Justin D Dufner (NPI# 1457619371, PAC ID# 9234386590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457619371 |
| PAC ID by PECOS | 9234386590 |
| Professional Enrollment ID | I20150817000397 |
| Full Name | Justin D Dufner |
| Organization Legal Name | BHSM REHABILITATION, LLC |
| Address |
10165 E Hampton Ave Suite 111 Mesa AZ 85209-3327 |
| Phone Number | 4803545424 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062773138 |
| Number of Group Practice Members | 277 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| 030065 | BANNER DESERT MEDICAL CENTER |
| 030134 | BANNER GOLDFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 | 4803545424 | BHSM REHABILITATION, LLC |
| 1917 S Crismon Rd, Mesa, AZ 85209-6216 | 4806107100 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| 2853 S Sossaman Rd, Mesa, AZ 85212-9625 | 4803739700 | BHSM REHABILITATION, LLC |
| Organization Legal Name | BHSM REHABILITATION, LLC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Sifuentes | Physical Therapy | Bhsm Rehabilitation, LLC | 10750 W Mcdowell Rd, Suite B210, Avondale, AZ 85392-5973 |
| Haley Ann Hooker | Physical Therapy | Bhsm Rehabilitation, LLC | 2942 N 7th Ave, Phoenix, AZ 85013-4179 |
| Nicole Larson | Physical Therapy | Bhsm Rehabilitation, LLC | 4015 S Arizona Ave, Suite C 2, Chandler, AZ 85248-4586 |
| Kristen Faby | Physical Therapy | Bhsm Rehabilitation, LLC | 655 S Dobson Rd, Suite B111, Chandler, AZ 85224-5686 |
| Pamela Diane Suma | Occupational Therapy | Bhsm Rehabilitation, LLC | 3507 S Mercy Rd, Suite A, Gilbert, AZ 85297-0441 |
| Nikki Erickson | Physical Therapy | Bhsm Rehabilitation, LLC | 1828 E Florence Blvd, Suite 102, Casa Grande, AZ 85122-4783 |
| Shawn Michael Stevens | Otolaryngology | Bhsm Rehabilitation, LLC | 2225 W Southern Ave, Mesa, AZ 85202-4716 |
| James Pinder | Physical Therapy | Bhsm Rehabilitation, LLC | 1972 E Baseline Rd, Suite 103, Tempe, AZ 85283-1532 |
| Tanay J Amin | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Anastasia E Schmaltz | Physical Therapy | Bhsm Rehabilitation, LLC | 13055 W Mcdowell Rd, Suite G107, Avondale, AZ 85392-6450 |
| Street Address |
10165 E HAMPTON AVE SUITE 111 |
| City | MESA |
| State | AZ |
| Zip | 85209-3327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Bishop | Physician Assistant | Bhsm Rehabilitation, LLC | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 |
| David J Berrey | Internal Medicine | Bhsm Rehabilitation, LLC | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 |
| Heath A Spivey | Family Medicine | Bhsm Rehabilitation, LLC | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 |
| Jakeb Bowyer | Physical Therapy | Bhsm Rehabilitation, LLC | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 |
| Austen David Archibald | Physical Therapy | Bhsm Rehabilitation, LLC | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonal Desai | Optometry | 1606 S Signal Butte Rd, Mesa, AZ 85209-1482 | |
| Ginger K Urban | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Robin K Lee | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Debra A Nigbur | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Rhett Urseth | Physical Therapy | Ati Holdings of Arizona, LLC | 1752 S Signal Butte Rd, Suite D 108, Mesa, AZ 85209-2403 |
| Brandon Meredith Navarro | Physical Therapy | Ati Holdings of Arizona, LLC | 1752 S Signal Butte Rd, Suite D 108, Mesa, AZ 85209-2403 |
| Jacob G Holland | Physical Therapy | Roc Physical Therapy, Pllc | 1917 S Signal Butte Rd, Suite B106, Mesa, AZ 85209-2602 |
| Jeffrey J Zacher | Family Medicine | Tri-city Express Care Pllc | 1955 S Signal Butte Rd, 103 Fastmed Urgent Care, Mesa, AZ 85209-2608 |
| David W Shiflet | Chiropractic | Chiropractic Health Innovations, Pllc | 7254 E Southern Ave, Suite 113, Mesa, AZ 85209-2787 |
| Ryan K Larson | Chiropractic | Chiropractic Health Innovations, Pllc | 7254 E Southern Ave, Suite 113, Mesa, AZ 85209-2787 |
| Find all physicians in zip 85209 | |||
| City | MESA |
| Zip Code | 85209 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MESA + FAMILY MEDICINE |
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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.