Russell Horton (NPI# 1780996967, PAC ID# 9537308663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1780996967 |
| PAC ID by PECOS | 9537308663 |
| Professional Enrollment ID | I20130620000196 |
| Full Name | Russell Horton |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Address |
21772 S Ellsworth Loop Rd Banner Health Center Queen Creek AZ 85142-7709 |
| Phone Number | 4805123700 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6406020155 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21772 S Ellsworth Loop Rd, Banner Health Center, Queen Creek, AZ 85142-7709 | 4805123700 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 4805123700 | 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 |
21772 S ELLSWORTH LOOP RD BANNER HEALTH CENTER |
| City | QUEEN CREEK |
| State | AZ |
| Zip | 85142-7709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Danielson | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Justin T Ehmke | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Robert D Lundell | Family Medicine | Banner Primary Care Physicians Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Matthew T Wellock | Family Medicine | Banner Primary Care Physicians Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Sacha Loving | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Natasha Lowe | Obstetrics/gynecology | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Mark J Stevenson | Clinical Psychologist | Banner Physician Specialists Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Jonathan M Jones | Pediatric Medicine | Banner Primary Care Physicians Arizona LLC | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Heywood | Physical Therapy | 18540 E San Tan Blvd, Suite 101, Queen Creek, AZ 85142-2203 | |
| Sahan Joseph Emmanuel | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Tracy L Stevenson | Physician Assistant | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Linda L Lau | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Brandon Lee Becken | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Kevin J Russell | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Monica Viteri-giordano | Internal Medicine | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| John C Wheeler Ii | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Brett M Baker | Chiropractic | Arizona's Premier Chiropractic and Rehab Pllc | 20851 E Rittenhouse Rd, Queen Creek, AZ 85142-4493 |
| Find all physicians in zip 85142 | |||
| City | QUEEN CREEK |
| Zip Code | 85142 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | QUEEN CREEK + PEDIATRIC 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.