 86040 | |||
| City | PAGE |
| Zip Code | 86040 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PAGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Craig W Heise.
| 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.