Vincent M Bournique (NPI# 1144287681, PAC ID# 9830165984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1144287681 |
| PAC ID by PECOS | 9830165984 |
| Professional Enrollment ID | I20120510000331 |
| Full Name | Vincent M Bournique |
| Organization Legal Name | MT GRAHAM REGIONAL MEDICAL CENTER INC. |
| Address |
1600 S 20 Ave Safford AZ 85546-4011 |
| Phone Number | 9283484021 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6204822364 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030068 | MT. GRAHAM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 S 20 Ave, Safford, AZ 85546-4011 | 9283484021 | MT GRAHAM REGIONAL MEDICAL CENTER INC. |
| Organization Legal Name | MT GRAHAM REGIONAL MEDICAL CENTER INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph S Stapczynski | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| James D Yates | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Jaimon Kim Stucki | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Irais Leon | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Llaura M Beach | Internal Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Maryam M Pasha | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Bryant R Mcneill | Internal Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Jennifer P Cohen | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Clayton Hargis | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Jason A Branch | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Street Address |
1600 S 20 AVE |
| City | SAFFORD |
| State | AZ |
| Zip | 85546-4011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason C Underwood | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia PC | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Curtis J Hoopes | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia PC | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Richard G Hincha | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia PC | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Joseph S Stapczynski | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| James D Yates | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Jaimon Kim Stucki | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| David Hu | Otolaryngology | Tucson E.n.t. Associates, P.C. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Irais Leon | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Llaura M Beach | Internal Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Maryam M Pasha | Emergency Medicine | Mt Graham Regional Medical Center Inc. | 1600 S 20 Ave, Safford, AZ 85546-4011 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darvil L Boren | Chiropractic | 212 5th St, Safford, AZ 85546 | |
| Phillip Plemons | Nurse Practitioner | Community Partners Integrated Healthcare, Inc. | 301 E 4th St, Suite A, Safford, AZ 85546-2074 |
| Tracy J Montierth | Optometry | 1502 S 1st Ave, Suite 8, Safford, AZ 85546-2143 | |
| Mark R Scott | Physician Assistant | 118 W 5th St, Safford, AZ 85546-2322 | |
| Charles E Ferrin | Optometry | 620 S Central Ave, Safford, AZ 85546-2647 | |
| Gary V Scott | Chiropractic | 520 S 11th Ave, Safford, AZ 85546-3149 | |
| Bradford N Montierth | Family Medicine | Mount Graham Family Medicine Practice,p.c. | 1300 S 20th Ave, Safford, AZ 85546-3301 |
| Trent W Batty | Family Medicine | Mount Graham Family Medicine Practice,p.c. | 1300 S 20th Ave, Safford, AZ 85546-3301 |
| Brian J Kartchner | Family Medicine | Mount Graham Family Medicine Practice,p.c. | 1300 S 20th Ave, Safford, AZ 85546-3301 |
| Phillip D Boyer | Ophthalmology | Barnet Dulaney Perkins Eye Center, Pllc | 825 S 20th Ave, Safford, AZ 85546-3317 |
| Find all physicians in zip 85546 | |||
| City | SAFFORD |
| Zip Code | 85546 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAFFORD + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Vincent M Bournique.
| 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.