Provider Directory Directorio De Proveedores

CSAZ.15.999.01.9.011

Arizona

Provider Directory Directorio de proveedores

Long Term Care Cuidados a Largo Plazo

Central (except Maricopa Co.) Central (excepto el condado de Maricopa)

Member Services / Servicios para Miembros 1-800-293-3740, TTY 711 Hours: 8 a.m. – 5 p.m., local time, Monday – Friday myuhc.com/CommunityPlan

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9/8/2021 CSAZ.15.999.01.9.011

Welcome to UnitedHealthcare Community Plan

UnitedHealthcare Community Plan oﬀers many plans in Arizona. This provider Directory is for our AHCCCS Long Term Care managed care plan. AHCCCS is Arizona Health Care Cost Containment System.

About this directory This directory shows the providers who work with us. Keep it handy for reference. It has the name, address and phone number for our providers. These providers are in our network and can give services to our members.

Our network may change. Call Member Services to see that your provider is in the network. Call before you get services.

Member Services hours are 8 a.m. to 5 p.m. local time, Monday to Friday. The phone number is 1-800-293-3740. For hearing impaired call TTY 711.

What is a Primary Care Provider (PCP)?

A Primary Care Provider (PCP) is your doctor or nurse practitioner. He or she takes care of your medical and clinical treatment. Your PCP may also refer you to a specialist. Your PCP works with you to manage your care. Talk to your PCP about all your health care needs.

For OB/GYN, a PCP referral is not needed.

For Maternity and Family planning, you should pick a Primary Care OB (obstetrician). The OB ensures you get pre- and postpartum services. These are services before and after your pregnancy.

How do I choose a Primary Care Provider (PCP)? As a member of UnitedHealthcare Community Plan, you must choose a PCP. You will need to pick a PCP who is registered with AHCCCS and contracted with UnitedHealthcare Community Plan. Your Case Manager will provide a list of our providers. Picking a PCP is important. If you are in a nursing home, your PCP will visit you there.

If your current PCP is a UnitedHealthcare Community Plan PCP, you do not need to pick a new PCP. If your current PCP does NOT work with UnitedHealthcare Community Plan, your Case Manager will help you pick a new PCP. Refer to the list of UnitedHealthcare Community Plan PCPs. We will then inform you of your PCP's name, address and phone number.

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How do I change Primary Care Providers?

You can change your PCP Usually it is better to stay with the same PCP. Your PCP knows you and has your records and knows what medications you take. Your PCP is the best person to make sure you get good care. There may be a time you want to change PCPs. If so, call or write your Case Manager. You can use this provider directory or go to myuhc.com/CommunityPlan to pick a new PCP. Once you have chosen your new PCP, let your Case Manager know right away. Your PCP change will happen on the ﬁrst day of the month after we get your written request.

Some reasons you may change your PCP: • You have moved and need a PCP closer to your home • You are not happy with your PCP

Some reasons you may not change your PCP: • You asked for a PCP who is not with AHCCCS • You asked for a PCP who is not taking new patients

Your PCP may ask you to change to another PCP if: • You and your PCP do not get along • You do not follow your PCP's advice • You are late or do not show up for appointments

If you lose and regain AHCCCS eligibility within 90 days, you will be re-enrolled with the same PCP, if he or she is still in the plan.

What is a specialist?

A specialist is a health care provider who cares for a certain area of the body.

If you need specialty care, your PCP may refer you to a specialist or another doctor. Members may also request services without a referral and may choose a provider from UnitedHealthcare Community Plan's provider network.

If your PCP wants you to see a specialist who is not contracted with UnitedHealthcare Community Plan: • The specialist must be registered with AHCCCS • Your PCP must get approval from UnitedHealthcare Community Plan • This is called a Prior Authorization

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Some specialists, like behavioral health and OB/GYN, do not require the PCP to make the referral. Members can self-refer. A complete list of services that require prior authorization is on our website. Or you can ask your Case Manager.

Prior Authorization UnitedHealthcare Community Plan reviews the service request from you, your PCP, or your specialist. Your doctor will tell you if the service is approved. If the service has been denied, UnitedHealthcare Community Plan will send you a letter, called a Notice of Adverse Beneﬁt Determination. You have a right to know the criteria that are used to make decisions. Normal authorization decisions will be made within 14 calendar days from the date the request is received.

Extensions of up to 14 calendar days can be received if it is in your best interest. For example, we may be waiting to receive your medical records from your doctor. Instead of making a decision without those records, we may ask you if it's okay to get more time to receive the records. That way, the decision can be made with the best information. We will send you a letter asking for the extension.

Expedited (rush) decisions in urgent, life-threatening situations should be made in no later than 72 hours following the receipt of the authorization request unless an extension is in eﬀect. For more information, call Member Services on Notice of Adverse Beneﬁt Determination letters and actions you can take.

If we deny a request, you will get a letter. If we need an extension, you will get a letter. The letter will tell you the reason for the extension or denial. It will tell you your appeal rights. Criteria that decisions are based on are available upon request.

If you have questions, ask your Case Manager or contact Member Services at 1-800-293-3740, TTY 711.

Behavioral health services

We are concerned about how you feel. Behavioral health services can help you with personal issues that may aﬀect you and/or your family. These issues may be stress, depression, anxiety or using drugs or alcohol.

If you need behavioral health services, contact your Case Manager. Your Case Manager can help pick a provider. You can also self-refer by calling a provider from the provider directory.

Your Case Manager can help you understand your behavioral health beneﬁt. Covered Behavioral Health Services include but may not be limited to the following: • Behavioral health medicines, monitoring, and adjustment • Behavioral health therapeutic home care services • Behavior management (personal care, family support/home care training, peer support) • Doctor services

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• Emergency and non-emergency transportation • Emergency behavioral health care • Individual, group and family therapy and counseling • Inpatient hospital services, detoxiﬁcation, and behavioral health residential services • Inpatient psychiatric facility services • Laboratory and radiology services • Opioid agonist treatment • Partial care (supervised day program, therapeutic day program, specialized outpatient substance use program and medical day program) • Psychosocial rehabilitation (living skills training; health promotion; supportive employment services) • Psychotropic medications, adjustments and monitoring • Rehabilitation services • Respite care — with limits • Screening, evaluation, and diagnosis • Substance use (drug, opioid, and alcohol) counseling, medication assisted treatment • Support services • Treatment planning

You may self-refer to a behavioral health provider, or be referred by providers, schools, State agencies, or other parties. You may see a behavioral health counselor, addiction specialist, psychologist, or psychiatrist without a referral from your PCP. To access behavioral health services call your case manager, the behavioral health number on your ID card, use this provider directory, or visit myuhc.com/CommunityPlan.

What if I am experiencing a behavioral health crisis? If you have a behavioral health emergency, it is important to get help right away. Remember, you should always call 911 if you are experiencing a medical, police and/or ﬁre emergency situation.

If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in. Crisis hotlines are available 24 hours a day, 7 days a week, 365 days per year. Crisis calls are answered by a live trained crisis specialist. These crisis hotlines will provide access to 24/7 mobile crisis intervention and facility based 23-hour crisis stabilization centers, including detox/ medication assisted treatment. Crisis services are available to all Arizonans and is not dependent on Medicaid status and health insurance coverage.

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Crisis hotlines by county: Phone: Maricopa County ...... 602-222-9444 or 1-800-631-1314 Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties ...... 1-866-495-6735 Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties ...... 1-877-756-4090 Gila River and Ak-Chin Indian Communities ...... 1-800-259-3449 Salt River Pima Maricopa Indian Community ...... 1-855-331-6432

Especially for teens: Teen lifeline phone or text ...... 602-248-TEEN (8336)

National 24-hour crisis hotlines: Phone: National suicide prevention lifeline ...... 1-800-273-TALK (8255) National substance use and disorder issues referral and treatment hotline ...... 1-800-662-HELP (4357) Text: Text the word ...... “HOME” to 741741 Chat ...... https://suicidepreventionlifeline.org/chat Online ...... https://suicidepreventionlifeline.org

Senior Help Line: 24-hour senior help line ...... 602-264-4357

Trans Lifeline: A peer-support crisis hotline in which all operators are transgender ...... 1-877-565-8860 Online ...... www.translifeline.org

Veterans crisis line/Be Connected line: Veterans resources (and for those who support them) ...... 1-866-4AZ-VETS or 1-866-429-8387

Warm Line: The Warm Line is a free and confidential telephone service staffed by peers who have, themselves, dealt with behavioral health challenges. Peer support specialists can relate to behavioral health situations because many have been through similar experiences. Peer support specialists offer peer support and compassion for callers who just need someone to talk with. Available 24 hours a day 7 days a week. This is available statewide. Members can call any number listed below: Maricopa County ...... 602-347-1100 Pima County...... 520-770-9909 Southern Arizona Counties ...... 844-733-9912 Northern Arizona Counties ...... 888-404-5530

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Multi-Specialty Interdisciplinary Clinics (MSIC)

Multi-Specialty Interdisciplinary Clinics (MSICs) are clinics where members under the age of 21 can see their medical specialists and any others involved in their care, all at one location. At the MSIC, you and your family can meet face-to-face with the members of your team of providers to get medical care, plan your treatment, and receive other services that you may need. Each MSIC is open from the hours of 8 a.m. to 5 p.m., Monday through Friday. Speciﬁc clinics, such as the cardiac clinic, may be held on certain days and times. Contact your MSIC for a schedule of clinics. To make, change or cancel appointments at the MSIC, contact the MSIC at the clinic phone number listed below.

Medical providers on your team could be:

Surgeons Medical specialists General pediatric surgeons Cardiologists Cardiovascular and thoracic surgeons Neurologists Ear, Nose and Throat (ENT) surgeons Rheumatologists Neurosurgeons General Pediatricians Ophthalmology surgeon Geneticists Orthopedic surgeons Urologists (general, hand, scoliosis, amputee) Metabolocists Plastic surgeons Dental providers Dentists Orthodontists

MSICs are at the following locations:

DMG Children's Rehabilitative Services Children's Rehabilitative Services 3141 North 3rd Avene, Suite 100 1200 North Beaver Phoenix, AZ 85013 Flagstaﬀ, AZ 86001 602-914-1520 928-773-2054 855-598-1871 800-232-1018

Children's Clinics Children's Rehabilitative Services Square & Compass Building 2851 South Avenue B 2600 North Wyatt Drive Building 25 #2504 Tucson, AZ 85712 Yuma, AZ 85364 520-324-5437 928-336-2777 800-231-8261 800-837-7309

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Sample provider listing

Description of provider listings 1. Board certification Board certification shows a physician's expert knowledge in a medical specialty. Certification involves a process of testing and evaluation by specialists in the specific area of medicine. A board-certified specialist participates in continuing education to learn about the latest advances in medical science and technology in his/her specialty. You can check the provider's board certifications on the American Board of Medical Specialists (ABMS) website. Go to www.abms.org and click on “Is Your Doctor Certified?” 2. Languages other than English spoken by the provider. 3. Limitations of the practice, such as age restrictions or the inability to accept new patients. 4. Wheelchair picture tells you the provider is wheelchair-accessible.

This chart will help you understand each doctor's listing

Listing: Example:

Group aﬃliation Family Practice Medical Associates

Group address 123 Main Street Health Valley, AZ 54321

Provider name John Smith, MD 4

Provider phone number 555-555-5555

Provider gender Male

1 Board certiﬁcation Family

Oﬃce hours M 9 a.m. – 5 p.m. T 9 a.m. – 5 p.m. W 9 a.m. – 5 p.m. Th 9 a.m. – 5 p.m. F 9 a.m. – 5 p.m.

2 Languages Spanish

3 Limitations Min. age 18 years old Existing patients only

All of the information in these provider listings is based upon the provider's application. UnitedHealthcare checks this information when these providers join our network and every three years (or sooner) when the provider is re-credentialed.

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Bienvenido a UnitedHealthcare Community Plan

UnitedHealthcare Community Plan ofrece muchos planes en Arizona. Este Directorio de proveedores es para nuestro plan de cuidados administrados, AHCCCS Long Term Care (Cuidados a Largo Plazo). AHCCCS signiﬁca Arizona Health Care Cost Containment System (Sistema de contención de costos).

Sobre este directorio Este directorio muestra los proveedores que trabajan con nosotros. Téngalo a mano como referencia. Contiene los nombres, las direcciones y los números de teléfono de nuestros proveedores. Estos proveedores están en nuestra red y pueden brindar servicios a nuestros miembros.

Nuestra red puede cambiar. Llame al Servicios para Miembros para ver si su proveedor está en la red. Llame antes de obtener los servicios.

El horario de atención del Servicios para Miembros es de 8 a.m. a 5 p.m. hora local, de lunes a viernes. El número de teléfono es 1-800-293-3740. Las personas con problemas de audición deben llamar a TTY 711.

¿Qué es un proveedor de atención primaria (PCP)?

Su proveedor de atención primaria (PCP) es su médico o enfermera practicante. Se encarga de su tratamiento médico y clínico. Su PCP también puede derivarlo a un especialista. Su PCP trabaja con usted para administrar su atención. Hable con su PCP sobre todas sus necesidades de atención médica.

Para un obstetra o ginecólogo, no se necesita una referencia del PCP.

Para planiﬁcación familiar y maternidad, debe elegir un obstetra de atención primaria. El obstetra le garantiza que reciba los servicios preparto y posparto. Son servicios que se prestan antes y después de su embarazo.

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¿Cómo elijo un Proveedor de atención primaria (PCP)? Como miembro de UnitedHealthcare Community Plan, debe elegir un PCP. Deberá elegir un PCP que esté registrado en el AHCCCS y tenga contrato con UnitedHealthcare Community Plan. Su Administrador de Casos le proporcionará una lista de nuestros proveedores. Elegir un PCP es importante. Si se encuentra en un centro de convalecencia, su PCP lo visitará allí.

Si su PCP actual es un PCP de UnitedHealthcare Community Plan, no es necesario que elija un nuevo PCP. Si su PCP actual NO trabaja con UnitedHealthcare Community Plan, su Administrador de Casos le ayudará a elegir un nuevo PCP. Consulte la lista de los PCP de UnitedHealthcare Community Plan. Luego le informaremos el nombre, la dirección y el número de teléfono de su PCP.

¿Cómo cambio de Proveedor de atención primaria?

Puede cambiar su PCP Generalmente es mejor permanecer con el mismo PCP. Su PCP lo conoce, tiene sus registros y conoce los medicamentos que toma. Su PCP es la persona más indicada para garantizar que usted reciba una buena atención médica. Podría haber momentos en los que desee cambiar de PCP. De ser así, llame o escriba a su Administrador de Casos. Usted puede usar este directorio de proveedores o acudir a myuhc.com/CommunityPlan para escoger un PCP nuevo. Una vez que haya elegido su nuevo PCP, infórmelo a su Administrador de Casos de inmediato. El cambio de PCP tendrá efecto el primer día del mes después de que recibamos su solicitud por escrito.

Algunos motivos por los que puede cambiar su PCP: • Se ha mudado y necesita un PCP más cerca de su domicilio • No está conforme con su PCP

Algunos motivos por los que no puede cambiar su PCP: • Solicitó un PCP que no está con el AHCCCS • Solicitó un PCP que no está tomando pacientes nuevos

Su PCP puede pedirle que se cambie a otro PCP en los siguientes casos: • Usted y su PCP no se llevan bien • Usted no sigue los consejos del PCP • Llega tarde o no se presenta a las citas

Si pierde y recupera su elegibilidad de AHCCCS en el transcurso de los 90 días, se lo volverá a inscribir con el mismo PCP, si todavía se encuentra en el plan.

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¿Qué es un especialista?

Un especialista es un proveedor de atención primaria que cuida determinada área del cuerpo.

Si necesita atención especializada, su PCP puede derivarlo a un especialista u otro médico. Los miembros también pueden solicitar servicios sin una referencia y pueden elegir un proveedor de la red de proveedores de UnitedHealthcare Community Plan.

Si su PCP quiere que consulte con un especialista que no tiene un contrato con UnitedHealthcare Community Plan: • El especialista debe estar registrado con el AHCCCS • Su PCP debe obtener aprobación de UnitedHealthcare Community Plan • Esto se denomina Autorización previa

Algunos especialistas, como los de salud conductual y OB/GYN, no requieren una remisión del PCP. Los miembros pueden auto referirse. Una lista completa de los servicios que requieren autorización previa se encuentra en nuestro sitio web. O usted puede pedir a su Administrador de Casos.

Autorización previa UnitedHealthcare Community Plan revisa la solicitud de servicio de usted, su PCP o su especialista. Su médico le dirá si el servicio está aprobado. Si el servicio ha sido denegado, UnitedHealthcare Community Plan le enviará una carta, llamada Notiﬁcación de determinación adversa de beneﬁcios. Tiene derecho a conocer los criterios que se utilizan para tomar decisiones. Las decisiones de autorización normales se tomarán dentro de los 14 días calendario a partir de la fecha en que se reciba la solicitud.

Se pueden recibir extensiones de hasta 14 días calendario si es lo mejor para usted. Por ejemplo, es posible que estemos esperando recibir sus registros médicos de su médico. En lugar de tomar una decisión sin esos registros, es posible que le preguntemos si está bien tener más tiempo para recibir los registros. De esa forma, la decisión se puede tomar con la mejor información. Le enviaremos una carta solicitando la extensión.

Las decisiones aceleradas (urgentes) en situaciones urgentes que ponen en peligro la vida deben tomarse dentro de las 72 horas siguientes a la recepción de la solicitud de autorización, a menos que haya una extensión en vigor. Para obtener más información, comuníquese con Servicios para Miembros sobre las cartas de Notiﬁcación de determinación adversa de beneﬁcios y las acciones que puede tomar.

Si rechazamos una solicitud, recibirá una carta. Si necesitamos una extensión, recibirá una carta. La carta le informará el motivo de la extensión o del rechazo. Le informará sus derechos de apelación. Los criterios en los que se basan las decisiones están disponibles a pedido.

Si tiene preguntas, consulte a su Administrador de Casos o comuníquese con Servicios para Miembros al 1-800-293-3740, TTY 711. myuhc.com/CommunityPlan CSAZ.15.999.01.9.011

Servicios de salud conductual

Nos preocupa cómo se siente. Los servicios de salud conductual pueden ayudarlo con problemas personales que pueden afectarlo a usted y/o su familia. Estos problemas pueden ser estrés, depresión, ansiedad o consumo de drogas o alcohol.

Si necesita servicios de salud conductual, comuníquese con su Administrador de Casos. Su Administrador de Casos puede ayudarlo a elegir un proveedor. También puede autoderivarse llamando a un proveedor de la lista de proveedores.

Su Administrador de casos puede ayudarlo a comprender sus beneﬁcios de salud conductual. Los servicios de salud conductual cubiertos incluyen, entre otros, los siguientes: • Medicamentos para la salud conductual, seguimiento y ajuste • Servicios de atención domiciliaria terapéutica de salud conductual • Manejo de la conducta (cuidado personal, apoyo familiar/capacitación en cuidados domiciliarios, apoyo entre pares) • Servicios médicos • Transporte de emergencia y que no sea de emergencia • Atención de emergencia para la salud conductual • Terapia y asesoramiento individual, grupal y familiar • Servicios hospitalarios para pacientes internados, desintoxicación y servicios residenciales de salud conductual • Servicios de instalaciones psiquiátricas para pacientes hospitalizados • Servicios de laboratorio y radiología • Tratamiento con agonistas opioides • Atención parcial (programa diurno supervisado, programa diurno terapéutico, programa especializado en uso de sustancias para pacientes ambulatorios y programa diurno médico) • Rehabilitación psicosocial (capacitación en habilidades para la vida; promoción de la salud; servicios de empleo de apoyo) • Medicamentos psicotrópicos, ajustes y seguimiento • Servicios de rehabilitación • Cuidado de relevo — con límites • Detección, evaluación y diagnóstico • Asesoramiento sobre el uso de sustancias (drogas, opioides y alcohol), tratamiento asistido por medicamentos • Servicios de apoyo • Planiﬁcación del tratamiento

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Usted puede autorreferirse a un proveedor de salud conductual o ser referido por proveedores, escuelas, agencias estatales u otras partes. Puede consultar a un consejero de salud conductual, un especialista en adicciones, un psicólogo o un psiquiatra sin una referencia de su PCP. Para acceder a los servicios de salud conductual, llame a su administrador de casos, al número de salud conductual que ﬁgura en su tarjeta de identiﬁcación, utilice este directorio de proveedores o visite myuhc.com/CommunityPlan.

¿Qué pasa si estoy experimentando una crisis de salud conductual? Si tiene una emergencia de salud conductual, es importante que obtenga ayuda de inmediato. Recuerde, siempre debe llamar al 911 si está experimentando una situación de emergencia médica, policial o de incendios.

Si está experimentando una crisis de salud conductual, llame a uno de los números de teléfono a continuación que coincidan con el condado en el que vive. Las líneas directas de crisis están disponibles las 24 horas del día, los 7 días de la semana, los 365 días del año. Las llamadas de crisis son respondidas por un especialista en crisis capacitado en vivo. Estas líneas directas de crisis brindarán acceso a centros de intervención de crisis móviles las 24 horas del día, los 7 días de la semana y centros de estabilización de crisis de 23 horas en las instalaciones, incluido el tratamiento asistido por desintoxicación medicamentos. Los servicios de crisis están disponibles para todos los arizonenses y no dependen del estado de Medicaid ni de la cobertura del seguro médico.

Líneas directas de crisis por condado: Teléfono: Condado de Maricopa ...... 602-222-9444 o 1-800-631-1314 Condados de Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz y Yuma ...... 1-866-495-6735 Condados de Apache, Coconino, Gila, Mohave, Navajo y Yavapai ...... 1-877-756-4090 Comunidades Indígenas de Gila River y Ak-Chin ...... 1-800-259-3449 Comunidad Indígena de Salt River Pima Maricopa ...... 1-855-331-6432

Especialmente para adolescentes: Teléfono o mensaje de texto de la Línea directa para adolescentes ...... 602-248-TEEN (8336)

Líneas directas nacionales de crisis las 24 horas: Teléfono: Línea nacional de prevención del suicidio ...... 1-800-273-TALK (8255) Línea directa nacional de referencia y tratamiento para problemas de trastornos del uso de sustancias ...... 1-800-662-HELP (4357) Texto: Envía la palabra ...... “HOME” al 741741 Chat ...... https://suicidepreventionlifeline.org/chat En línea: ...... https://suicidepreventionlifeline.org

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Línea de ayuda para personas mayores: las 24 horas ...... 602-264-4357

Línea directa de Trans: Una línea directa de crisis de apoyo entre pares en la que todos los operadores son transgénero ...... 1-877-565-8860 En línea ...... www.translifeline.org

Línea de crisis para veteranos/línea Be Connected: Recursos para veteranos (y para quienes los apoyan) ...... 1-866-4AZ-VETS o 1-866-429-8387

Warm Line: Warm Line es un servicio telefónico gratuito y conﬁdencial atendido por compañeros que, por sí mismos, se han ocupado de los desafíos de la salud conductual. Los especialistas en apoyo de pares pueden relacionarse con situaciones de salud conductual porque muchos han pasado por experiencias similares. Los especialistas en apoyo de pares ofrecen apoyo de pares y compasión por las personas que llaman que solo necesitan a alguien con quien hablar. Disponible las 24 horas del día, los 7 días de la semana. Esto está disponible en todo el estado. Los miembros pueden llamar a cualquier número que se indica a continuación: Condado de Maricopa ...... 602-347-1100 Condado de Pima ...... 520-770-9909 Condados del sur de Arizona ...... 844-733-9912 Condados del norte de Arizona ...... 888-404-5530

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Clínicas interdisciplinarias de múltiples especialidades (MSIC)

Las Clínicas interdisciplinarias de múltiples especialidades (Multi-Specialty Interdisciplinary Clinics – MSIC) son clínicas donde los miembros menores de 21 años pueden ver a sus especialistas médicos y a cualquier otro profesional involucrado en su atención, y hacerlo todo en una misma ubicación. En la MSIC, usted y su familia pueden encontrarse cara a cara con los integrantes de su equipo de proveedores para obtener atención médica, planiﬁcar su tratamiento y recibir otros servicios que usted pudiera necesitar. Cada MSIC está abierta de 8 a.m. a 5 p.m., de lunes a viernes. Algunas clínicas especíﬁcas, como la clínica cardíaca, pueden tener días y horarios diferentes. Comuníquese con su MSIC para obtener un horario de las clínicas. Para hacer, cambiar o cancelar citas en la MSIC, póngase en contacto con la MSIC al número de teléfono de la clínica enumerado a continuación.

Los proveedores médicos de su equipo podrían ser:

Cirujanos Médicos especialistas Cirujanos pediátricos generales Cardiólogos Cirujanos cardiovasculares y torácicos Neurólogos Cirujanos otorrinolaringólogos (ORL) Reumatólogos Neurocirujanos Pediatras generales Cirujanos oftalmológicos Genetistas Cirujanos ortopédicos Urólogos (general, mano, escoliosis, amputados) Especialistas en metabolismo Cirujanos plásticos Proveedores de servicios dentales Dentistas Ortodoncistas

Las MSIC se encuentran en las siguientes ubicaciones:

DMG Children's Rehabilitative Services Children's Rehabilitative Services 3141 N. 3rd Avenue, Suite 100 1200 North Beaver Phoenix, AZ 85013 Flagstaﬀ, AZ 86001 602-914-1520 928-773-2054 855-598-1871 800-232-1018

Children's Clinics Children's Rehabilitative Services Square & Compass Building 2400 Avenue A 2600 North Wyatt Drive Yuma, AZ 85364 Tucson, AZ 85712 928-336-2777 520-324-5437 800-837-7309 800-231-8261

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Ejemplo de una lista de proveedores

Descripción de la lista de proveedores 1. Certificación de la junta médica: la certificación de la junta médica muestra el conocimiento experto del médico en una especialidad médica. La certificación involucra un proceso de pruebas y evaluaciones hechas por especialistas en un área médica específica. Un especialista certificado por la junta médica participa continuamente en su educación para mantenerse al tanto de los últimos avances de la ciencia médica y de la tecnología de su especialidad. Puede revisar las certificaciones de la junta médica del proveedor en el sitio web de la Junta Americana de Especialistas Médicos (American Board of Medical Specialists, ABMS). Visite www.abms.org y haga clic en “Is Your Doctor Certified?” (“¿Está certificado su médico?”). 2. Idiomas que el proveedor puede hablar además del inglés. 3. Las limitaciones de la práctica, tales como restricciones de edad o la imposibilidad de aceptar nuevos pacientes. 4. La imagen de una silla de ruedas le dice que ese proveedor tiene accesos para silla de ruedas.

Este cuadro le ayudará a comprender la lista de cada médico Listado: Ejemplo: Aﬁliación del grupo Family Practice Medical Associates Dirección del grupo 123 Main Street Health Valley, AZ 54321 Nombre del proveedor John Smith, MD 4 Teléfono del proveedor 555-555-5555 Sexo del proveedor Masculino 1 Certiﬁcación de la junta médica Familia Horarios de atención Lun. de 9 a.m. a 5 p.m. Mar. de 9 a.m. a 5 p.m. Mié. de 9 a.m. a 5 p.m. Jue. de 9 a.m. a 5 p.m. Vie. de 9 a.m. a 5 p.m. 2 Idiomas Español 3 Limitaciones Edad mínima de 18 años Solo para pacientes existentes

Toda la información que se encuentra en estas listas de proveedores depende de la solicitud de los proveedores. UnitedHealthcare veriﬁca esta información en el momento en que los proveedores se unen a nuestra red y cada tres años (o menos) cuando el proveedor vuelve a ser acreditado.

myuhc.com/CommunityPlan CSAZ.15.999.01.9.011

Contract services are funded under contract with the State of Arizona. UnitedHealthcare Community Plan does not treat members diﬀerently because of sex, age, race, color, disability or national origin.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130 [email protected]

You must send the complaint within 60 calendar days of when you found out about it. A decision will be sent to you within 30 calendar days. If you disagree with the decision, you have 15 calendar days to ask us to look at it again.

If you need help with your complaint, please call Member Services at 1-800-293-3740, TTY 711, 8 a.m. – 5 p.m., Monday – Friday.

You can also ﬁle a complaint with the U.S. Dept. of Health and Human Services.

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/oﬃce/ﬁle/index.html

Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)

Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

If you need help with your complaint, please call Member Services at 1-800-293-3740, TTY 711. Services to help you communicate with us are provided at no cost to members, such as other languages or large print. Or, you can ask for an interpreter. To ask for help, please call Member Services at 1-800-293-3740, TTY 711, 8 a.m. – 5 p.m., Monday – Friday.

CSAZ20MC4783122_000 CSAZ.15.999.01.9.011

Los servicios por contrato se ﬁnancian bajo contrato con el Estado de Arizona. UnitedHealthcare Community Plan no da un tratamiento diferente a sus miembros en base a su sexo, edad, raza, color, discapacidad u origen nacional.

Si usted piensa que ha sido tratado injustamente por razones como su sexo, edad, raza, color, discapacidad u origen nacional, puede enviar una queja a: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130 [email protected] Usted tiene que enviar la queja dentro de los 60 días de la fecha cuando se enteró de ella. Se le enviará la decisión en un plazo de 30 días. Si no está de acuerdo con la decisión, tiene 15 días para solicitar que la consideremos de nuevo.

Si usted necesita ayuda con su queja, por favor llame al 1-800-293-3740, TTY 711, de 8 a.m. a 5 p.m., de lunes a viernes.

Usted también puede presentar una queja con el Departamento de Salud y Servicios Humanos de los Estados Unidos. Internet: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Formas para las quejas se encuentran disponibles en: http://www.hhs.gov/ocr/oﬃce/ﬁle/index.html Teléfono: Llamada gratuita, 1-800-368-1019, 1-800-537-7697 (TDD) Correo: U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201 Si necesita ayuda para presentar su queja, por favor llame a Servicios para Miembros al 1-800-293-3740, TTY 711. Se proporcionan servicios para ayudarle a comunicarse con nosotros, tales como otros idiomas o letra grande, sin costo para los miembros. O bien, puede solicitar un intérprete. Para pedir ayuda, por favor llame a Servicios para Miembros del 1-800-293-3740, TTY 711, de 8 a.m. a 5 p.m., de lunes a viernes. CSAZ.15.999.01.9.011 CSAZ.15.999.01.9.011

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Table Of Contents / Tabla de Contenido

National Vendors / Proveedores Nacionales ...... 23 Hospitals / Hospitales ...... 30 Primary Care Providers / Proveedores De Cuidado Primario ...... 31 Primary Care Obstetricians / Obstetras De Atención Primaria ...... 55 Specialists / Especialistas ...... 59 Dental Providers / Proveedores De Servicios Dentales ...... 121 Nationwide Vision Providers / Proveedores De Nationwide Vision ...... 122 Ancillary Providers / Proveedores Auxiliares ...... 123 Behavioral Health Providers / Proveedores De Salud Mental ...... 130 Behavioral Health Facilities / Servicios De Salud Mental ...... 135 Federally Qualified Health Care Agency/Rural Health Clinic / Agencia De Atención Médica Con Certificación Federal/Clínica De Salud Rural ...... 136 Urgent Care Centers / Centros De Atención Urgente ...... 137 Pharmacy / Farmacia ...... 138 Home And Community Based Services / Servicios Comunitarios Y Domiciliarios ...... 140 Assisted Living Facilities / Instalaciones De Vida Asistida ...... 141 Skilled Nursing Facilities / Centros De Enfermería Especializada ...... 142 Areas of Expertise Index / Índice de Especialidades ...... 143 Index / Indice ...... 147

IMPORTANT: Providers listed in this directory are current as of September 8, 2021. Information is subject to change. Please contact Member Services at 1-800-348-4058 or (TTY/TDD 711). CSAZ.15.999.01.9.011 CSAZ.15.999.01.9.011National Vendors / Proveedores Nacionales

National Vendors The following national vendors are available to provide services to UnitedHealthcare customers throughout the United States regardless of where you receive the services.

Provider(s) Phone Number Website Cardiac Diagnostic - Cardiac Monitoring Services iRhythm Technologies 1-888-693-2401 www.irhythmtech.com Cardiac Diagnostic - Cardiac monitoring services Medi-Lynx Cardiac Monitoring 1-855-847-0780 www.medilynx.com Cardiac Diagnostic - Cardiac Monitoring Services Preventice Services 1-888-747-1442 www.preventicesolutions.com Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips CardioNet 1-888-312-2328 www.cardionet.com Convenience Care Clinic MinuteClinic 1-866-389-ASAP (2727) www.minuteclinic.com The Little Clinic 1-877-852-2677 http://www.thelittleclinic.com Dialysis Amercian Renal Associates 1-877-997-3625 www.americanrenal.com Inc. (ARA) DaVita Dialysis 1-866-475-7757 ext. www.davita.com 253706 Dialysis Clinic, Inc See website www.dciinc.org Fresenius Medical Care 1-866-434-2597 www.fmcna.com DME - AED - wearable defibrillator ZOLL Lifecore 1-800-543-3267 www.zoll.com DME - Ambulatory Infusion Pumps InfuSystem Inc 1-800-962-9656 www.infusystem.com DME - Bone Growth Stimulator Bioventus 1-800-396-4325 www.bioventusglobal.com DJO 1-800-321-9549 www.djortho.com EBI 1-800-526-2579 www.biomet.com Orthofix 1-800-535-4492 www.orthofix.com DME - Breast pump purchase Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com CSAZ.15.999.01.9.011

Provider(s) Phone Number Website Medline Industries 1-800-633-5463 www.medline.com DME - Cochlear Implant Replacement Parts Cochlear Americas 1-800-483-3123 Cochlearamericas.com DME - CPM/Continuous Passive Motion Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com DME - CPM/continuous passive motion, Thermocomp, TENS Kinex Medical Company 1-800-845-6364 www.kinexmedical.com DME - Cranial Helmets Cranial Technologies, Inc 1-844-447-5894 www.cranialtech.com DME - Diabetic insulin pump and pump supplies Insulet Corporation 1-800-591-3455 www.myomnipod.com DME - DME - Breast pump purchase AdaptHealth 855-406-7867 https://pcs.adapthealth.com/products/bre ast-pumps/ DME - DME Ostomy Supplies Urinary Catheters Mastectomy Prostheses and Bras (NO diabetic supplies) Liberator Medical Supply 1-888-244-0789 https://www.liberatormedical.com/ DME - Dynamic Splinting; Bracing & Orthotics Dynasplint Systems 1-800-638-6771 www.dynasplint.com DME - Incontinence, diapers, soft goods and wound care supplies Medline Industries 1-800-633-5463 www.medline.com DME - Mobility products - custom/complex power wheelchairs and seating systems Numotion 1-888-232-1333 https://www.numotion.com/locations DME - Mobility products custom/complex power wheelchairs and seating systems National Seating & Mobility See website www.nsm-seating.com DME - Negative pressure wound pump and wound care surfaces KCI USA 1-800-275-4524 https://www.acelity.com/about-kci DME - Orthotics and Prosthetics Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com DME - Pnuematic Compression Devices Tactile Technology Systems 1-866-435-3948 www.tactilemedical.com DME - POV and Power wheelchairs CSAZ.15.999.01.9.011

Provider(s) Phone Number Website Hoveround Corporation 1-888-225-1547 www.hoveround.com DME - Respiratory high frequency chest compression oscillation system (vest) Advanced Respiratory 1-800-826-4224 https://respiratorycare.hill-rom.com/ Electromed 1-800-462-1045 www.smartvest.com RespirTech 1-800-793-1261 www.respirtech.com DME - Speech generating device Prentke Romich 1-800-268-5224 www.prentrom.com Tobii Dynavox Systems 1-800-344-1778 http://www.tobiidynavox.com/ DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, home PT/INR, negative pressure wound care, oxygen, respiratory Lincare - may be known See website www.lincare.com locally by a different name; refer to website DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, negative pressure wound care, oxygen, respiratory Apria Healthcare 1-800-277-4288 www.apria.com DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, oxygen, respiratory Rotech Healthcare - may be See website www.rotech.com known locally by a different name; refer to website DME - TENS units Electrostim Medical Services, 1-800-588-8383 www.wecontrolpain.com Inc Zynex Medical 1-800-495-6670 www.zynexmed.com DME - Wound care supplies for residents of nursing homes Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com Hearing Aid Services - Hearing aid services / hearing testing, evaluation, hearing aid selection and fitting UnitedHealthcare Hearing 1-855-523-9355 TTY www.uhchearing.com 711 Home Health Innovative Senior Care See website www.brookdaleliving.com Maxim Health Care Services 1-800-899-9525 www.maximhomecare.com Laboratory - Anatomic pathology - including dermatopathology CSAZ.15.999.01.9.011

Provider(s) Phone Number Website Bako Integrated Physician 1-877-376-7284 www.bakocts.com Solutions Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology AmeriPath* 1-800-354-3449 www.ameripath.com Laboratory - Clinical Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com Laboratory - Clinical, pathology and genetic testing ARUP Labs 1-800-522-2787 www.aruplab.com Laboratory Corporation of 1-888-522-2677 (1-888- www.labcorp.com America* LABCORP) Lineagen, Inc 1-801-931-6200 www.lineagen.com Mayo Clinic Laboratories* 1-800-533-1710 www.mayomedicallaboratories.com Quest Diagnostics See website www.questdiagnostics.com Incorporated* Laboratory - Genetic testing Ambry Genetics 1-866-262-7943 www.ambrygen.com GeneDx 1-301-519-2100 www.genedx.com Natera, Inc 1-650-249-9090 www.natera.com Laboratory - Genetic testing (OncotypeDx) Genomic Health 1-888-662-6897 (1-888- www.genomichealth.com ONCOTYPE) Laboratory - Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com Laboratory - Laboratory - Clinical Nationwide Laboratory 1-888-377-3522 www.nationwidelab.com Services Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com Laboratory - Laboratory - Genetic testing Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com Eurofins NTD, LLC 1-888-762-4000 www.perkinelmer.com Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com NeoGenomics Laboratories, 1-866-776-5907 www.neogenomics.com Inc CSAZ.15.999.01.9.011

Provider(s) Phone Number Website Laboratory - Laboratory - Genetic testing (Afirma) Veracyte 1-888-9AFIRMA www.veracyte.com Laboratory - Laboratory - Genetic testing (Cologuard) Exact Sciences Laboratories 1-844-870-8870 www.cologuardtest.com Laboratory - Specialty genetic testing Invitae Corporation* 1-800-436-3037 www.invitae.com Laboratory - Therapeutic medication monitoring, drug testing Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com Millennium Health* 1-877-451-3534 www.milleniumlaboratories.com Other Specialty Services - Urgent care services Concentra Health Services See website www.concentra.com Other Specialty Services - Women’s health - high risk OB / prenatal care Optum Women's and 1-800-950-3963 www.alere.com Children's Health Specialty Pharmacy AllianceRx Walgreens Prime 1-888-282-5166 www.walgreenshealth.com Orsini Pharmaceutical 1-800-672-0869 www.orsinihealthcare.com Services Specialty Pharmacy - Behavioral Health Genoa Healthcare 1-800-519-1139 www.genoahealthcare.com Specialty Pharmacy - Limited Distribution Specialty Drugs Biologics 1-800-856-1984 www.biologicsinc.com Caremark 1-877-287-1234 www.cvsspecialty.com Specialty Pharmacy - Triptodur PantheRx Specialty Pharmacy 1-855-726-8479 www.pantherspecialty.com Specialty Pharmacy - Xiaflex, Brineura US Bioservices 1-888-518-7246 www.usbioservices.com Specialty Pharmacy and Home Infusion - Home Infusion Services & Specialty Pharmacy – LDD Drugs Optum Infusion Services 1-877-306-4036 www.briovarxinfusion.com formerly BriovaRx Infusion Services Specialty Pharmacy and Home Infusion - Limited Distribution Drugs CSAZ.15.999.01.9.011

Provider(s) Phone Number Website Option Care 1-866-827-8203 https://optioncarehealth.com Specialty Pharmacy and Home Infusion - Limited Distribution Drugs - Zolgensma, Luxturna Accredo 1-800-803-2523 www.accredo.com Transportation - Fixed-Wing Air Ambulance AirCARE1 International 1-877-760-7760 www.airambulanceone.com Medway Air Ambulance 1-800-233-0655 www.medwayairambulance.com Urgent Care - In-Home Urgent Care Dispatch Health See website www.dispatchhealth.com Vaccine Program - Available at Retail Pharmacy or Worksite Clinic Harris Teeter See website www.harristeeter.com Vaccine Program - Vaccine Services - Influenza Shingles, Tdap, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy or Worksite Clinic Safeway, Inc. (d/b/a Safeway, 1-877-723-3929 www.safeway.com Carrs, Pak'N Save, Pavilions, Randalls, Tom Thumb, Vons) Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy or Worksite Clinic CVS Pharmacy (d/b/a CVS 1-888-358-7468 www.cvs.com Pharmacy, Long’s Drug, CarePlus Pharmacy) The Kroger Co See website www.kroger.com United Supermarkets (d/b/a 1-877-276-9637 www.unitedsupermarkets.com United Supermarket, Albertsons Market, Amigos, Market Street) Walmart Stores Inc. (d/b/a See website www.walmart.com Walmart and Sam’s Club) Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 3 and up) Available at Retail Pharmacy or Worksite Clinic Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com Vaccine Program - Vaccine Services -Influenza, Pneumonia, Shingles,Tdap, Meningitis,Hepatitis B, HPV, TDAP (age 3 and up) Worksite Clinics and Retail locations Walgreens Immunization 1-800-925-4733 www.walgreens.com (d/b/a Walgreens, Duane Reade) CSAZ.15.999.01.9.011

DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that can provide health care services in the home. Services include but are not limited to nursing visits for infusion services or wound care. LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic pathology, surgical pathology, and specialty or esoteric services. SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or physicians. WOMEN'S HEALTH is limited to home uterine monitoring services. CSAZ.15.999.01.9.011

Hospitals / Hospitales California - Riverside

Hospitals / Hospitales

California

Riverside

Acute Care Hospital / Atención Hospitalaria Aguda Palo Verde Hospital Provider ID: 000685746001 NPI: 1194705202 250 N First St Blythe, CA 92225

(760) 922-4115 EB, P, R Web address: www.paloverdehospit al.org

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Primary Care Providers / Proveedores De Cuidado Primario Holder, Karen V, NP, (F) Vigil, Lynne A, FNP, (F) Arizona Group Name: North Country Group Name: Alan Patrick Healthcare Michels

Gila

Provider ID: 001931343020 Provider ID: 001998225006

Family Nurse Practitioner / NPI: 1831192913 NPI: 1912967704 Enfermera De Familia 126 E Main St Ste B 806 S Ponderosa St

Payson, AZ 85541 Payson, AZ 85541

Alten, Kimberly B, FNP, (F) (928) 468-8610 P, R, RE, T (928) 468-8603 EB, P, R, RE, T Group Name: Western Vascular Languages Spoken: Mo-Tu - 8:00 AM - 5:00 PM Institute Provider: Spanish We,Th,Fr - 8:00 AM - 7:00 PM Provider ID: 003471547007 Ages: 0-99 Ages: 0-99 NPI: 1326175704 Hospital Affiliations: Hospital Affiliations: 708 S Coeur D Alene Ln Ste B Flagstaff Medical Center Banner Payson Medical Center Payson, AZ 85541 Areas of Expertise: DD (480) 668-5000 EB, P, R Nichols, Deborah, FNP, (F) Languages Spoken: Group Name: Dan Nurse Wright, Kelly G, FNP, (M) Staff: Spanish Practitioner Services Group Name: Banner Primary Ages: 0-99 Provider ID: 002695560008 Care Physicians Arizona Hospital Affiliations: NPI: 1962425389 Provider ID: 007562205004 Banner Payson Medical Center 200 W Frontier St Ste M NPI: 1609496645 Payson, AZ 85541 117 E Main St Ste A100

Hoffman, Donna L, FNP, (F) (928) 478-6280 EB, P, R Payson, AZ 85541

Group Name: Banner Primary Ages: 18-99 (928) 596-4500 EB, P, R Care Physicians Arizona Ages: 0-99 Provider ID: 006023035007 Toth, Sharon L, FNP, (F) NPI: 1669838298 Group Name: Banner Primary 117 E Main St Ste A100 Care Physicians Arizona Family Practice / Medicina Payson, AZ 85541 Provider ID: 003022061024 Familiar

(928) 596-4500 EB, P, R NPI: 1982776563 Andrade, Oscar E, MD, (M), B Ages: 0-99 117 E Main St Ste A100 Group Name: Cobre Valley Areas of Expertise: DD Payson, AZ 85541 Regional Medical Center (928) 596-4500 EB, P, R Provider ID: 001898514002 Ages: 0-99 NPI: 1275685521 108 S Broad St Globe, AZ 85501

(928) 425-6592 EB, P, R, RE, T Languages Spoken: Provider: Spanish Ages: 0-99 Hospital Affiliations: Cobre Valley Regional Medical Center Areas of Expertise: MAT1 = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Bjork, Janeen C, MD, (F), B Campbell, Douglas J, MD, (M), B Andrade, Oscar E, MD, (M), B Group Name: Canyonlands Group Name: Cobre Valley Tonto Group Name: Medcom Medical Community Health Care Vista Basin Clinic Provider ID: 001898514001 Provider ID: 002225622005 Provider ID: 001778189006 NPI: 1275685521 NPI: 1932103462 NPI: 1720071384 108 S Broad St 5860 S Hospital Dr Ste 102 186 E Stephens Way Globe, AZ 85501 Globe, AZ 85501 Tonto Basin, AZ 85553

(928) 425-6592 EB, P, R, RE, T (928) 402-0491 E, EB, G, IB, P, (928) 479-2871 EB, P, R Languages Spoken: PL, R, RE, S, T Languages Spoken: Provider: Spanish Languages Spoken: Provider: Croatian, German, Staff: Spanish Provider: Spanish Romanian, Russian, Serbian Mo-Th - 7:00 AM - 5:00 PM Staff: Spanish Ages: 0-99 Ages: 0-99 Mo-Fr - 7:00 AM - 6:00 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cobre Valley Regional Medical Cobre Valley Regional Medical Ages: 0-99 Center Center Hospital Affiliations: Yavapai Regional Medical Center University Med Ctr Of Southern West Nevada Valley Hospital Medical Center Campbell, Douglas J, MD, (M), B St Rose Dominican Hosp Delima Group Name: Cobre Valley Tonto Campus Basin Clinic Banner Page Hospital Provider ID: 001778189003 Sunrise Hospital & Med Ctr NPI: 1720071384 Desert Springs Hospital 5994 S Hospital Dr North Vista Hospital Globe, AZ 85501

Mountainview Hospital (928) 425-7108 EB, P, R, RE, T Areas of Expertise: E112 Languages Spoken: Provider: Croatian, German, Brooks, Nathan M, MD, (M), B Romanian, Russian, Serbian Group Name: North Country Ages: 0-99 Healthcare Hospital Affiliations: Provider ID: 002741426011 Cobre Valley Regional Medical NPI: 1093763377 Center 126 E Main St Ste B Yavapai Regional Medical Center Payson, AZ 85541 West

(928) 468-8610 P, R, RE, T Mo-Th - 7:00 AM - 6:00 PM Fr - 7:00 AM - 4:00 PM Ages: 0-99 Hospital Affiliations: Flagstaff Medical Center Banner Gateway Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Charles, Travis B, DO, (M), B Davis, Bethany A, MD, (F), B Keen, Brent L, MD, (M) Group Name: Cobre Valley Tonto Group Name: North Country Group Name: Banner Primary Basin Clinic Healthcare Care Physicians Arizona Provider ID: 003656425004 Provider ID: 006085643007 Provider ID: 006883785001 NPI: 1255643136 NPI: 1982048856 NPI: 1023404092 5994 S Hospital Dr 126 E Main St Ste B 117 E Main St Ste A100 Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541

(928) 425-7108 EB, P, R, RE, T (928) 468-8610 P, R, RE, T (928) 596-4500 EB, P, R Mo-Fr - 7:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Flagstaff Medical Center Banner Payson Medical Center Cobre Valley Regional Medical Center Fader, Paul F, MD, (M), B Lieder, Emily R, MD, (F), B Areas of Expertise: E112, E160 Group Name: North Country Group Name: North Country Healthcare Healthcare Cluff, David B, DO, (M), B Provider ID: 000882554004 Provider ID: 003609594006 Group Name: Banner Health NPI: 1942205620 NPI: 1497070429 Center At Payson 708 Coeur D'alene Ste B 126 E Main St Ste B Provider ID: 001174436002 Payson, AZ 85541 Payson, AZ 85541

NPI: 1881663201 (928) 468-8610 E, EB, IB, P, R (928) 468-8610 P, R, RE, T 117 E Main St Ste A100 Ages: 0-99 Ages: 0-99 Payson, AZ 85541 Hospital Affiliations: Hospital Affiliations:

(928) 474-1714 EB, P, R Flagstaff Medical Center Flagstaff Medical Center Mo-Fr - 8:30 AM - 5:00 PM Areas of Expertise: MAT1 Ages: 0-99 Lorenzo, Alberto P, MD, (M), B Hospital Affiliations: Holloway, Amanda L, DO, (F) Group Name: North Country Banner Payson Medical Center Group Name: North Country Healthcare Healthcare Provider ID: 005117612011 Cook, Matthew O, DO, (M) Provider ID: 007401950007 NPI: 1265731624 Group Name: Banner Primary NPI: 1447784848 126 E Main St Ste B Care Physicians Arizona 126 E Main St Ste B Payson, AZ 85541

Provider ID: 007462381005 Payson, AZ 85541 (928) 468-8610 P, R, RE, T

NPI: 1114451986 (928) 468-8610 P, R, RE, T Languages Spoken: 117 E Main St Ste A100 Mo-Th - 7:00 AM - 6:00 PM Provider: Tagalog Payson, AZ 85541 Fr - 7:00 AM - 4:00 PM Ages: 0-99

(928) 596-4500 EB, P, R Ages: 0-99 Hospital Affiliations: Languages Spoken: Hospital Affiliations: Bayfront Health Seven Rivers Provider: Spanish Flagstaff Medical Center Ages: 0-99

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Mannino, Anthony, DO, (M), B Paul, Edward G, MD, (M), B Group Name: North Country Mugo, Patti W, MD, (F), B Group Name: North Country Healthcare Group Name: North Country Healthcare Provider ID: 001141147023 Healthcare Provider ID: 001561375014 NPI: 1700849072 Provider ID: 005694414002 NPI: 1619058880 126 E Main St Ste B NPI: 1013272988 126 E Main St Ste B Payson, AZ 85541 708 Coeur D'alene Ste B Payson, AZ 85541

(928) 468-8610 P, R, RE, T Payson, AZ 85541 (928) 468-8610 P, R, RE, T

Languages Spoken: (928) 468-8610 E, EB, IB, P, R Cultural Competency: Y Provider: Spanish Languages Spoken: Ages: 0-99 Staff: Spanish Staff: Spanish Hospital Affiliations: Mo-Th - 7:00 AM - 6:00 PM Ages: 0-99 Yuma Regional Medical Center Fr - 7:00 AM - 4:00 PM Hospital Affiliations: University Medical Center Ages: 0-99 William W Backus Hospital Banner University Med Ctr Hospital Affiliations: Tucson Campus Banner Desert Medical Center Neff, Richard K, MD, (M), B St Josephs Hospital & Med Ctr Banner Desert Care Center Group Name: North Country Chandler Regional Medical Center Healthcare Pineres, Amalia D, MD, (F), B Banner Ironwood Medical Center Provider ID: 002321889009 Group Name: Integrated Medical NPI: 1497725675 Services Melde, Richard A, MD, (M) 126 E Main St Ste B Provider ID: 000999872005 Group Name: Medcom Medical Payson, AZ 85541 NPI: 1750449419

Provider ID: 001783879045 (928) 468-8610 P, R, RE, T 111 W Cedar Ln Ste A NPI: 1710027438 Ages: 0-99 Payson, AZ 85541

108 S Broad St Hospital Affiliations: (928) 472-4675 EB, IB, P, R, RE, Globe, AZ 85501 M L Hosp Lankenau T

(928) 425-6592 EB, P, R, RE, T M L Hosp Paoli Languages Spoken: Mo-Th - 7:00 AM - 5:00 PM M L Hosp Bryn Mawr Provider: Spanish Fr - 8:00 AM - 4:00 PM Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Wickenburg Community Hospital Banner Payson Medical Center Jcl Dv Hospital Areas of Expertise: THS

Morgosh, Kelsey, MD, (F), B Group Name: North Country Healthcare Provider ID: 007720206005 NPI: 1679079123 126 E Main St Ste B Payson, AZ 85541

(928) 468-8610 P, R, RE, T Ages: 0-99 Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Rooney, Holly E, MD, (F), B Vandruff, John E, MD, (M) Group Name: Rooney Holly E Truong, Frank, MD, (M), B Group Name: Integrated Medical Provider ID: 002029245004 Group Name: Banner Hospital Ba Services NPI: 1194738674 Phys Az Provider ID: 000284416005 1100 E Monroe St Ste 101 Provider ID: 003710769005 NPI: 1700885563 Globe, AZ 85501 NPI: 1649572546 111 W Cedar Ln Ste A

(928) 425-3557 E, EB, IB, P, R, T 807 S Ponderosa St Payson, AZ 85541

Cultural Competency: Y Payson, AZ 85541 (928) 472-4675 EB, IB, P, R, RE,

Ages: 0-99 (928) 474-3222 RE, T T Hospital Affiliations: Languages Spoken: Web address: www.paysondoctors.c Cobre Valley Regional Medical Provider: German om Center Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Rooney, Holly E, MD, (F), B Casa Grande Regional Med Ctr Banner Payson Medical Center Group Name: Hope Family Care Banner Casa Grande Medical Areas of Expertise: THS Ctr Center Provider ID: 002029245008 Banner Payson Medical Center Werrell, Bradley H, DO, (M), B NPI: 1194738674 Banner Gateway Medical Center Group Name: Cobre Valley Tonto 285 N Broad St Basin Clinic Globe, AZ 85501 Vandruff, James E, DO, (M), B Provider ID: 002334827011

(928) 425-8200 E, EB, G, P, R, Group Name: Integrated Medical NPI: 1952363715 RE, S, T Services 5990 S Hospital Dr Bldg D Mo,Tu,Th - 8:00 AM - 8:00 PM Provider ID: 007757509001 Globe, AZ 85501

We,Fr - 8:00 AM - 5:00 PM NPI: 1710481411 (928) 425-8151 EB, P, R Sa - 9:00 AM - 2:00 PM 111 W Cedar Ln Ste A Accepting Existing Patients Only Cultural Competency: Y Payson, AZ 85541 Ages: 0-99

Ages: 0-99 (928) 472-4675 Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cobre Valley Regional Medical Cobre Valley Regional Medical Center Center

Schraudenbach, Cooper C, MD, (M), B Group Name: North Country Healthcare Provider ID: 003444190007 NPI: 1790848299 126 E Main St Ste B Payson, AZ 85541

(928) 468-8610 P, R, RE, T Languages Spoken: Provider: Spanish Ages: 0-99 = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

Layton, Brent J, MD, (M), B Michels, Alan P, MD, (M) Internal Medicine / Medicina Group Name: Pinal Mountain Int Group Name: Ponderosa Family Interna Med Care Abbott, Brandon H, DO, (M), B Provider ID: 000224404002 Provider ID: 002110980001 Group Name: North Country NPI: 1861454530 NPI: 1376512129 Healthcare 5884 S Hospital Dr Ste 1 806 S Ponderosa St Provider ID: 005455599024 Globe, AZ 85501 Payson, AZ 85541 NPI: 1528350139 (928) 402-0096 EB, P, R, RE, T (928) 468-8603 EB, P, R, RE, T 126 E Main St Ste B Languages Spoken: Mo-Th - 8:00 AM - 5:30 PM Payson, AZ 85541 Provider: Spanish Fr - 8:00 AM - 12:00 PM

(928) 472-3700 P, R, RE, T Mo,Tu,Th - 9:00 AM - 5:00 PM Ages: 0-99 Mo-Th - 7:00 AM - 6:00 PM Fr - 9:00 AM - 1:00 PM Hospital Affiliations: Fr - 7:00 AM - 4:00 PM Ages: 12-99 North Fl Regional Medical Center Ages: 0-18 Hospital Affiliations: Banner Payson Medical Center Hospital Affiliations: Cobre Valley Regional Medical Areas of Expertise: MAT1 Flagstaff Medical Center Center Newland, Anne M, MD, (F), B Adams, Tamerut A, DO, (F), B Melde, Richard A, MD, (M) Group Name: North Country Group Name: Banner Primary Group Name: Medcom Medical Healthcare Care Physicians Arizona Provider ID: 001783879045 Provider ID: 002411822014 Provider ID: 002441784005 NPI: 1710027438 NPI: 1336178912 NPI: 1346233921 108 S Broad St 126 E Main St Ste B 117 E Main St Ste A100 Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 425-6592 EB, P, R, RE, T (928) 468-8610 P, R, RE, T

(928) 474-1714 EB, P, R Mo-Th - 7:00 AM - 5:00 PM Ages: 0-99 Accepting Existing Patients Only Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Ages: 18-99 Ages: 0-99 Flagstaff Medical Center Hospital Affiliations: Hospital Affiliations: St Marys Medical Center Wickenburg Community Hospital Raja, Rubina A, MD, (F), B Banner Payson Medical Center Jcl Dv Hospital Group Name: North Country Truman Med Ctr Hospital Hill Healthcare Provider ID: 003161436046 Havard, Lauren L, MD, (F) NPI: 1811124530 Group Name: Banner Primary 708 Coeur D'alene Ste B Care Physicians Arizona Payson, AZ 85541 Provider ID: 007462507007 (928) 468-8610 E, EB, IB, P, R NPI: 1053844597 Languages Spoken: 117 E Main St Ste A100 Provider: Hindi, Urdu Payson, AZ 85541 Ages: 0-99

(928) 596-4500 EB, P, R Hospital Affiliations: Ages: 0-99 Mountain Vista Medical Ctr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Bennett, Sara K, NP, (F) Edwards, Michael G, NP, (M) Nurse Practitioner / Enfermera Group Name: Canyonlands Group Name: North Country Especialista Community Health Care Vista Healthcare Allen, April, NP, (F) Provider ID: 006475828004 Provider ID: 003816882007 Group Name: Cobre Valley NPI: 1184162729 NPI: 1891117214 Regional Medical Center 5860 S Hospital Dr Ste 102 126 E Main St Ste B Provider ID: 007264396003 Globe, AZ 85501 Payson, AZ 85541 NPI: 1649743683 (928) 402-0491 E, EB, G, IB, P, (928) 468-8610 P, R, RE, T 5994 S Hospital Dr PL, R, RE, S, T Mo-Th - 7:00 AM - 6:00 PM Globe, AZ 85501 Mo-Fr - 7:00 AM - 6:00 PM Fr - 7:00 AM - 4:00 PM

(928) 425-7108 EB, P, R, RE, T Ages: 12-99 Ages: 18-99 Ages: 12-99 Hospital Affiliations: Bishop, Karen, NP, (F) Eisenhart, Candee J, NP, (F) Cobre Valley Regional Medical Group Name: North Country Group Name: Prestige Primary Center Healthcare Care Provider ID: 006875462001 Provider ID: 006787270006 Bancroft, Tammi L, MS, (F) NPI: 1407286156 NPI: 1891233714 Group Name: Community 708 Coeur D'alene Ste B 1100 E Monroe St Bridges Payson, AZ 85541 Globe, AZ 85501 Provider ID: 006316045043 (928) 468-8610 E, EB, IB, P, R (480) 815-7074 E, EB, G, IB, P, NPI: 1396196986 Ages: 18-99 PL, R, RE, S, T 803 W Main St Tu,Th - 7:30 AM - 12:00 PM Payson, AZ 85541 Carlile, Maranda S, NP, (F) We,Fr - 8:00 AM - 6:00 PM

(928) 468-0022 EB, P, R, RE, S, T Group Name: Canyonlands Ages: 18-99 Community Health Care Vista Cultural Competency: Y Provider ID: 006463914004 Falke, Sharon L, NP, (F) Ages: 18-99 NPI: 1376078196 Group Name: North Country Areas of Expertise: A100, E429, 5860 S Hospital Dr Ste 102 Healthcare MAT1, PLIC, THS Globe, AZ 85501 Provider ID: 002071104005

(928) 402-0491 E, EB, G, IB, P, NPI: 1578591947 Bartholomew, Patricia, NP, (F) PL, R, RE, S, T 708 Coeur D'alene Ste B Group Name: North Country Ages: 12-99 Payson, AZ 85541

Healthcare Hospital Affiliations: (928) 468-8610 E, EB, IB, P, R Provider ID: 006678025002 University Med Ctr Of Southern Ages: 18-99 NPI: 1033463807 Nevada Hospital Affiliations: 708 Coeur D'alene Ste B North Vista Hospital Tucson Medical Center Payson, AZ 85541 St Rose Dominican Hospital Sie Carondelet St Marys Hospital (928) 468-8610 E, EB, IB, P, R Southern Hills Medical Center Northwest Medical Center Ages: 18-99 St Rose Dominican Hosp San St Josephs Hsp And Med Ctr Martin Campus Areas of Expertise: MAT1 Dignity St Rose-blue Diamond Areas of Expertise: DD

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Fat-Denatsosie, Brittany J, NP, Hoadley, Robert, NP, (M) Judd, Lois M, NP, (F) (F) Group Name: North Country Group Name: Hospitalists Of Group Name: Canyonlands Healthcare Arizona Community Health Care Vista Provider ID: 006555423009 Provider ID: 002974822004 Provider ID: 007576467004 NPI: 1578007480 NPI: 1841218138 NPI: 1508463027 126 E Main St Ste B 1100 E Monroe St 5860 S Hospital Dr Ste 102 Payson, AZ 85541 Globe, AZ 85501

Globe, AZ 85501 (928) 468-8610 P, R, RE, T (800) 353-2708 E, EB, G, IB, P,

(928) 402-0491 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 Ages: 18-99 Banner Del E Webb Medical Center Kuhn, Elizabeth E, NP, (F) Freeman, Monica, NP, (F) Group Name: Canyonlands Group Name: North Country Holder, Karen V, NP, (F) Community Health Care Vista Healthcare Group Name: North Country Provider ID: 002987186011 Provider ID: 006263597003 Healthcare NPI: 1306062781 NPI: 1093266470 Provider ID: 001931343020 5860 S Hospital Dr Ste 102 708 Coeur D'alene Ste B NPI: 1831192913 Globe, AZ 85501

Payson, AZ 85541 126 E Main St Ste B (928) 402-0491 E, EB, G, IB, P,

(928) 468-8610 E, EB, IB, P, R Payson, AZ 85541 PL, R, RE, S, T

Ages: 18-99 (928) 468-8610 P, R, RE, T Ages: 18-99 Hospital Affiliations: Languages Spoken: Cox Medical Center Provider: Spanish Kuker, Jenni, NP, (F) Ages: 0-99 Group Name: Canyonlands Hamburg, Morris B, NP, (M) Hospital Affiliations: Community Health Care Vista Group Name: Hospitalists Of Flagstaff Medical Center Provider ID: 007307877005 Arizona NPI: 1194375758 Provider ID: 003520377006 Jarrell, Christopher, NP, (M) 5860 S Hospital Dr Ste 102 NPI: 1104176627 Group Name: North Country Globe, AZ 85501

1100 E Monroe St Healthcare (928) 402-0491 E, EB, G, IB, P, Globe, AZ 85501 Provider ID: 006545604012 PL, R, RE, S, T

(928) 425-5721 E, EB, G, IB, P, NPI: 1700309697 Ages: 0-99 PL, R, RE, S, T 708 S Coeur D Alene Ln Ste B Ages: 0-99 Payson, AZ 85541

(928) 468-8610 EB, P, R Ages: 18-99 Areas of Expertise: MAT1

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Lietzow, Rebecca J, FNP, (F) Nelson, Gloriajean, NP, (F) Scales, Krystal, NP, (F) Group Name: North Country Group Name: Gloriajean Nelson Group Name: Hope Family Care Healthcare Provider ID: 005384866002 Ctr Provider ID: 005746668008 NPI: 1043601040 Provider ID: 006669462002 NPI: 1538450630 1100 E Monroe St Ste 523 NPI: 1518404177 126 E Main St Ste B Globe, AZ 85501 285 N Broad St

Payson, AZ 85541 (928) 302-2220 EB, P, R Globe, AZ 85501

(928) 468-8610 P, R, RE, T Ages: 12-99 (928) 425-8200 E, EB, G, P, R, Ages: 18-99 Areas of Expertise: THS RE, S, T Hospital Affiliations: Mo-Th - 7:30 AM - 7:30 PM St Croix Regional Medical Center Nichols, Deborah, FNP, (F) Fr - 7:30 AM - 5:00 PM Group Name: Dan Nurse Sa - 9:00 AM - 1:00 PM Miller, Elizabeth G, NP, (F) Practitioner Services Ages: 0-99 Group Name: North Country Provider ID: 002695560008 Healthcare NPI: 1962425389 Swain, Suzanne M, NP, (F) Provider ID: 006362824021 200 W Frontier St Ste M Group Name: Desert Pain & NPI: 1154860765 Payson, AZ 85541 Rehab Specialists

126 E Main St Ste B (928) 478-6280 EB, P, R Provider ID: 007602411003 Payson, AZ 85541 Ages: 18-99 NPI: 1790245678

(928) 472-3700 P, R, RE, T 2005 Highway 60 Ages: 18-99 Salvatore, Theresa, NP, (F) Globe, AZ 85501

Hospital Affiliations: Group Name: North Country (928) 425-8273 EB, P, R St Johns Medical Center Healthcare Ages: 0-99 Provider ID: 006194929021 Hospital Affiliations: Miller, Elizabeth G, NP, (F) NPI: 1144682584 Cobre Valley Regional Medical Group Name: North Country 126 E Main St Ste B Center Healthcare Payson, AZ 85541

Provider ID: 006362824001 (928) 472-3700 P, R, RE, T Trantham, Edward, NP, (M) NPI: 1154860765 Mo-Th - 7:00 AM - 6:00 PM Group Name: North Country 708 Coeur D'alene Ste B Fr - 7:00 AM - 4:00 PM Healthcare Payson, AZ 85541 Ages: 18-99 Provider ID: 007002023006

(928) 468-8610 E, EB, IB, P, R NPI: 1043780349 Ages: 18-99 Savage, Colleen M, NP, (F) 126 E Main St Ste B Hospital Affiliations: Group Name: North Country Payson, AZ 85541

St Johns Medical Center Healthcare (928) 472-9700 P, R, RE, T Provider ID: 005145610013 Ages: 18-99 NPI: 1790103711 708 S Coeur D Alene Ln Ste B Payson, AZ 85541

(928) 468-8610 EB, P, R Ages: 18-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

Turney-Shaw, Jean R, NP, (F) Caplan, Murray F, MD, (M), B Group Name: Canyonlands Pediatrics / Pediatría Group Name: Cobre Valley Community Health Care Abbott, Brandon H, DO, (M), B Regional Medical Center Provider ID: 002391128004 Group Name: North Country Provider ID: 000547614008 NPI: 1871545905 Healthcare NPI: 1104987908 5860 S Hospital Dr Ste 102 Provider ID: 005455599024 5994 S Hospital Dr Globe, AZ 85501 NPI: 1528350139 Globe, AZ 85501 (928) 402-0491 E, EB, G, IB, P, 126 E Main St Ste B (928) 425-7108 EB, P, R, RE, T PL, R, RE, S, T Payson, AZ 85541 Ages: 0-18

Languages Spoken: (928) 472-3700 P, R, RE, T Hospital Affiliations: Provider: Spanish Mo-Th - 7:00 AM - 6:00 PM Rose Medical Center Mo-Fr - 8:00 AM - 5:30 PM Fr - 7:00 AM - 4:00 PM Porter Hospital Web address: canyonlandschc.org Ages: 0-18 Swedish Medical Center Ages: 0-99 Hospital Affiliations: Childrens Hospital Colorado Hospital Affiliations: Flagstaff Medical Center Medical Center Of Aurora Cobre Valley Regional Medical Psl Medical Ctr Center Broz, Robin L, DO, (F), B Littleton Adventist Hospital Group Name: Cobre Valley Sky Ridge Medical Center Woods, Kristin A, NP, (F) Surgical Services Group Name: Northern Arizona Provider ID: 002423010010 Garcia, Matilda C, MD, (F), B Pain Svcs NPI: 1053473421 Group Name: North Country Provider ID: 007349205001 5880 S Hospital Dr Healthcare NPI: 1417594862 Globe, AZ 85501 Provider ID: 002122853007

708 S Coeur D Alene Ln Ste C (928) 425-3247 E, EB, G, P, PL, NPI: 1295775443 Payson, AZ 85541 R, RE, S, T 708 S Coeur D Alene Ln Ste B (928) 474-9719 EB, P, R, RE, T Languages Spoken: Payson, AZ 85541 Mo-Fr - 8:00 AM - 4:00 PM Provider: Spanish (928) 468-8610 EB, P, R Ages: 12-99 Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Web address: www.goodnightpeds.c Provider: Tagalog om Ages: 0-18 Ages: 0-18 Hospital Affiliations: Hospital Affiliations: Banner Payson Medical Center White Mountain Regional Med Banner Desert Medical Center Ctr St Josephs Hsp And Med Ctr Huron Regional Medical Center Chandler Regional Medical Center Summit Regional Medical Center Verde Valley Medical Cntr Maryvale Hospital Medical Center Abrazo Maryvale Campus Banner Univ Medical Cntr Phoenix Campus Phx Childrens Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Gomez, Aaron J, MD, (M), B Jain, Neal, MD, (M), B Bradley, Ryan B, PA, (M) Group Name: Banner Primary Group Name: San Tan Allergy & Group Name: Cobre Valley Tonto Care Physicians Arizona Asthma Basin Clinic Provider ID: 006212075012 Provider ID: 002437343004 Provider ID: 005765377001 NPI: 1932442712 NPI: 1356390512 NPI: 1790154664 117 E Main St Ste A100 708 S Coeur D Alene Ln Ste C 5880 S Hospital Dr Payson, AZ 85541 Payson, AZ 85541 Globe, AZ 85501

(928) 596-4500 EB, P, R (480) 626-6600 EB, P, R, RE, T (928) 425-3246 E, EB, G, P, PL, Languages Spoken: Languages Spoken: R, RE, S, T Provider: Spanish Provider: Spanish Mo-Fr - 8:00 AM - 4:30 PM Accepting Existing Patients Only Cultural Competency: Y Ages: 0-99 Ages: 0-18 Ages: 0-18 Hospital Affiliations: Hospital Affiliations: Cobre Valley Regional Medical Hunt, Judith A, MD, (F), B St Marys Hosp Med Ctr Madison Center Group Name: Ponderosa Family Ssm Health St Marys Hospital Care Madison Campbell, Chad, PA, (M) Provider ID: 001417174007 Valleywise Health Group Name: Hope Family Care NPI: 1023087459 Banner Desert Medical Center Ctr 806 S Ponderosa St Provider ID: 002419114005 Payson, AZ 85541 NPI: 1982763470 Physician Assistant / Asistente (928) 468-8603 EB, P, R, RE, T 285 N Broad St Mo-Tu - 8:00 AM - 5:00 PM Médico Globe, AZ 85501

We,Th,Fr - 8:00 AM - 7:00 PM Boyer, Michelle S, PA, (F) (928) 425-8200 E, EB, G, P, R, Ages: 0-18 Group Name: North Country RE, S, T Hospital Affiliations: Healthcare Mo-Fr - 7:30 AM - 8:00 PM Banner Payson Medical Center Provider ID: 002352146014 Sa - 9:30 AM - 2:00 PM Banner Univ Medical Cntr NPI: 1770519183 Ages: 0-99 Phoenix Campus 126 E Main St Ste B Phx Childrens Hospital Payson, AZ 85541 Carlson, Tanner B, PA, (M)

Areas of Expertise: MAT1 (928) 468-8610 P, R, RE, T Group Name: Cobre Valley Mo-Th - 7:00 AM - 6:00 PM Regional Medical Center Fr - 7:00 AM - 4:00 PM Provider ID: 006669445005 Ages: 18-99 NPI: 1669982740 Hospital Affiliations: 5880 S Hospital Dr Flagstaff Medical Center Globe, AZ 85501 (928) 425-3246 E, EB, G, P, PL, R, RE, S, T Web address: www.cvrmc.org Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Demack, Michael K, PA, (M) Jensen, Blaine S, PA, (M) Group Name: Ponderosa Family Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) Care Basin Clinic Group Name: Cobre Valley Tonto Provider ID: 003497193001 Provider ID: 002703046002 Basin Clinic NPI: 1043347313 NPI: 1023129996 Provider ID: 006933721001 806 S Ponderosa St 124 N Tewksbury Blvd NPI: 1376028571 Payson, AZ 85541 Young, AZ 85554 5880 S Hospital Dr

(928) 468-8603 EB, P, R, RE, T (928) 462-3435 EB, P, R, RE, T Globe, AZ 85501

Mo-Th - 8:00 AM - 5:00 PM Languages Spoken: (928) 425-3246 E, EB, G, P, PL, Fr - 8:00 AM - 12:00 PM Provider: Spanish R, RE, S, T Ages: 0-99 We,Th - 9:00 AM - 4:30 PM Ages: 0-99 Areas of Expertise: DD Ages: 0-99 Mcbride, Zachariah, PA, (M) Foulger, Jordan, PA, (M) Klotz, Hayley, PA, (F) Group Name: Cobre Valley Tonto Group Name: Cobre Valley Tonto Group Name: Canyonlands Basin Clinic Basin Clinic Community Health Care Vista Provider ID: 006933721003 Provider ID: 007013199002 Provider ID: 007389418005 NPI: 1376028571 NPI: 1417432063 NPI: 1932748233 5994 S Hospital Dr 124 N Tewksbury Blvd 5860 S Hospital Dr Ste 102 Globe, AZ 85501

Young, AZ 85554 Globe, AZ 85501 (928) 425-7108 EB, P, R, RE, T

(928) 462-3435 EB, P, R, RE, T (928) 402-0491 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Nichols, Cameron L, PA, (M) Foulger, Jordan, PA, (M) Group Name: North Country Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) Healthcare Basin Clinic Group Name: Cobre Valley Tonto Provider ID: 003136968017 Provider ID: 007013199005 Basin Clinic NPI: 1730411455 NPI: 1417432063 Provider ID: 006933721002 708 Coeur D'alene Ste B 186 E Stephens Way NPI: 1376028571 Payson, AZ 85541

Tonto Basin, AZ 85553 124 N Tewksbury Blvd (928) 468-8610 E, EB, IB, P, R

(928) 479-2871 EB, P, R Young, AZ 85554 Ages: 0-99

Ages: 0-99 (928) 462-3435 EB, P, R, RE, T Ages: 0-99 Swanson, Jennifer, PA, (F) Foulger, Jordan, PA, (M) Group Name: Cobre Valley Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) Regional Medical Center Basin Clinic Group Name: Cobre Valley Tonto Provider ID: 003576263002 Provider ID: 007013199003 Basin Clinic NPI: 1366791071 NPI: 1417432063 Provider ID: 006933721005 124 N Tewksbury Blvd 5994 S Hospital Dr NPI: 1376028571 Young, AZ 85554

Globe, AZ 85501 186 E Stephens Way (928) 462-3435 EB, P, R, RE, T

(928) 425-7108 EB, P, R, RE, T Tonto Basin, AZ 85553 Ages: 0-99

Ages: 0-99 (928) 479-2871 EB, P, R Ages: 0-99 Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario Swanson, Jennifer, PA, (F) Ullal, Himanshu, PA, (M) Wyma, Mark, PA, (M) Group Name: Cobre Valley Group Name: Cobre Valley Group Name: Cobre Valley Tonto Regional Medical Center Regional Medical Center Basin Clinic Provider ID: 003576263004 Provider ID: 007041453004 Provider ID: 007013235001 NPI: 1366791071 NPI: 1851863476 NPI: 1336612852 5880 S Hospital Dr 5880 S Hospital Dr 5880 S Hospital Dr Globe, AZ 85501 Globe, AZ 85501 Globe, AZ 85501

(928) 402-1107 E, EB, G, P, PL, (928) 425-3246 E, EB, G, P, PL, (928) 425-3246 E, EB, G, P, PL, R, RE, S, T R, RE, S, T R, RE, S, T Languages Spoken: Ages: 0-99 Ages: 0-99 Staff: Spanish, American Sign Language Ullal, Himanshu, PA, (M) Wyma, Mark, PA, (M) Ages: 0-99 Group Name: Cobre Valley Group Name: Cobre Valley Tonto Regional Medical Center Basin Clinic Ullal, Himanshu, PA, (M) Provider ID: 007041453009 Provider ID: 007013235003 Group Name: Cobre Valley NPI: 1851863476 NPI: 1336612852 Regional Medical Center 5990 S Hospital Dr 5994 S Hospital Dr Provider ID: 007041453005 Globe, AZ 85501 Globe, AZ 85501

NPI: 1851863476 (928) 425-8151 EB, P, R (928) 425-7108 EB, P, R, RE, T 124 N Tewksbury Blvd Ages: 0-99 Ages: 0-99 Young, AZ 85554

(928) 462-3435 EB, P, R, RE, T Ullal, Himanshu, PA, (M)

Pinal

Ages: 0-99 Group Name: Cobre Valley

Regional Medical Center Family Nurse Practitioner / Ullal, Himanshu, PA, (M) Provider ID: 007041453006 Enfermera De Familia

Group Name: Cobre Valley NPI: 1851863476 Regional Medical Center 5994 S Hospital Dr Burk, Bessie, FNP, (F) Provider ID: 007041453010 Globe, AZ 85501 Group Name: Sun Life Family Health Center NPI: 1851863476 (928) 425-7108 EB, P, R, RE, T 186 E Stephens Way Ages: 0-99 Provider ID: 002978439012 Tonto Basin, AZ 85553 NPI: 1457507733 23 S Mcnab Pkwy (928) 479-2871 EB, P, R Watson, Joy M, PA, (F) Ages: 0-99 Group Name: Medcom Medical San Manuel, AZ 85631 Provider ID: 003124523010 (480) 389-1698 E, EB, G, IB, P, NPI: 1790958866 PL, R, RE, S, T 108 S Broad St Ages: 18-99 Globe, AZ 85501 Areas of Expertise: MAT1

(928) 425-6592 EB, P, R, RE, T Mo-Th - 7:00 AM - 5:00 PM Fr - 8:00 AM - 2:00 PM Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal Cannon, Kimberly, FNP, (F) Monson, Melissa, FNP, (F) Group Name: Sun Life Family Massaro, Sara, FNP, (F) Group Name: Sun Life Family Health Center Group Name: Sun Life Family Health Center Provider ID: 007064777017 Health Center Provider ID: 006876530003 NPI: 1558838896 Provider ID: 007302355012 NPI: 1255826806 1040 W American Ave NPI: 1013116110 23 S Mcnab Pkwy Oracle, AZ 85623 1040 W American Ave San Manuel, AZ 85631

(520) 896-2092 E, EB, G, IB, P, Oracle, AZ 85623 (520) 385-2234 E, EB, G, IB, P,

PL, R, RE, S, T (520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99 PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99 Ages: 18-99 Cannon, Kimberly, FNP, (F) Group Name: Sun Life Family Massaro, Sara, FNP, (F) Nix, Jessica, FNP, (F) Health Center Group Name: Sun Life Family Group Name: Sun Life Family Provider ID: 007064777002 Health Center Health Center NPI: 1558838896 Provider ID: 007302355002 Provider ID: 005789738006 23 S Mcnab Pkwy NPI: 1013116110 NPI: 1316316300 San Manuel, AZ 85631 23 S Mcnab Pkwy 23 S Mcnab Pkwy

(520) 835-2234 E, EB, G, IB, P, San Manuel, AZ 85631 San Manuel, AZ 85631

PL, R, RE, S, T (520) 835-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Ages: 18-99 PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Does Not Accept New Patients Diaz, Cynthia D, FNP, (F) Ages: 18-99 Group Name: Sun Life Family Monson, Melissa, FNP, (F) Health Center Group Name: Sun Life Family Packer, Susan, FNP, (F) Provider ID: 007220447012 Health Center Group Name: Sun Life Family NPI: 1679128466 Provider ID: 006876530015 Health Center 1040 W American Ave NPI: 1255826806 Provider ID: 007316189013 Oracle, AZ 85623 1040 W American Ave NPI: 1922644533

(520) 896-2092 E, EB, G, IB, P, Oracle, AZ 85623 1040 W American Ave

PL, R, RE, S, T (520) 896-2092 E, EB, G, IB, P, Oracle, AZ 85623

Ages: 18-99 PL, R, RE, S, T (520) 896-2092 E, EB, G, IB, P, Does Not Accept New Patients PL, R, RE, S, T Diaz, Cynthia D, FNP, (F) Ages: 18-99 Ages: 0-99 Group Name: Sun Life Family Health Center Provider ID: 007220447002 NPI: 1679128466 23 S Mcnab Pkwy San Manuel, AZ 85631

(520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99 Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario Packer, Susan, FNP, (F) Seppala, Ruth L, NP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Williams, Pamela N, FNP, (F) Health Center Health Center Group Name: Sun Life Family Provider ID: 007316189002 Provider ID: 002099586022 Health Center NPI: 1922644533 NPI: 1851451694 Provider ID: 006799664005 23 S Mcnab Pkwy 1040 W American Ave NPI: 1518401876 San Manuel, AZ 85631 Oracle, AZ 85623 23 S Mcnab Pkwy

(520) 385-2234 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, San Manuel, AZ 85631

PL, R, RE, S, T PL, R, RE, S, T (520) 385-2234 E, EB, G, IB, P, Ages: 0-99 Ages: 18-99 PL, R, RE, S, T Ages: 18-99 Pieratt, Paula J, NP, (F) Seppala, Ruth L, NP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Xie, Bing, FNP, (F) Health Center Health Center Group Name: Sun Life Family Provider ID: 006795805008 Provider ID: 002099586015 Health Center NPI: 1528576907 NPI: 1851451694 Provider ID: 006355306002 23 S Mcnab Pkwy 23 S Mcnab Pkwy NPI: 1326585845 San Manuel, AZ 85631 San Manuel, AZ 85631 23 S Mcnab Pkwy

(520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, San Manuel, AZ 85631

PL, R, RE, S, T PL, R, RE, S, T (520) 385-2234 E, EB, G, IB, P, Ages: 0-99 Ages: 18-99 PL, R, RE, S, T Languages Spoken: Salinas, Claudia, FNP, (F) Stager, Laura A, FNP, (F) Provider: Chinese Group Name: Sun Life Family Group Name: Sun Life Family Ages: 18-99 Health Center Health Center Provider ID: 007339226003 Provider ID: 006333152011 NPI: 1417407115 NPI: 1710439773 23 S Mcnab Pkwy 23 S Mcnab Pkwy San Manuel, AZ 85631 San Manuel, AZ 85631

(520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99 Ages: 18-99 Williams, Pamela N, FNP, (F) Group Name: Sun Life Family Health Center Provider ID: 006799664014 NPI: 1518401876 1040 W American Ave Oracle, AZ 85623

(520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99 = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal

Lundell, Robert D, DO, (M), B Family Practice / Medicina Group Name: Sun Life Family Nurse Practitioner / Enfermera Familiar Health Center Especialista Amaya-Pinto, Fran cisco J, MD, Provider ID: 003173087009 Brown, Mitchell G, NP, (M) (M), B NPI: 1740441435 Group Name: Horizon Health Group Name: Sun Life Family 23 S Mcnab Pkwy And Wellness Health Center San Manuel, AZ 85631 Provider ID: 007570452003 Provider ID: 001824532009 (520) 385-2234 E, EB, G, IB, P, NPI: 1407456668 NPI: 1205839388 PL, R, RE, S, T 980 E Mt Lemmon Rd 23 S Mcnab Pkwy Ages: 0-99 Oracle, AZ 85623

San Manuel, AZ 85631 (520) 896-6019 EB, P, R

(520) 385-2234 E, EB, G, IB, P, Nayyar, Deepak, MD, (M) Ages: 12-99 PL, R, RE, S, T Group Name: Sun Life Family Languages Spoken: Health Center Burk, Bessie, FNP, (F) Provider: Spanish Provider ID: 003105494011 Group Name: Sun Life Family Ages: 0-99 NPI: 1790900827 Health Center Hospital Affiliations: 23 S Mcnab Pkwy Provider ID: 002978439012 Casa Grande Regional Med Ctr San Manuel, AZ 85631 NPI: 1457507733 Banner Casa Grande Medical (520) 385-2234 E, EB, G, IB, P, 23 S Mcnab Pkwy Center PL, R, RE, S, T San Manuel, AZ 85631

Ages: 0-99 (480) 389-1698 E, EB, G, IB, P, Chung Tze Chong, Daniel A, MD, PL, R, RE, S, T (M), B Ages: 18-99 Group Name: Sun Life Family Internal Medicine / Medicina Areas of Expertise: MAT1 Health Center Interna Provider ID: 001784779014 Shaikh, Athar A, MD, (M) Cannon, Kimberly, FNP, (F) NPI: 1821091984 Group Name: Pima Heart Group Name: Sun Life Family 23 S Mcnab Pkwy Physicians Health Center San Manuel, AZ 85631 Provider ID: 002170324028 Provider ID: 007064777017

(520) 385-2234 E, EB, G, IB, P, NPI: 1477531713 NPI: 1558838896 PL, R, RE, S, T 1040 W American Ave 1040 W American Ave Languages Spoken: Oracle, AZ 85623 Oracle, AZ 85623

Provider: Chinese, Creole, (520) 838-3540 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, French, Spanish, Turkish PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Casa Grande Regional Med Ctr Carondelet Holy Cross Hospital Banner Casa Grande Medical Tucson Medical Center Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario Cannon, Kimberly, FNP, (F) Diaz, Cynthia D, FNP, (F) Gray, Shannon M, NP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007064777002 Provider ID: 007220447012 Provider ID: 007552162003 NPI: 1558838896 NPI: 1679128466 NPI: 1770186538 23 S Mcnab Pkwy 1040 W American Ave 23 S Mcnab Pkwy San Manuel, AZ 85631 Oracle, AZ 85623 San Manuel, AZ 85631

(520) 835-2234 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Ages: 18-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Dardy, Sandra, FNP, (F) Diaz, Cynthia D, FNP, (F) Casa Grande Regional Med Ctr Group Name: Sun Life Family Group Name: Sun Life Family Banner Casa Grande Medical Health Center Health Center Center Provider ID: 007139550014 Provider ID: 007220447002 NPI: 1942729413 NPI: 1679128466 Mcdevitt, Kyle K, NP, (F) 1040 W American Ave 23 S Mcnab Pkwy Group Name: Sun Life Family Oracle, AZ 85623 San Manuel, AZ 85631 Health Center

(520) 896-2092 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Provider ID: 006299731024 PL, R, RE, S, T PL, R, RE, S, T NPI: 1902356074 Ages: 18-99 Ages: 18-99 1040 W American Ave Areas of Expertise: MAT1 Oracle, AZ 85623

Godsey, Jacy K, NP, (F) (520) 896-2092 E, EB, G, IB, P, Dardy, Sandra, FNP, (F) Group Name: Sun Life Family PL, R, RE, S, T Group Name: Sun Life Family Health Center Ages: 18-99 Health Center Provider ID: 006988445005 Hospital Affiliations: Provider ID: 007139550002 NPI: 1376039057 Palo Alto County Hospital NPI: 1942729413 23 S Mcnab Pkwy 23 S Mcnab Pkwy San Manuel, AZ 85631 Mcdevitt, Kyle K, NP, (F)

San Manuel, AZ 85631 (520) 385-2234 E, EB, G, IB, P, Group Name: Sun Life Family

(520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Health Center PL, R, RE, S, T Ages: 18-99 Provider ID: 006299731017 Ages: 18-99 Hospital Affiliations: NPI: 1902356074 Areas of Expertise: MAT1 Casa Grande Regional Med Ctr 23 S Mcnab Pkwy Banner Casa Grande Medical San Manuel, AZ 85631

Center (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99 Hospital Affiliations: Palo Alto County Hospital

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal Monson, Melissa, FNP, (F) Napier, Jessica R, FNP, (F) Philip, Selin, NP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 006876530015 Provider ID: 007583273011 Provider ID: 006585113002 NPI: 1255826806 NPI: 1720674187 NPI: 1609316546 1040 W American Ave 1040 W American Ave 23 S Mcnab Pkwy Oracle, AZ 85623 Oracle, AZ 85623 San Manuel, AZ 85631

(520) 896-2092 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, (520) 835-2234 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Does Not Accept New Patients Ages: 18-99 Ages: 18-99 Ages: 18-99 Hospital Affiliations: Casa Grande Regional Med Ctr Quesada, Nikki C, NP, (F) Monson, Melissa, FNP, (F) Banner Casa Grande Medical Group Name: Sun Life Family Group Name: Sun Life Family Center Health Center Health Center Provider ID: 007205002016 Provider ID: 006876530003 Napier, Jessica R, FNP, (F) NPI: 1114494150 NPI: 1255826806 Group Name: Sun Life Family 23 S Mcnab Pkwy 23 S Mcnab Pkwy Health Center San Manuel, AZ 85631

San Manuel, AZ 85631 Provider ID: 007583273003 (520) 385-2234 E, EB, G, IB, P,

(520) 385-2234 E, EB, G, IB, P, NPI: 1720674187 PL, R, RE, S, T PL, R, RE, S, T 23 S Mcnab Pkwy Languages Spoken: Does Not Accept New Patients San Manuel, AZ 85631 Provider: Spanish

Ages: 18-99 (520) 385-2234 E, EB, G, IB, P, Ages: 18-99 PL, R, RE, S, T Nair, Lekha M, NP, (F) Ages: 18-99 Salinas, Claudia, FNP, (F) Group Name: Sun Life Family Hospital Affiliations: Group Name: Sun Life Family Health Center Casa Grande Regional Med Ctr Health Center Provider ID: 007429269005 Banner Casa Grande Medical Provider ID: 007339226003 NPI: 1881228567 Center NPI: 1417407115 23 S Mcnab Pkwy 23 S Mcnab Pkwy San Manuel, AZ 85631 Nix, Jessica, FNP, (F) San Manuel, AZ 85631

(520) 385-2234 E, EB, G, IB, P, Group Name: Sun Life Family (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Health Center PL, R, RE, S, T Ages: 18-99 Provider ID: 005789738006 Does Not Accept New Patients Hospital Affiliations: NPI: 1316316300 Ages: 18-99 Banner Desert Medical Center 23 S Mcnab Pkwy Mercy Gilbert Medical Center San Manuel, AZ 85631

(520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Does Not Accept New Patients Ages: 18-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario

Seppala, Ruth L, NP, (F) Williams, Pamela N, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Pediatrics / Pediatría Health Center Health Center Abad, Maria M, MD , (F), B Provider ID: 002099586022 Provider ID: 006799664014 Group Name: Sun Life Family NPI: 1851451694 NPI: 1518401876 Health Center 1040 W American Ave 1040 W American Ave Provider ID: 001376990016 Oracle, AZ 85623 Oracle, AZ 85623 NPI: 1295713741 (520) 896-2092 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, 23 S Mcnab Pkwy PL, R, RE, S, T PL, R, RE, S, T San Manuel, AZ 85631

Ages: 18-99 Ages: 18-99 (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Seppala, Ruth L, NP, (F) Williams, Pamela N, FNP, (F) Ages: 0-18 Group Name: Sun Life Family Group Name: Sun Life Family Hospital Affiliations: Health Center Health Center Casa Grande Regional Med Ctr Provider ID: 002099586015 Provider ID: 006799664005 Banner Casa Grande Medical NPI: 1851451694 NPI: 1518401876 Center 23 S Mcnab Pkwy 23 S Mcnab Pkwy San Manuel, AZ 85631 San Manuel, AZ 85631 Ajluni, Nader R, DO, (M), B (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Group Name: Sun Life Family PL, R, RE, S, T PL, R, RE, S, T Health Center Ages: 18-99 Ages: 18-99 Provider ID: 000948351025 NPI: 1649273228 Stager, Laura A, FNP, (F) Xie, Bing, FNP, (F) 1040 W American Ave Group Name: Sun Life Family Group Name: Sun Life Family Oracle, AZ 85623

Health Center Health Center (520) 896-2092 E, EB, G, IB, P, Provider ID: 006333152011 Provider ID: 006355306002 PL, R, RE, S, T NPI: 1710439773 NPI: 1326585845 Ages: 0-18 23 S Mcnab Pkwy 23 S Mcnab Pkwy Hospital Affiliations: San Manuel, AZ 85631 San Manuel, AZ 85631 Mercy Med Ctr-des Moines (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Mercyone Des Moines Medical PL, R, RE, S, T PL, R, RE, S, T Center Ages: 0-99 Languages Spoken: Ia Methodist Medical Center Provider: Chinese Webb, Angela M, NP, (F) Ages: 18-99 Group Name: Horizon Health And Wellness Provider ID: 005672760008 NPI: 1639553704 980 E Mt Lemmon Rd Oracle, AZ 85623

(520) 896-6019 EB, P, R Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Nevada - Clark Ajluni, Nader R, DO, (M), B Liao, Tina Y, MD, (F) Nichols, Logan R, PA, (M) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 000948351016 Provider ID: 002658872010 Provider ID: 006955859009 NPI: 1649273228 NPI: 1063636512 NPI: 1871062125 23 S Mcnab Pkwy 23 S Mcnab Pkwy 23 S Mcnab Pkwy San Manuel, AZ 85631 San Manuel, AZ 85631 San Manuel, AZ 85631

(520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Ages: 0-18 Ages: 0-18 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Med Ctr-des Moines Banner Health Arizona Mercyone Des Moines Medical Phx Childrens Hospital Nevada Center Banner Gateway Medical Center

Clark

Ia Methodist Medical Center

Internal Medicine / Medicina Liao, Tina Y, MD, (F) Physician Assistant / Asistente Médico Interna Group Name: Sun Life Family Health Center Carpenter, Derek B, PA, (M) Gandhi, Zahabia T, MD, (F), B Provider ID: 002658872014 Group Name: Sun Life Family Group Name: Advanced Pulmon NPI: 1063636512 Health Center Sleep Disord & Int Med 1040 W American Ave Provider ID: 005237843003 Provider ID: 002255369002 Oracle, AZ 85623 NPI: 1114320959 NPI: 1538125240 1301 Bertha Howe Ave Ste 10 (520) 896-2092 E, EB, G, IB, P, 23 S Mcnab Pkwy PL, R, RE, S, T San Manuel, AZ 85631 Mesquite, NV 89027 (435) 688-7770 E, EB, IB, P, R, T Ages: 0-18 (520) 385-2234 E, EB, G, IB, P, Hospital Affiliations: PL, R, RE, S, T Languages Spoken: Banner Health Arizona Ages: 0-99 Provider: Guarani, Hindi Phx Childrens Hospital Ages: 0-99 Banner Gateway Medical Center Nichols, Logan R, PA, (M) Hospital Affiliations: Group Name: Sun Life Family St George Regional Hospital Health Center Provider ID: 006955859013 NPI: 1871062125 1040 W American Ave Oracle, AZ 85623

(520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Utah - Washington Primary Care Providers / Proveedores De Cuidado Primario

Ott, Darin D, DO, (M), B Utah Group Name: Kane County Internal Medicine / Medicina Medical Clinic Interna

Kane

Provider ID: 001984936005 Foster, Christine K, MD, (F), B

Family Practice / Medicina NPI: 1295805893 Group Name: Revere Health Familiar 355 N Main St Provider ID: 002541842004

Kanab, UT 84741 NPI: 1205875747 Bowman, Jonathan C, MD, (M) (435) 644-4163 E, EB, G, IB, P, 355 N Main St Group Name: Revere Health PL, R, RE, S, T Kanab, UT 84741 Provider ID: 002414889004 Ages: 0-99 (435) 644-4100 E, EB, G, IB, P, NPI: 1619047362 Hospital Affiliations: PL, R, RE, S, T 355 N Main St Kane County Hospital Ages: 0-99 Kanab, UT 84741 St George Regional Hospital Hospital Affiliations: (435) 644-4100 E, EB, G, IB, P, Utah Valley Hospital PL, R, RE, S, T Root, Eric J, DO, (M) Mckay Dee Hospital Ages: 0-99 Group Name: Revere Health Cpmc Mission Bernal Campus Hospital Affiliations: Provider ID: 006859866001 California Pacific Med Ctr St Kane County Hospital NPI: 1528445202 Lukes Camp 355 N Main St St George Regional Hospital Hollingshead, Bryson J, DO, (M), Kanab, UT 84741 Timpanogos Regional Hospital B (801) 354-8225 E, EB, G, IB, P, Group Name: Revere Health PL, R, RE, S, T Washington Provider ID: 006140615003 Ages: 0-99 NPI: 1124432992 Hospital Affiliations: Family Practice / Medicina 355 N Main St Kane County Hospital Kanab, UT 84741 Familiar

(435) 644-4100 E, EB, G, IB, P, Barton, Scott D, MD, (M), B PL, R, RE, S, T Group Name: Revere Health Ages: 0-99 Provider ID: 001903209006 Hospital Affiliations: NPI: 1376690180 Kane County Hospital 2825 E Mall Dr St George, UT 84790

(435) 251-2900 EB, P, R, RE, T Ages: 0-99 Hospital Affiliations: St George Regional Hospital

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington Barton, Scott D, MD, (M), B Chamberlain, Howard L, MD, Esplin, William F, DO, (M), B Group Name: Revere Health (M) Group Name: Revere Health Provider ID: 001903209005 Group Name: Revere Health Provider ID: 003005721001 NPI: 1376690180 Provider ID: 001374555003 NPI: 1093923393 736 S 900 E Ste 203 NPI: 1306951504 736 S 900 E Ste 203 Saint George, UT 84790 2825 E Mall Dr Saint George, UT 84790

(435) 673-6131 EB, P, R St George, UT 84790 (435) 673-6131 EB, P, R

Ages: 0-99 (435) 251-2900 EB, P, R, RE, T Languages Spoken: Hospital Affiliations: Ages: 0-99 Staff: Spanish St George Regional Hospital Hospital Affiliations: Ages: 0-99 St George Regional Hospital Hospital Affiliations: Carter, Curtis A, MD, (M) Madison Memorial Hospital Group Name: Revere Health Chamberlain, Howard L, MD, St George Regional Hospital Provider ID: 002577617004 (M) NPI: 1245225325 Group Name: Revere Health Hubbard, Jonathan P, DO, (M), B 2825 E Mall Dr Provider ID: 001374555001 Group Name: Revere Health St George, UT 84790 NPI: 1306951504 Provider ID: 001981874003

(435) 251-2900 EB, P, R, RE, T 736 S 900 E Ste 203 NPI: 1609894922 Ages: 0-99 Saint George, UT 84790 2825 E Mall Dr

Hospital Affiliations: (435) 673-6131 EB, P, R St George, UT 84790

St George Regional Hospital Ages: 0-99 (435) 251-2900 EB, P, R, RE, T Hospital Affiliations: Ages: 0-99 Carter, Curtis A, MD, (M) St George Regional Hospital Hospital Affiliations: Group Name: Revere Health St George Regional Hospital Provider ID: 002577617003 Esplin, William F, DO, (M), B NPI: 1245225325 Group Name: Revere Health Hubbard, Jonathan P, DO, (M), B 736 S 900 E Ste 203 Provider ID: 003005721004 Group Name: Revere Health Saint George, UT 84790 NPI: 1093923393 Provider ID: 001981874001

(435) 673-6131 EB, P, R 2825 E Mall Dr NPI: 1609894922 Ages: 0-99 St George, UT 84790 736 S 900 E Ste 203

Hospital Affiliations: (435) 251-2900 EB, P, R, RE, T Saint George, UT 84790

St George Regional Hospital Ages: 0-99 (435) 673-6131 EB, P, R Hospital Affiliations: Ages: 0-99 Madison Memorial Hospital Hospital Affiliations: St George Regional Hospital St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Utah - Washington Primary Care Providers / Proveedores De Cuidado Primario

Lunt, Bryce C, MD, (M) Pendleton, Gus C, MD, (M), B Group Name: Revere Health Group Name: Revere Health Internal Medicine / Medicina Provider ID: 006795597002 Provider ID: 001360147002 Interna NPI: 1396127635 NPI: 1649361874 Bennett, Richard W, MD, (M), B 2825 E Mall Dr 736 S 900 E Ste 203 Group Name: Revere Health St George, UT 84790 Saint George, UT 84790 Provider ID: 000774365002 (435) 251-2900 EB, P, R, RE, T (435) 673-6131 EB, P, R NPI: 1407871510 Ages: 0-99 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: Hospital Affiliations: St George, UT 84790

St George Regional Hospital Sanpete Valley Hospital (435) 673-6131 EB, P, R, RE, T St George Regional Hospital Ages: 0-99 Lunt, Bryce C, MD, (M) Hospital Affiliations: Group Name: Revere Health Stratford, C K, MD, (M) St Mark's Hospital Provider ID: 006795597001 Group Name: Revere Health Intermountain Medical Center NPI: 1396127635 Provider ID: 001703276002 Alta View Hospital 736 S 900 E Ste 203 NPI: 1275688228 Lone Peak Hospital Saint George, UT 84790 2825 E Mall Dr Areas of Expertise: MAT1 (435) 673-6131 EB, P, R St George, UT 84790 Mo-Fr - 9:00 AM - 5:00 PM (435) 251-2900 EB, P, R, RE, T Foster, Christine K, MD, (F), B Ages: 0-99 Ages: 0-99 Group Name: Revere Health Hospital Affiliations: Hospital Affiliations: Provider ID: 002541842003 St George Regional Hospital St George Regional Hospital NPI: 1205875747 2825 E Mall Dr Pendleton, Gus C, MD, (M), B Stratford, C K, MD, (M) St George, UT 84790

Group Name: Revere Health Group Name: Revere Health (435) 644-4100 EB, P, R, RE, T Provider ID: 001360147003 Provider ID: 001703276001 Ages: 0-99 NPI: 1649361874 NPI: 1275688228 Hospital Affiliations: 2825 E Mall Dr 736 S 900 E Ste 203 Utah Valley Hospital St George, UT 84790 Saint George, UT 84790 Mckay Dee Hospital (435) 251-2900 EB, P, R, RE, T (435) 673-6131 EB, P, R Cpmc Mission Bernal Campus Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM California Pacific Med Ctr St Hospital Affiliations: Sa - 9:00 AM - 2:00 PM Lukes Camp Sanpete Valley Hospital Ages: 0-99 St George Regional Hospital St George Regional Hospital Hospital Affiliations: Timpanogos Regional Hospital St George Regional Hospital

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington Gandhi, Zahabia T, MD, (F), B Bertelson, Erin N, NP, (F) Group Name: Advanced Pulmon Group Name: Revere Health Winger, Jeffrey B, NP, (M) Sleep Disord & Int Med Provider ID: 007736131001 Group Name: Revere Health Provider ID: 002255369001 NPI: 1134710338 Provider ID: 003511894005 NPI: 1538125240 2825 E Mall Dr NPI: 1154686467 640 E 700 S Ste 105 St George, UT 84790 2825 E Mall Dr

Saint George, UT 84770 (435) 251-2900 EB, P, R, RE, T St George, UT 84790

(435) 688-7770 E, EB, P, R, S Mo-Fr - 9:00 AM - 7:00 PM (435) 251-2900 EB, P, R, RE, T Languages Spoken: Sa - 9:00 AM - 2:00 PM Ages: 0-99 Provider: Guarani, Hindi Ages: 0-99 Hospital Affiliations: Staff: Spanish Kingman Regional Medical Center Ages: 0-99 Bradbury, Alana J, NP, (F) Hospital Affiliations: Group Name: Revere Health Winger, Jeffrey B, NP, (M) St George Regional Hospital Provider ID: 007555373001 Group Name: Revere Health NPI: 1982202446 Provider ID: 003511894002 Staheli, John K, MD, (M), B 736 S 900 E Ste 203 NPI: 1154686467 Group Name: Revere Health Saint George, UT 84790 736 S 900 E Ste 203

Provider ID: 001703253003 (801) 354-8225 EB, P, R Saint George, UT 84790

NPI: 1275591620 Ages: 0-99 (435) 673-6131 EB, P, R 736 S 900 E Ages: 0-99 Saint George, UT 84790 Parry, Ami, NP, (F), B Hospital Affiliations:

(435) 673-6131 EB, P, R Group Name: Revere Health Kingman Regional Medical Center Ages: 0-99 Provider ID: 007160533002 Hospital Affiliations: NPI: 1750942637 Orem Community Hospital 2825 E Mall Dr Pediatrics / Pediatría Utah Valley Hospital St George, UT 84790 Nilson, Wendell T, MD, (M), B (435) 251-2900 EB, P, R, RE, T Group Name: Cache Pediatric Ages: 0-99 Clinic Nurse Practitioner / Enfermera Hospital Affiliations: Provider ID: 000808720001 Especialista St George Regional Hospital NPI: 1205883576 Ahee, Ann M, NP , (F) 1240 E 100 S Ste 14 Group Name: Revere Health Parry, Ami, NP, (F), B Saint George, UT 84790

Provider ID: 007488665001 Group Name: Revere Health (435) 634-0055 EB, P, R, RE, T NPI: 1417575564 Provider ID: 007160533001 736 S 900 E Ste 203 NPI: 1750942637 Mo-Fr - 9:00 AM - 5:00 PM Saint George, UT 84790 736 S 900 E Ste 203 Ages: 0-21 Hospital Affiliations: (801) 354-8225 EB, P, R St George, UT 84790 St George Regional Hospital Ages: 12-99 (801) 354-8225 EB, P, R Mo-Fr - 9:00 AM - 7:00 PM Logan Regional Hospital Sa - 9:00 AM - 2:00 PM Ages: 0-99 Hospital Affiliations: St George Regional Hospital Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Primary Care Obstetricians / Obstetras De Atención Arizona - Gila Primaria

Primary Care Obstetricians / Obstetras De Atención Primaria Cantley Muhammad, Shaheedah Cantley Muhammad, Shaheedah Arizona M, MD, (F), B M, MD, (F), B Group Name: Cobre Valley Tonto Group Name: Cobre Valley Tonto

Gila

Basin Clinic Basin Clinic

Obstetrics & Gynecology / Provider ID: 006316013003 Provider ID: 006316013001 Obstetricia Y Ginecología NPI: 1285950931 NPI: 1285950931

124 N Tewksbury Blvd 5880 S Hospital Dr Bryan, Michael C, MD, (M), B Young, AZ 85554 Globe, AZ 85501

Group Name: Cobre Valley Tonto (928) 462-3435 EB, P, R, RE, T (928) 402-1165 E, EB, G, P, PL, Basin Clinic Th - 9:00 AM - 4:30 PM R, RE, S, T Provider ID: 003057119007 Fr - 9:00 AM - 12:00 PM Mo-Fr - 8:00 AM - 4:30 PM NPI: 1720278666 Web address: www.mcrhs.org Web address: www.mcrhs.org 5880 S Hospital Dr Accepting Existing Patients Only Accepting Existing Patients Only Globe, AZ 85501 Ages: 0-99 Ages: 0-99 (928) 425-3247 E, EB, G, P, PL, Does Not Accept Male Patients Does Not Accept Male Patients R, RE, S, T Hospital Affiliations: Hospital Affiliations: Languages Spoken: Manatee Memorial Hospital Manatee Memorial Hospital Provider: Spanish Areas of Expertise: DD Areas of Expertise: DD Ages: 0-99 Does Not Accept Male Patients Cantley Muhammad, Shaheedah Cantley Muhammad, Shaheedah Hospital Affiliations: M, MD, (F), B M, MD, (F), B Cobre Valley Regional Medical Group Name: Cobre Valley Tonto Group Name: Cobre Valley Tonto Center Basin Clinic Basin Clinic Banner Del E Webb Medical Provider ID: 006316013006 Provider ID: 006316013004 Center NPI: 1285950931 NPI: 1285950931 Banner Boswell Medical Center 186 E Stephens Way 5994 S Hospital Dr Tonto Basin, AZ 85553 Globe, AZ 85501

(928) 479-2871 EB, P, R (928) 425-7108 EB, P, R, RE, T Web address: www.mcrhs.org Mo-Fr - 7:00 AM - 5:00 PM Accepting Existing Patients Only Web address: www.mcrhs.org Ages: 0-99 Accepting Existing Patients Only Does Not Accept Male Patients Ages: 0-99 Hospital Affiliations: Does Not Accept Male Patients Manatee Memorial Hospital Hospital Affiliations: Areas of Expertise: DD Manatee Memorial Hospital Areas of Expertise: DD

Primary Care Obstetricians / Obstetras De Atención Primaria Arizona - Gila Davis, Bethany A, MD, (F) Glaser, Katherine, MD, (F), B Onibokun, Adedayo O, MD, (M) Group Name: North Country Group Name: North Country Group Name: Banner Physician Healthcare Healthcare Specialists Arizona Provider ID: 006085643007 Provider ID: 003591803013 Provider ID: 002161724034 NPI: 1982048856 NPI: 1134385156 NPI: 1912941360 126 E Main St Ste B 126 E Main St Ste B 120 E Main St Ste A Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(928) 468-8610 P, R, RE, T (928) 468-8610 P, R, RE, T (928) 596-4700 EB, P, R Ages: 0-99 Languages Spoken: Accepting Existing Patients Only Hospital Affiliations: Provider: Spanish Ages: 12-99 Flagstaff Medical Center Cultural Competency: Y Does Not Accept Male Patients Ages: 12-99 Hospital Affiliations: Fick, Kathryn L, MD, (F) Does Not Accept Male Patients Casa Grande Regional Med Ctr Group Name: North Country Hospital Affiliations: Banner Casa Grande Medical Healthcare Uc Davis Medical Center Center Provider ID: 003566996014 Tuba City Regional Health Care Valleywise Health NPI: 1508023797 Banner Desert Medical Center 708 S Coeur D Alene Ln Ste B Murphy, Kevin G, MD, (M) Payson, AZ 85541 Group Name: Banner Physician Patel, Natasha, MD, (F)

(928) 522-9410 EB, P, R Specialists Arizona Group Name: Cobre Valley Languages Spoken: Provider ID: 007497206001 Regional Medical Center Provider: Spanish NPI: 1669828232 Provider ID: 006302876005 Ages: 0-99 120 E Main St Ste A NPI: 1841557121 Does Not Accept Male Patients Payson, AZ 85541 5880 S Hospital Dr

Hospital Affiliations: (928) 596-4700 EB, P, R Globe, AZ 85501

Northwest Medical Center Ages: 0-99 (928) 425-3246 E, EB, G, P, PL, Flagstaff Medical Center Hospital Affiliations: R, RE, S, T Banner Payson Medical Center Ages: 12-99 Does Not Accept Male Patients Hospital Affiliations: Winona Health Services Capital Region Medical Center

Whitehair, Jennifer J, MD, (F), B Group Name: North Country Healthcare Provider ID: 005532549002 NPI: 1134236607 708 S Coeur D Alene Ln Ste B Payson, AZ 85541

(928) 468-8610 EB, P, R Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Primary Care Obstetricians / Obstetras De Atención Arizona - Pinal Primaria Savala, Virginia A, DO, (F), B Stein, Susan R, MD, (F), B

Pinal

Group Name: Sun Life Family Group Name: Sun Life Family

Obstetrics & Gynecology / Health Center Health Center Obstetricia Y Ginecología Provider ID: 003602368014 Provider ID: 002659996014

NPI: 1992935894 NPI: 1629007703 Estrada, Eddie, MD, (M) 23 S Mcnab Pkwy 23 S Mcnab Pkwy Group Name: Sun Life Family San Manuel, AZ 85631 San Manuel, AZ 85631 Health Center (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Provider ID: 000901597012 PL, R, RE, S, T PL, R, RE, S, T NPI: 1386782472 Languages Spoken: Ages: 12-99 23 S Mcnab Pkwy Provider: Spanish Does Not Accept Male Patients San Manuel, AZ 85631 Ages: 12-99 Hospital Affiliations: (520) 385-2234 E, EB, G, IB, P, Does Not Accept Male Patients Banner Baywood Medical Center PL, R, RE, S, T Hospital Affiliations: Languages Spoken: Casa Grande Regional Med Ctr Walter, Logan C, DO, (M) Provider: Spanish Banner Casa Grande Medical Group Name: Sun Life Family Ages: 12-99 Center Health Center Does Not Accept Male Patients Chandler Health Care Center Provider ID: 007424754003 Hospital Affiliations: NPI: 1750760187 Casa Grande Regional Med Ctr Smith, Bianca H, DO, (F) 23 S Mcnab Pkwy Banner Casa Grande Medical Group Name: Sun Life Family San Manuel, AZ 85631 Center Health Center (520) 385-2234 E, EB, G, IB, P, Mercy Tiffin Hospital Provider ID: 005541178004 PL, R, RE, S, T Bellevue Hospital NPI: 1326339623 Ages: 12-99 23 S Mcnab Pkwy Does Not Accept Male Patients Petkov, Pavel S, MD, (M), B San Manuel, AZ 85631 Hospital Affiliations: Group Name: Sun Life Family (520) 385-2234 E, EB, G, IB, P, Casa Grande Regional Med Ctr Health Center PL, R, RE, S, T Banner Casa Grande Medical Provider ID: 003046934030 Languages Spoken: Center NPI: 1194910570 Provider: French Chandler Regional Medical Center 23 S Mcnab Pkwy Ages: 12-99 San Manuel, AZ 85631 Does Not Accept Male Patients (520) 385-2234 E, EB, G, IB, P, Hospital Affiliations: PL, R, RE, S, T Casa Grande Regional Med Ctr Languages Spoken: Banner Casa Grande Medical Provider: Bulgarian, Russian Center Ages: 12-99 Chandler Regional Medical Center Does Not Accept Male Patients Hospital Affiliations: Ascension St Michaels Hospital Banner Desert Medical Center Chandler Regional Medical Center

Primary Care Obstetricians / Obstetras De Atención Primaria Utah - Washington Willms, Jonathan R, DO, (M) Benham, Brady N, MD, (M), B Winward, Tracy W, MD, (F), B Group Name: Sun Life Family Group Name: Valley Obstetrics & Group Name: Valley Obstetrics & Health Center Gynecology Gynecology Provider ID: 004068158012 Provider ID: 002520448005 Provider ID: 001250728003 NPI: 1891010658 NPI: 1952380685 NPI: 1922008846 23 S Mcnab Pkwy 295 S 1470 E # 200 295 S 1470 E Ste 200 San Manuel, AZ 85631 Saint George, UT 84790 Saint George, UT 84790

(520) 385-2234 E, EB, G, IB, P, (435) 628-1662 EB, P, R, RE, T (435) 628-1662 E, EB, G, IB, P, PL, R, RE, S, T R, RE, S, T Languages Spoken: Languages Spoken: Web address: suwhc.com Provider: Spanish Provider: Spanish Ages: 12-99 Ages: 12-99 Ages: 0-99 Does Not Accept Male Patients Does Not Accept Male Patients Does Not Accept Male Patients Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: St George Regional Hospital Chandler Regional Medical Center St George Regional Hospital Delta Community Hospital

Brown, Coby T, MD, (M) Utah Group Name: Valley Obstetrics & Gynecology Washington Provider ID: 005356471003

NPI: 1083907059 Obstetrics & Gynecology / 295 S 1470 E Ste 200 Obstetricia Y Ginecología Saint George, UT 84790

Astle, Craig D, MD, (M), B (435) 628-1662 E, EB, G, IB, P, Group Name: Valley Obstetrics & R, RE, S, T Gynecology Ages: 0-99 Provider ID: 000806079003 Does Not Accept Male Patients NPI: 1033119862 Hospital Affiliations: 295 S 1470 E Ste 200 St George Regional Hospital Saint George, UT 84790

(435) 628-1662 E, EB, G, IB, P, R, RE, S, T Web address: suwhc.com Ages: 12-99 Does Not Accept Male Patients Hospital Affiliations: St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Specialists / Especialistas Shimamoto, Sam R, MD, (M), B Fenster, Paul E, MD, (M), B Arizona Group Name: San Tan Allergy & Group Name: Banner Physician Asthma Specialists Arizona

Gila

Provider ID: 002245188001 Provider ID: 000901432004

Allergy & Immunology / Alergia NPI: 1073587382 NPI: 1285646497 E Inmunología 708 S Coeur D Alene Ln Ste C 122 E Main St

Payson, AZ 85541 Payson, AZ 85541

Hill, Jennifer L, MD, (F) (480) 626-6600 EB, P, R, RE, T (928) 596-4600 EB, P, R Group Name: San Tan Allergy & Languages Spoken: Ages: 0-99 Asthma Provider: Spanish Hospital Affiliations: Provider ID: 005176942003 Cultural Competency: Y Banner University Med Ctr South NPI: 1497035604 Ages: 0-99 Campus 708 S Coeur D Alene Ln Ste C Hospital Affiliations: Banner Payson Medical Center Payson, AZ 85541 Banner Desert Medical Center University Medical Center (480) 626-6600 EB, P, R, RE, T Banner University Med Ctr Cultural Competency: Y Tucson Campus Ages: 0-99 Cardiology / Cardiología Areas of Expertise: THS Hospital Affiliations: Askari, Ali A, MD , (M) University Medical Center Group Name: Ali A Askari Md Kumar, Shantha, MD, (M), B Banner University Med Ctr Provider ID: 000940356004 Group Name: Goldfield Tucson Campus NPI: 1760554919 Cardiovascular Institute 1106 N Beeline Hwy Provider ID: 001435885006 Jain, Neal, MD, (M), B Payson, AZ 85541 NPI: 1396768958 Group Name: San Tan Allergy & (928) 474-5286 EB, P, R 5882 S Hospital Dr Ste 3 Asthma Languages Spoken: Globe, AZ 85501 Provider ID: 002437343004 Provider: Farsi, Persian, Spanish (480) 962-0101 E, EB, G, IB, P, NPI: 1356390512 Ages: 0-99 R, RE, S, T 708 S Coeur D Alene Ln Ste C Hospital Affiliations: Languages Spoken: Payson, AZ 85541 St Lukes Medical Center Provider: Tamil (480) 626-6600 EB, P, R, RE, T Banner Payson Medical Center Cultural Competency: Y Languages Spoken: Select Specialty Hos-phoenix Ages: 0-99 Provider: Spanish Select Specialty Hospital Hospital Affiliations: Cultural Competency: Y Banner Univ Medical Cntr Cobre Valley Regional Medical Ages: 0-18 Phoenix Campus Center Hospital Affiliations: St Josephs Hsp And Med Ctr Kingman Regional Medical Center St Marys Hosp Med Ctr Madison Kindred Hospital Arizona Phoenix Maryvale Hospital Medical Center Ssm Health St Marys Hospital Kindred Hospital Az-northwest Abrazo Maryvale Campus Madison Phoenix Banner Baywood Medical Center Valleywise Health Banner Estrella Medical Center Banner Desert Medical Center Mountain Vista Medical Ctr Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila Memon, Abdul Q, MD, (M) Vakil, Hiva, MD, (M), B Kumar, Shantha, MD, (M), B Group Name: Abdul Memon Md Group Name: Integrated Medical Group Name: Goldfield Provider ID: 001870839013 Services Cardiovascular Institute NPI: 1093781346 Provider ID: 002780020007 Provider ID: 001435885006 5882 S Hospital Dr Ste 1 NPI: 1356480172 NPI: 1396768958 Globe, AZ 85501 111 W Cedar Ln Ste A 5882 S Hospital Dr Ste 3

(928) 793-3365 E, EB, G, IB, P, Payson, AZ 85541 Globe, AZ 85501

PL, R, RE, S, T (623) 433-0202 EB, IB, P, R, RE, (480) 962-0101 E, EB, G, IB, P, Languages Spoken: T R, RE, S, T Provider: Hindi, Spanish, Urdu Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: Tamil Ages: 18-99 Abrazo Central Campus Cultural Competency: Y Hospital Affiliations: Abrazo Arrowhead Campus Ages: 0-99 White Mountain Regional Med Maryvale Hospital Medical Center Hospital Affiliations: Ctr Abrazo Maryvale Campus Cobre Valley Regional Medical Cobre Valley Regional Medical Abrazo Scottsdale Campus Center Center Jcl Dv Hospital Kingman Regional Medical Center Providence Sacred Heart Med Ctr Select Specialty Hos-phoenix Maryvale Hospital Medical Center & Child Banner Thunderbird Medical Abrazo Maryvale Campus Multicare Deaconess Hospital Center Banner Baywood Medical Center Summit Regional Medical Center Areas of Expertise: THS Banner Estrella Medical Center Banner Desert Medical Center Mountain Vista Medical Ctr St Josephs Hsp And Med Ctr Banner Gateway Medical Center Chandler Regional Medical Center Cardiovascular Disease / Enfermedad Cardiovascular Marmoush, Fady Y, MD, (M), B Paulson, Toby, DO, (M), B Jebaily, Nicholas X, MD, (M), B Group Name: Abdul Memon Md Group Name: Banner Hospital Ba Group Name: Biltmore Provider ID: 007406956003 Phys Az Cardiology NPI: 1508207689 Provider ID: 003235640004 Provider ID: 003709522002 5882 S Hospital Dr Ste 1 NPI: 1235264169 NPI: 1710206909 Globe, AZ 85501 807 S Ponderosa St 708 S Coeur D Alene Ln Ste 1 (928) 793-3365 E, EB, G, IB, P, Payson, AZ 85541 Payson, AZ 85541 PL, R, RE, S, T

(928) 474-3222 RE, T (602) 952-0002 EB, P, R Ages: 0-99 Web address: www.paysondoctors.c Cultural Competency: Y Hospital Affiliations: om Ages: 0-99 Chandler Regional Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Banner Payson Medical Center Banner Payson Medical Center Banner Univ Medical Cntr Gunnison Valley Hospital Phoenix Campus Castleview Hospital St Josephs Hsp And Med Ctr American Fork Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Memon, Abdul Q, MD, (M), B Memon, Abdul Q, MD, (M), B Memon, Abdul Q, MD, (M), B Group Name: Cobre Valley Group Name: Abdul Memon Md Group Name: Cobre Valley Physician Services Provider ID: 001870839013 Physician Services Provider ID: 001870839020 NPI: 1093781346 Provider ID: 001870839020 NPI: 1093781346 5882 S Hospital Dr Ste 1 NPI: 1093781346 5880 S Hospital Dr Globe, AZ 85501 5990 S Hospital Dr

Globe, AZ 85501 (928) 793-3365 E, EB, G, IB, P, Globe, AZ 85501

(928) 793-3747 E, EB, G, P, PL, PL, R, RE, S, T (928) 793-3747 EB, P, R R, RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Hindi, Spanish, Urdu Provider: Hindi, Spanish, Urdu Provider: Hindi, Spanish, Urdu Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: White Mountain Regional Med White Mountain Regional Med White Mountain Regional Med Ctr Ctr Ctr Cobre Valley Regional Medical Cobre Valley Regional Medical Cobre Valley Regional Medical Center Center Center Providence Sacred Heart Med Ctr Providence Sacred Heart Med Ctr Providence Sacred Heart Med Ctr & Child & Child & Child Multicare Deaconess Hospital Multicare Deaconess Hospital Multicare Deaconess Hospital Summit Regional Medical Center Summit Regional Medical Center Summit Regional Medical Center Banner Desert Medical Center Banner Desert Medical Center Banner Desert Medical Center St Josephs Hsp And Med Ctr St Josephs Hsp And Med Ctr St Josephs Hsp And Med Ctr Chandler Regional Medical Center Chandler Regional Medical Center Chandler Regional Medical Center

Specialists / Especialistas Arizona - Gila Morales, Ralph E, MD, (M), B Patil, Arun S, MD, (M), B Group Name: Abdul Memon Md Group Name: Integrated Medical Vakil, Hiva, MD, (M), B Provider ID: 001184594004 Services Group Name: Integrated Medical NPI: 1861575573 Provider ID: 000925056011 Services 5882 S Hospital Dr Ste 1 NPI: 1093955908 Provider ID: 002780020007 Globe, AZ 85501 111 W Cedar Ln Ste A NPI: 1356480172

(928) 793-3747 E, EB, G, IB, P, Payson, AZ 85541 111 W Cedar Ln Ste A

PL, R, RE, S, T (623) 433-0202 EB, IB, P, R, RE, Payson, AZ 85541

Languages Spoken: T (623) 433-0202 EB, IB, P, R, RE, Provider: French, Spanish Languages Spoken: T Staff: Spanish Provider: Spanish Ages: 0-99 Mo-Th - 8:00 AM - 5:00 PM Ages: 17-99 Hospital Affiliations: Fr - 8:00 AM - 12:00 PM Hospital Affiliations: Abrazo Central Campus Web address: www.cardioaz.com St Josephs Hsp And Med Ctr Abrazo Arrowhead Campus Ages: 18-99 West Valley Hospital Medical Maryvale Hospital Medical Center Hospital Affiliations: Center Abrazo Maryvale Campus Lafayette General Medical Ctr Abrazo West Campus Abrazo Scottsdale Campus Ochsner Lafayette General Banner Estrella Medical Center Jcl Dv Hospital Medical Center Areas of Expertise: THS Select Specialty Hos-phoenix Cobre Valley Regional Medical Banner Thunderbird Medical Center Sumar, Riyaz A, MD, (M), B Center Lakeland Community Hospital Group Name: Integrated Medical Areas of Expertise: THS Watervliet Services South Haven Community Hospital Provider ID: 002415048012 Abbeville General Hospital NPI: 1144212721 Dermatology / Dermatología Regional Medical Center Of 111 W Cedar Ln Ste A Fisler, Rita E, MD , (F), B Acadiana Payson, AZ 85541 Group Name: Advanced Lakeland Hospitals (623) 433-0202 EB, IB, P, R, RE, Dermatology Of Arizona T Provider ID: 002674851006 Languages Spoken: NPI: 1134192859 Provider: Hindi 903 E State Highway 260 Ste 4 Web address: www.imsaz.com Payson, AZ 85541

Ages: 0-99 (602) 264-9044 EB, P, R Hospital Affiliations: Languages Spoken: Maryvale Hospital Medical Center Provider: French Abrazo Maryvale Campus Cultural Competency: Y St Josephs Hsp And Med Ctr Ages: 0-99 West Valley Hospital Medical Hospital Affiliations: Center Adventhealth Shawnee Mission Abrazo West Campus Shawnee Mission Medical Ctr Banner Estrella Medical Center Arizona General Hospital Areas of Expertise: THS Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Jazayeri, Sadra S, MD, (M), B Group Name: Metropolitan Endocrinology / Endocrinología Family Practice / Medicina Dermatology Kumar, Swati, MD , (F), B Familiar Provider ID: 002291806001 Group Name: Einfectionmd Davis, Bryan M, DO , (M), B NPI: 1700893864 Provider ID: 007604302001 Group Name: Community 313 S Beeline Hwy NPI: 1821478496 Bridges Payson, AZ 85541 1100 E Monroe St Provider ID: 003260199018 (928) 472-7107 EB, P, R, RE, T Globe, AZ 85501 NPI: 1578790473

Languages Spoken: (602) 551-8052 E, EB, G, IB, P, 5734 Hope Ln Provider: French, Persian PL, R, RE, S, T Globe, AZ 85501

Ages: 0-99 Ages: 16-99 (928) 425-2415 EB, P, R, RE, T Hospital Affiliations: Hospital Affiliations: Paradise Valley Hospital Henry Ford Macomb Hospital Cultural Competency: Y Abrazo Scottsdale Campus Ages: 0-99 Banner Del E Webb Medical Areas of Expertise: MAT1, THS Center Family Nurse Practitioner / Enfermera De Familia Davis, Bryan M, DO, (M), B Meyers, Mark A, MD, (M) Alexander, Cami L, FNP, (F) Group Name: Community Group Name: Mark Alan Meyers Group Name: Banner Primary Bridges Md Care Physicians Arizona Provider ID: 003260199017 Provider ID: 000729876006 Provider ID: 007371990001 NPI: 1578790473 NPI: 1518928878 NPI: 1235763806 5734 Hope Ln Ste 2 715 S Beeline Hwy Ste A 117 E Main St Ste A100 Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 425-2415 EB, P, R, RE, T

(928) 468-6607 EB, P, R, RE, T (928) 596-4500 EB, P, R Cultural Competency: Y Languages Spoken: Languages Spoken: Ages: 0-99 Staff: Spanish Staff: Spanish Areas of Expertise: MAT1, THS Ages: 0-99 Ages: 0-99

Hospital Affiliations: Banner Payson Medical Center Abrazo Scottsdale Campus Banner Boswell Medical Center

Specialists / Especialistas Arizona - Gila

Rooney, John E, MD, (M), B Ramos, Alberto X, MD, (M), B Group Name: Banner Hospital Ba Gastroenterology / Group Name: Banner Uni Med Phys Az Gastroenterología Ctr Phx Campus Liver Dise Provider ID: 002832328013 Manch, Richard A, MD, (M), B Provider ID: 002832986004 NPI: 1083811285 Group Name: Banner Uni Med NPI: 1487788998 807 S Ponderosa St Ctr Phx Campus Liver Dise 117 E Main St Bldg A100 Payson, AZ 85541 Provider ID: 000308923001 Payson, AZ 85541 (928) 471-1255 RE, T NPI: 1043289341 (602) 839-2606 EB, P, R Languages Spoken: 117 E Main St Ste A100 Languages Spoken: Provider: Spanish Payson, AZ 85541 Provider: Spanish

Mo,Tu,We,Fr - 8:00 AM - 5:00 PM (602) 839-6324 EB, P, R Ages: 0-99 Sa - 8:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Banner University Med Ctr South Hospital Affiliations: Banner Univ Medical Cntr Campus Summit Regional Medical Center Phoenix Campus University Medical Center Kingman Regional Medical Center Banner Desert Medical Center Banner University Med Ctr Banner Baywood Medical Center St Josephs Hsp And Med Ctr Tucson Campus Banner Estrella Medical Center University Of New Mexico Banner Univ Medical Cntr Banner Gateway Medical Center Hospital Phoenix Campus Banner Ironwood Medical Center Banner Goldfield Medical Center Manch, Richard A, MD, (M), B Ramos, Alberto X, MD, (M), B Group Name: Banner Uni Med Group Name: Banner Uni Med Silva, Anthony V, MD, (M) Ctr Phx Campus Liver Dise Ctr Phx Campus Liver Dise Group Name: Banner Hospital Ba Provider ID: 000308923001 Provider ID: 002832986004 Phys Az NPI: 1043289341 NPI: 1487788998 Provider ID: 005635273012 708 S Coeur D Alene Ln 708 S Coeur D Alene Ln NPI: 1417219064 Payson, AZ 85541 Payson, AZ 85541

807 S Ponderosa St (602) 239-6324 EB, P, R (602) 239-6324 EB, P, R Payson, AZ 85541 Ages: 0-99 Languages Spoken: (928) 474-3222 RE, T Hospital Affiliations: Provider: Spanish Ages: 0-99 Banner Univ Medical Cntr Ages: 0-99 Hospital Affiliations: Phoenix Campus Hospital Affiliations: Banner Thunderbird Medical Banner Desert Medical Center Banner University Med Ctr South Center St Josephs Hsp And Med Ctr Campus University Of New Mexico University Medical Center Hospital Banner University Med Ctr Tucson Campus Banner Univ Medical Cntr Phoenix Campus

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Abdo, Joseph G, MD, (M) Gilles, Pierre C, MD, (M), B General Practice / Medicina Group Name: Joseph G Abdo Md Group Name: Cobre Valley General Provider ID: 001189389004 Regional Medical Center Reicho, Paul R, MD , (M), B NPI: 1821090879 Provider ID: 000634450007 Group Name: Banner Urgent 285 N Broad St NPI: 1780651737 Care Arizona Globe, AZ 85501 5994 S Hospital Dr Provider ID: 001899726079 (928) 425-7133 E, EB, G, P, R, Globe, AZ 85501 NPI: 1528044120 RE, S, T (928) 425-7108 EB, P, R, RE, T 101 E State Highway 260 Ste G Languages Spoken: Languages Spoken: Payson, AZ 85541 Provider: Arabic, French, Provider: French, Spanish

(928) 478-8905 EB, P, R Lebanese Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Spanish Hospital Affiliations: Hshs Holy Family Hospital Web address: www.allinahealth.org Cobre Valley Regional Medical Greenville Regional Hospital Ages: 0-99 Center Maryvale Hospital Medical Center Banner Baywood Medical Center Abrazo Maryvale Campus Chandler Regional Medical Center Hannibal Regional Hospital General Surgery / Cirugía Mercy Gilbert Medical Center Honorhealth Scottsdale Shea Abdo, Joseph G, M D, (M) Banner Gateway Medical Center Medical Ctr Group Name: Joseph G Abdo Md Arizona Regional Medical Center Scottsdale Healthcare Shea Provider ID: 001189389004 Medical Ctr NPI: 1821090879 Coppelli, Luis A, MD, (M) Scttsdle Hlth Shea 1100 E Monroe St Ste 102 Group Name: Banner Health Globe, AZ 85501 Center At Payson Horne, Susan C, MD, (F), B

(928) 425-7133 EB, P, R Provider ID: 000095444002 Group Name: Banner Physician Languages Spoken: NPI: 1518936939 Specialists Arizona Provider: Arabic, French, 117 E Main St Bldg A100 Provider ID: 002959270001 Lebanese Payson, AZ 85541 NPI: 1336343763 Ages: 0-99 (928) 474-1714 EB, P, R 122 E Main St Hospital Affiliations: Languages Spoken: Payson, AZ 85541 Cobre Valley Regional Medical Provider: Spanish (928) 472-3478 EB, P, R Center Ages: 0-99 Ages: 0-99 Banner Baywood Medical Center Hospital Affiliations: Hospital Affiliations: Chandler Regional Medical Center Little Colorado Medical Center Banner Payson Medical Center Mercy Gilbert Medical Center Banner Payson Medical Center Banner Baywood Medical Center Banner Gateway Medical Center Banner Baywood Heart Hospital Arizona Regional Medical Center Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila

Wombold, Leroy D, DO, (M), B Kasper, Lawrence M, MD, (M), B Group Name: Banner Physician Hematology/Oncology / Group Name: Banner Cancer Specialists Arizona Hematología/Oncología Center Specialists Provider ID: 000465672005 Kasper, Lawrenc e M, MD, (M), B Provider ID: 000973292011 NPI: 1841267937 Group Name: Banner Cancer NPI: 1083656581 122 E Main St Ste A Center Specialists 807 S Ponderosa St Payson, AZ 85541 Provider ID: 000973292011 Payson, AZ 85541 (928) 596-4600 EB, P, R NPI: 1083656581 (928) 471-3222 RE, T Ages: 0-99 122 E Main St Languages Spoken: Hospital Affiliations: Payson, AZ 85541 Provider: Spanish

Banner Payson Medical Center (928) 596-4600 EB, P, R Ages: 0-99 Ellett Memorial Hospital Languages Spoken: Hospital Affiliations: Providence Mt Carmel Hospital Provider: Spanish Banner Payson Medical Center Golden Valley Memorial Hospital Ages: 0-99 Good Samaritan Reg Med Center Hospital Affiliations: Banner Univ Medical Cntr Banner Payson Medical Center Phoenix Campus Hand Surgery / Cirugía De La Good Samaritan Reg Med Center St Josephs Hsp And Med Ctr Mano Banner Univ Medical Cntr Banner Gateway Medical Center Amin, Tanay J, MD , (M), B Phoenix Campus Group Name: Banner Physician St Josephs Hsp And Med Ctr Paul, David M, MD, (M) Specialists Arizona Banner Gateway Medical Center Group Name: Banner Cancer Provider ID: 005069480001 Center Specialists NPI: 1013170232 Kasper, Lawrence M, MD, (M), B Provider ID: 001287198007 126 E Main St Ste D Group Name: Banner Cancer NPI: 1851323547 Payson, AZ 85541 Center Specialists 122 E Main St

(928) 596-4800 EB, P, R Provider ID: 000973292011 Payson, AZ 85541 Ages: 0-99 NPI: 1083656581 (928) 596-4600 EB, P, R Hospital Affiliations: 122 E Main St Ages: 0-99 Adventist La Grange Memorial Payson, AZ 85541 Hospital Affiliations:

Hospital (928) 596-4600 EB, P, R Banner Payson Medical Center Macneal Hospital Languages Spoken: Good Samaritan Reg Med Center Banner Del E Webb Medical Provider: Spanish Banner Univ Medical Cntr Center Ages: 0-99 Phoenix Campus Banner Boswell Medical Center Hospital Affiliations: Banner Gateway Medical Center Banner Payson Medical Center Good Samaritan Reg Med Center Banner Univ Medical Cntr Phoenix Campus St Josephs Hsp And Med Ctr Banner Gateway Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Paul, David M, MD, (M) Manch, Richard A, MD, (M) Group Name: Banner Cancer Group Name: Banner Uni Med Internal Medicine / Medicina Center Specialists Ctr Phx Campus Liver Dise Interna Provider ID: 001287198007 Provider ID: 000308923001 Ekpo, Ini E, MD, (M), B NPI: 1851323547 NPI: 1043289341 Group Name: Banner Hospital Ba 807 S Ponderosa St 708 S Coeur D Alene Ln Phys Az Payson, AZ 85541 Payson, AZ 85541 Provider ID: 002916971022 (928) 471-3222 RE, T (602) 239-6324 EB, P, R NPI: 1720004138 Ages: 0-99 Ages: 0-99 807 S Ponderosa St Hospital Affiliations: Hospital Affiliations: Payson, AZ 85541

Banner Payson Medical Center Banner Univ Medical Cntr (928) 474-3222 RE, T Good Samaritan Reg Med Center Phoenix Campus Ages: 0-99 Banner Univ Medical Cntr Banner Desert Medical Center Hospital Affiliations: Phoenix Campus St Josephs Hsp And Med Ctr Casa Grande Regional Med Ctr Banner Gateway Medical Center University Of New Mexico Banner Casa Grande Medical Hospital Center Banner Baywood Medical Center Hepatology / Hepatología Manch, Richard A, MD, (M) Infectious Disease / Enfermedades Itkin, David J, MD, (M), B Group Name: Banner Uni Med Infecciosas Group Name: Einfectionmd Ctr Phx Campus Liver Dise Itkin, David J, M D, (M), B Provider ID: 000849068003 Provider ID: 000308923001 Group Name: Einfectionmd NPI: 1760476667 NPI: 1043289341 Provider ID: 000849068003 1100 E Monroe St 117 E Main St Ste A100 NPI: 1760476667 Globe, AZ 85501

Payson, AZ 85541 1100 E Monroe St (602) 551-8052 E, EB, G, IB, P,

(602) 839-6324 EB, P, R Globe, AZ 85501 PL, R, RE, S, T

Ages: 0-99 (602) 551-8052 E, EB, G, IB, P, Ages: 0-99 Hospital Affiliations: PL, R, RE, S, T Hospital Affiliations: Banner Univ Medical Cntr Ages: 0-99 Frisbie Memorial Hospital Phoenix Campus Hospital Affiliations: Portsmouth Regional Hospital Banner Desert Medical Center Frisbie Memorial Hospital Wentworth-douglass Hospital St Josephs Hsp And Med Ctr Portsmouth Regional Hospital Exeter Hospital University Of New Mexico Wentworth-douglass Hospital Hospital Exeter Hospital

Specialists / Especialistas Arizona - Gila Kumar, Shantha, MD, (M) Manch, Richard A, MD, (M), B Ramos, Alberto X, MD, (M), B Group Name: Goldfield Group Name: Banner Uni Med Group Name: Banner Uni Med Cardiovascular Institute Ctr Phx Campus Liver Dise Ctr Phx Campus Liver Dise Provider ID: 001435885006 Provider ID: 000308923001 Provider ID: 002832986004 NPI: 1396768958 NPI: 1043289341 NPI: 1487788998 5882 S Hospital Dr Ste 3 708 S Coeur D Alene Ln 117 E Main St Bldg A100 Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541

(480) 962-0101 E, EB, G, IB, P, (602) 239-6324 EB, P, R (602) 839-2606 EB, P, R R, RE, S, T Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Spanish Provider: Tamil Banner Univ Medical Cntr Ages: 0-99 Cultural Competency: Y Phoenix Campus Hospital Affiliations: Ages: 0-99 Banner Desert Medical Center Banner University Med Ctr South Hospital Affiliations: St Josephs Hsp And Med Ctr Campus Cobre Valley Regional Medical University Of New Mexico University Medical Center Center Hospital Banner University Med Ctr Kingman Regional Medical Center Tucson Campus Maryvale Hospital Medical Center Paulson, Toby, DO, (M), B Banner Univ Medical Cntr Abrazo Maryvale Campus Group Name: Banner Hospital Ba Phoenix Campus Banner Baywood Medical Center Phys Az Banner Estrella Medical Center Provider ID: 003235640004 Ramos, Alberto X, MD, (M), B Mountain Vista Medical Ctr NPI: 1235264169 Group Name: Banner Uni Med Banner Gateway Medical Center 807 S Ponderosa St Ctr Phx Campus Liver Dise Payson, AZ 85541 Provider ID: 002832986004

Manch, Richard A, MD, (M), B (928) 474-3222 RE, T NPI: 1487788998 Group Name: Banner Uni Med Web address: www.paysondoctors.c 708 S Coeur D Alene Ln Ctr Phx Campus Liver Dise om Payson, AZ 85541

Provider ID: 000308923001 Ages: 0-99 (602) 239-6324 EB, P, R NPI: 1043289341 Hospital Affiliations: Languages Spoken: 117 E Main St Ste A100 Banner Payson Medical Center Provider: Spanish Payson, AZ 85541 Gunnison Valley Hospital Ages: 0-99

(602) 839-6324 EB, P, R Castleview Hospital Hospital Affiliations: Ages: 0-99 American Fork Hospital Banner University Med Ctr South Hospital Affiliations: Campus Banner Univ Medical Cntr University Medical Center Phoenix Campus Banner University Med Ctr Banner Desert Medical Center Tucson Campus St Josephs Hsp And Med Ctr Banner Univ Medical Cntr University Of New Mexico Phoenix Campus Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Razavi, Mir-Muhammad K, MD, Patil, Arun S, MD, (M), B (M) Interventional Cardiology / Group Name: Integrated Medical Group Name: Banner Hospital Ba Cardiología Intervencionista Services Phys Az Memon, Abdul Q, MD, (M) Provider ID: 000925056011 Provider ID: 007518292001 Group Name: Abdul Memon Md NPI: 1093955908 NPI: 1720512171 Provider ID: 001870839013 111 W Cedar Ln Ste A 807 S Ponderosa St NPI: 1093781346 Payson, AZ 85541 Payson, AZ 85541 5882 S Hospital Dr Ste 1 (623) 433-0202 EB, IB, P, R, RE, (928) 474-3222 RE, T Globe, AZ 85501 T

Ages: 0-99 (928) 793-3365 E, EB, G, IB, P, Languages Spoken: Hospital Affiliations: PL, R, RE, S, T Provider: Spanish Banner Desert Medical Center Languages Spoken: Ages: 17-99 Provider: Hindi, Spanish, Urdu Hospital Affiliations: Silva, Anthony V, MD, (M) Cultural Competency: Y St Josephs Hsp And Med Ctr Group Name: Banner Hospital Ba Ages: 18-99 West Valley Hospital Medical Phys Az Hospital Affiliations: Center Provider ID: 005635273012 White Mountain Regional Med Abrazo West Campus NPI: 1417219064 Ctr Banner Estrella Medical Center 807 S Ponderosa St Cobre Valley Regional Medical Areas of Expertise: THS Payson, AZ 85541 Center (928) 474-3222 RE, T Providence Sacred Heart Med Ctr Sumar, Riyaz A, MD, (M) Ages: 0-99 & Child Group Name: Integrated Medical Hospital Affiliations: Multicare Deaconess Hospital Services Banner Thunderbird Medical Summit Regional Medical Center Provider ID: 002415048012 Center Banner Desert Medical Center NPI: 1144212721 St Josephs Hsp And Med Ctr 111 W Cedar Ln Ste A Sridhara, Srilekha, MD, (F), B Chandler Regional Medical Center Payson, AZ 85541 Group Name: Banner Hospital Ba (623) 433-0202 EB, IB, P, R, RE, Phys Az T Provider ID: 003639673007 Languages Spoken: NPI: 1477866713 Provider: Hindi 807 S Ponderosa St Web address: www.imsaz.com Payson, AZ 85541 Ages: 0-99

(928) 474-3222 RE, T Hospital Affiliations: Languages Spoken: Maryvale Hospital Medical Center Provider: Hindi, Telugu Abrazo Maryvale Campus Ages: 0-99 St Josephs Hsp And Med Ctr Hospital Affiliations: West Valley Hospital Medical Banner Baywood Medical Center Center Banner Ironwood Medical Center Abrazo West Campus Banner Estrella Medical Center Arizona General Hospital Areas of Expertise: THS = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Gila

Bista, Amar B, MD, (M) Nephrology / Nefrología Group Name: Az Kidney Dis & Midwifery / Partería Ahmed, Irfan, MD , (M), B Hypertension Mcmahan, Therese A, CNM, (F) Group Name: Az Kidney Dis & Provider ID: 002054862001 Group Name: North Country Hypertension NPI: 1740266923 Healthcare Provider ID: 003529598095 103 Medicine Way Rd Provider ID: 002485318006 NPI: 1750540498 Peridot, AZ 85542 NPI: 1760468078 1106 N Beeline Hwy (480) 857-2381 EB, IB, P, R 126 E Main St Ste B Payson, AZ 85541 Languages Spoken:

Payson, AZ 85541 (480) 857-2381 EB, P, R Provider: Bengali, Hindi, Nepali

(928) 468-8610 P, R, RE, T Languages Spoken: Mo,We,Th,Fr - 8:00 AM - 4:30 PM Ages: 12-99 Provider: Sindhi, Urdu Tu - 8:00 AM - 4:00 PM Does Not Accept Male Patients Mo - 8:00 AM - 4:30 PM Web address: www.akdhc.net Hospital Affiliations: Tu,We,Th,Fr - 8:00 AM - 4:00 PM Ages: 0-99 Cambridge Public Health Web address: www.akdhc.net Hospital Affiliations: Commission Ages: 0-99 Abrazo Arrowhead Campus Flagstaff Medical Center Hospital Affiliations: Banner Thunderbird Medical Boston Medical Center Abington Memorial Hospital Center Banner Baywood Medical Center Abrazo Scottsdale Campus Thibedeau, Jessie, NON, (F) Valleywise Health Jcl Dv Hospital Group Name: North Country Banner Desert Medical Center Honorhealth John C Lincoln Healthcare Chandler Regional Medical Center Medical Ctr Provider ID: 006698524006 Mercy Gilbert Medical Center Jcl Nm Hospital NPI: 1699282459 Banner Gateway Medical Center Abrazo Arizona Heart Hospital 126 E Main St Ste B Payson, AZ 85541

(928) 468-8610 P, R, RE, T Ages: 0-99 Hospital Affiliations: Flagstaff Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Bista, Amar B, MD, (M) Bueno, Damaso S, MD, (M), B Bueno, Damaso S, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002054862001 Provider ID: 001991186001 Provider ID: 001991186001 NPI: 1740266923 NPI: 1336143759 NPI: 1336143759 1106 N Beeline Hwy 103 Medicine Way Rd 1106 N Beeline Hwy Payson, AZ 85541 Peridot, AZ 85542 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Bengali, Hindi, Nepali Provider: Filipino, Spanish Provider: Filipino, Spanish Mo,We - 8:00 AM - 4:00 PM Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Tu,Th,Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.akdhc.net Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Abrazo Arrowhead Campus Abrazo Arrowhead Campus Abrazo Arrowhead Campus Banner Del E Webb Medical Banner Del E Webb Medical Banner Thunderbird Medical Center Center Center Banner Boswell Medical Center Banner Boswell Medical Center Abrazo Scottsdale Campus West Valley Hospital Medical West Valley Hospital Medical Jcl Dv Hospital Center Center Honorhealth John C Lincoln Abrazo West Campus Abrazo West Campus Medical Ctr Banner Estrella Medical Center Banner Estrella Medical Center Jcl Nm Hospital Abrazo Arizona Heart Hospital

Specialists / Especialistas Arizona - Gila Buxton-Fattohy, Suzan S, MD, (F) Buxton-Fattohy, Suzan S, MD, (F) Channis, Basel, MD, (M) Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 003024310002 Provider ID: 003024310002 Provider ID: 003496703014 NPI: 1386861235 NPI: 1386861235 NPI: 1982834594 103 Medicine Way Rd 1106 N Beeline Hwy 1106 N Beeline Hwy Peridot, AZ 85542 Payson, AZ 85541 Payson, AZ 85541

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Languages Spoken: Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Provider: Arabic Provider: Arabic Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Hospital Affiliations: Web address: www.akdhc.net Ages: 0-99 Banner Univ Medical Cntr Ages: 0-99 Hospital Affiliations: Phoenix Campus Hospital Affiliations: Abrazo Arrowhead Campus Chandler Regional Medical Center Abrazo Arrowhead Campus Carondelet St Marys Hospital Banner Estrella Medical Center Carondelet St Marys Hospital Mosaic Medical Center Albany Banner Gateway Medical Center Mosaic Medical Center Albany Northwest Medical Center Northwest Medical Center Banner Boswell Medical Center Chaudhary, Asad J, MD, (M) Banner Boswell Medical Center Abrazo Arizona Heart Hospital Group Name: Az Kidney Dis & Abrazo Arizona Heart Hospital Oro Valley Hospital Hypertension Oro Valley Hospital Banner Estrella Medical Center Provider ID: 002919294002 Banner Estrella Medical Center NPI: 1073786794 Channis, Basel, MD, (M) 103 Medicine Way Rd Group Name: Az Kidney Dis & Peridot, AZ 85542

Hypertension (480) 857-2381 EB, IB, P, R Provider ID: 003496703014 Languages Spoken: NPI: 1982834594 Provider: Punjabi, Urdu 103 Medicine Way Rd Mo-Fr - 8:00 AM - 4:30 PM Peridot, AZ 85542 Web address: www.akdhc.net

(480) 857-2381 EB, IB, P, R Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Regional One Health Hospital Affiliations: Regional Medical Ctr At Memphis Banner Univ Medical Cntr Banner Baywood Medical Center Phoenix Campus Banner Desert Medical Center Chandler Regional Medical Center Banner Gateway Medical Center Banner Estrella Medical Center Banner Gateway Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Chaudhary, Asad J, MD, (M) Chen, Ang, MD, (F), B Colattur, Shyam N, MD, (M) Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002919294002 Provider ID: 002475283002 Provider ID: 002030035002 NPI: 1073786794 NPI: 1497852404 NPI: 1497758015 1106 N Beeline Hwy 1106 N Beeline Hwy 1106 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Provider: Punjabi, Urdu Web address: www.akdhc.net Provider: Hindi, Tamil Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Hospital Affiliations: Web address: www.akdhc.net Ages: 0-99 Carondelet St Marys Hospital Ages: 0-99 Hospital Affiliations: Northwest Medical Center Hospital Affiliations: Regional One Health Flagstaff Medical Center University Med Ctr Of Southern Regional Medical Ctr At Memphis Nevada Banner Baywood Medical Center Colattur, Shyam N, MD, (M) Abrazo Arrowhead Campus Banner Desert Medical Center Group Name: Az Kidney Dis & St Rose Dominican Hosp Delima Banner Gateway Medical Center Hypertension Campus Provider ID: 002030035002 Desert Springs Hospital Chen, Ang, MD, (F), B NPI: 1497758015 Banner Boswell Medical Center Group Name: Az Kidney Dis & 103 Medicine Way Rd Mountainview Hospital Hypertension Peridot, AZ 85542 Banner Thunderbird Medical

Provider ID: 002475283002 (480) 857-2381 EB, IB, P, R Center NPI: 1497852404 Languages Spoken: Honorhealth Scottsdale Shea 103 Medicine Way Rd Provider: Hindi, Tamil Medical Ctr Peridot, AZ 85542 Mo-Fr - 8:00 AM - 4:30 PM

(480) 857-2381 EB, IB, P, R Web address: www.akdhc.net Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Web address: www.akdhc.net Hospital Affiliations: Ages: 0-99 University Med Ctr Of Southern Hospital Affiliations: Nevada Carondelet St Marys Hospital Abrazo Arrowhead Campus Northwest Medical Center St Rose Dominican Hosp Delima Flagstaff Medical Center Campus Desert Springs Hospital Banner Boswell Medical Center Mountainview Hospital Banner Thunderbird Medical Center Honorhealth Scottsdale Shea Medical Ctr

Specialists / Especialistas Arizona - Gila Cortez, Andrew J, DO, (M), B Dahl, Katharine C, MD, (F), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Dixon, Megan B, MD, (F), B Hypertension Hypertension Group Name: Az Kidney Dis & Provider ID: 002592134001 Provider ID: 002771544001 Hypertension NPI: 1902882806 NPI: 1073559621 Provider ID: 002921546002 103 Medicine Way Rd 103 Medicine Way Rd NPI: 1689868416 Peridot, AZ 85542 Peridot, AZ 85542 103 Medicine Way Rd

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, IB, P, R Peridot, AZ 85542

Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: (480) 857-2381 EB, IB, P, R Web address: www.akdhc.net Provider: Spanish Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Web address: www.akdhc.net Hospital Affiliations: Banner Del E Webb Medical Ages: 0-99 Abrazo Central Campus Center Hospital Affiliations: Mercy Hospital Banner Boswell Medical Center Abrazo Central Campus United Hospital Valleywise Health Abrazo Arrowhead Campus Mercy Hospital Unity Campus Select Specialty Hos-phoenix Abrazo Arizona Heart Hospital North Memorial Health Hospital Scttsdle Hlth Osb Banner Univ Medical Cntr Abrazo Arrowhead Campus St Josephs Hsp And Med Ctr Phoenix Campus Carondelet St Marys Hospital Banner Estrella Medical Center Phx Childrens Hospital M Health Fairview St. John's St Josephs Hsp And Med Ctr Hospital Cortez, Andrew J, DO, (M), B Group Name: Az Kidney Dis & Dahl, Katharine C, MD, (F), B Dixon, Megan B, MD, (F), B Hypertension Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Provider ID: 002592134001 Hypertension Hypertension NPI: 1902882806 Provider ID: 002771544001 Provider ID: 002921546002 1106 N Beeline Hwy NPI: 1073559621 NPI: 1689868416 Payson, AZ 85541 1106 N Beeline Hwy 1106 N Beeline Hwy

(480) 857-2381 EB, P, R Payson, AZ 85541 Payson, AZ 85541

Mo-Fr - 8:00 AM - 4:30 PM (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Web address: www.akdhc.net Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Provider: Spanish Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Banner Del E Webb Medical Web address: www.akdhc.net Abrazo Central Campus Center Ages: 0-99 Mercy Hospital Banner Boswell Medical Center Hospital Affiliations: United Hospital Valleywise Health Abrazo Central Campus Mercy Hospital Unity Campus Select Specialty Hos-phoenix Abrazo Arrowhead Campus North Memorial Health Hospital Scttsdle Hlth Osb Abrazo Arizona Heart Hospital Abrazo Arrowhead Campus St Josephs Hsp And Med Ctr Banner Univ Medical Cntr Carondelet St Marys Hospital Banner Estrella Medical Center Phoenix Campus M Health Fairview St. John's Phx Childrens Hospital Hospital St Josephs Hsp And Med Ctr Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Goswami, Puja, MD, (F), B Goswami, Puja, MD, (F), B Hachem, Hassan A, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 003720997003 Provider ID: 003720997003 Provider ID: 002434501001 NPI: 1912168857 NPI: 1912168857 NPI: 1598768020 103 Medicine Way Rd 1106 N Beeline Hwy 103 Medicine Way Rd Peridot, AZ 85542 Payson, AZ 85541 Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Provider: French, Spanish Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.akdhc.net Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Kingman Regional Medical Center Casa Grande Regional Med Ctr Casa Grande Regional Med Ctr Western Arizona Regional Banner Casa Grande Medical Banner Casa Grande Medical Medical Center Center Banner Boswell Medical Center Jcl Dv Hospital Jcl Dv Hospital Banner Baywood Medical Center Honorhealth John C Lincoln Honorhealth John C Lincoln Banner Baywood Heart Hospital Medical Ctr Medical Ctr Banner Desert Medical Center Jcl Nm Hospital Jcl Nm Hospital Banner Desert Care Center Banner Baywood Medical Center Banner Baywood Medical Center Chandler Regional Medical Center Banner Thunderbird Medical Banner Thunderbird Medical Center Center Ronald Reagan Ucla Medical Ronald Reagan Ucla Medical Center Center

Specialists / Especialistas Arizona - Gila Hachem, Hassan A, MD, (M), B Hanna, Abboud, MD, (M), B Hanna, Abboud, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002434501001 Provider ID: 003057401007 Provider ID: 003057401007 NPI: 1598768020 NPI: 1922237072 NPI: 1922237072 1106 N Beeline Hwy 103 Medicine Way Rd 1106 N Beeline Hwy Payson, AZ 85541 Peridot, AZ 85542 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R Languages Spoken: Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Provider: French, Spanish Staff: Arabic Web address: www.akdhc.net Web address: www.akdhc.net Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Web address: www.akdhc.net Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Baptist Medical Center Kingman Regional Medical Center Hospital Affiliations: Abrazo Central Campus Western Arizona Regional Baptist Medical Center St Rose Dominican Hosp Delima Medical Abrazo Central Campus Campus Banner Boswell Medical Center St Rose Dominican Hosp Delima Sunrise Hospital & Med Ctr Banner Baywood Medical Center Campus Banner Del E Webb Medical Banner Baywood Heart Hospital Sunrise Hospital & Med Ctr Center Banner Desert Medical Center Banner Del E Webb Medical Banner Boswell Medical Center Banner Desert Care Center Center Select Specialty Hospital Chandler Regional Medical Center Banner Boswell Medical Center Banner Estrella Medical Center Select Specialty Hospital Banner Estrella Medical Center Hogan, Donn M, MD, (M), B Group Name: Southwest Kidney Institute Provider ID: 002798976001 NPI: 1447474143 806 S Ponderosa St Payson, AZ 85541

(480) 610-6100 EB, P, R, RE, T Languages Spoken: Provider: French Ages: 0-99 Hospital Affiliations: Banner Baywood Heart Hospital Banner Desert Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Kartoumah, Almutaz B, MD, (M) Kartoumah, Almutaz B, MD, (M) Leopold, Peter S, DO, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002801892001 Provider ID: 002801892001 Provider ID: 002193609004 NPI: 1376654293 NPI: 1376654293 NPI: 1740283423 103 Medicine Way Rd 1106 N Beeline Hwy 103 Medicine Way Rd Peridot, AZ 85542 Payson, AZ 85541 Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R Languages Spoken: Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Provider: Arabic Provider: Arabic Web address: www.akdhc.net Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Web address: www.akdhc.net Web address: www.akdhc.net Hospital Affiliations: Ages: 0-99 Ages: 0-99 University Med Ctr Of Southern Hospital Affiliations: Hospital Affiliations: Nevada Abrazo Arrowhead Campus Abrazo Arrowhead Campus Yavapai Regional Medical Center Kingman Regional Medical Center Kingman Regional Medical Center West Western Arizona Regional Western Arizona Regional Abrazo Arrowhead Campus Medical Medical St Rose Dominican Hosp Delima Banner Del E Webb Medical Banner Del E Webb Medical Campus Center Center Desert Springs Hospital Banner Boswell Medical Center Banner Boswell Medical Center Banner Boswell Medical Center Banner Baywood Medical Center Banner Baywood Medical Center Mountainview Hospital West Valley Hospital Medical West Valley Hospital Medical Banner Thunderbird Medical Center Center Center Abrazo West Campus Abrazo West Campus

Specialists / Especialistas Arizona - Gila Leopold, Peter S, DO, (M), B Mishler, Rick E, MD, (M), B Mishler, Rick E, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002193609004 Provider ID: 000746416004 Provider ID: 000746416004 NPI: 1740283423 NPI: 1629071303 NPI: 1629071303 1106 N Beeline Hwy 103 Medicine Way Rd 1106 N Beeline Hwy Payson, AZ 85541 Peridot, AZ 85542 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Languages Spoken: Web address: www.akdhc.net Provider: Spanish Provider: Spanish Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 University Med Ctr Of Southern Hospital Affiliations: Hospital Affiliations: Nevada Abrazo Central Campus Abrazo Central Campus Yavapai Regional Medical Center Abrazo Arrowhead Campus Abrazo Arrowhead Campus West University Medical Center University Medical Center Abrazo Arrowhead Campus Banner University Med Ctr Banner University Med Ctr St Rose Dominican Hosp Delima Tucson Campus Tucson Campus Campus Western Arizona Regional Western Arizona Regional Desert Springs Hospital Medical Medical Banner Boswell Medical Center Jcl Dv Hospital Jcl Dv Hospital Mountainview Hospital Banner Boswell Medical Center Banner Boswell Medical Center Banner Thunderbird Medical Banner Univ Medical Cntr Banner Univ Medical Cntr Center Phoenix Campus Phoenix Campus

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Moasser, Amir H, MD, (M), B Moasser, Amir H, MD, (M), B Mustafa, Esmat M, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 001424076002 Provider ID: 001424076002 Provider ID: 002897099004 NPI: 1932102530 NPI: 1932102530 NPI: 1033307574 103 Medicine Way Rd 1106 N Beeline Hwy 103 Medicine Way Rd Peridot, AZ 85542 Payson, AZ 85541 Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Persian Provider: Persian Provider: Arabic Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.akdhc.net Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Abrazo Arrowhead Campus Abrazo Arrowhead Campus Casa Grande Regional Med Ctr Banner Thunderbird Medical Banner Thunderbird Medical Banner Casa Grande Medical Center Center Center Honorhealth Scottsdale Shea Honorhealth Scottsdale Shea Abrazo Arrowhead Campus Medical Ctr Medical Ctr Banner Thunderbird Medical Scottsdale Healthcare Shea Scottsdale Healthcare Shea Center Medical Ctr Medical Ctr Maryvale Hospital Medical Center Scttsdle Hlth Shea Scttsdle Hlth Shea Abrazo Maryvale Campus Banner Del E Webb Medical Center Honorhealth Scottsdale Shea Medical Ctr

Specialists / Especialistas Arizona - Gila Mustafa, Esmat M, MD, (M), B Narayanan, Rajnikanth, MD, (M), Narayanan, Rajnikanth, MD, (M), Group Name: Az Kidney Dis & B B Hypertension Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Provider ID: 002897099004 Hypertension Hypertension NPI: 1033307574 Provider ID: 002280110014 Provider ID: 002280110014 1106 N Beeline Hwy NPI: 1780713032 NPI: 1780713032 Payson, AZ 85541 103 Medicine Way Rd 1106 N Beeline Hwy

(480) 857-2381 EB, P, R Peridot, AZ 85542 Payson, AZ 85541

Languages Spoken: (480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R Provider: Arabic Languages Spoken: Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Provider: Hindi Provider: Hindi Web address: www.akdhc.net Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Casa Grande Regional Med Ctr Peacehealth St Joseph Medical Peacehealth St Joseph Medical Banner Casa Grande Medical Center Center Center Swedish Medical Center Swedish Medical Center Abrazo Arrowhead Campus Evergreenhealth Medical Center Evergreenhealth Medical Center Banner Thunderbird Medical St Francis Community Hospital St Francis Community Hospital Center Good Samaritan Hospital Good Samaritan Hospital Maryvale Hospital Medical Center Banner Boswell Medical Center Banner Boswell Medical Center Abrazo Maryvale Campus St Clare Hospital St Clare Hospital Banner Del E Webb Medical Banner Estrella Medical Center Banner Estrella Medical Center Center Honorhealth Scottsdale Shea Neumann, Thomas V, MD, (M), B Medical Ctr Group Name: Az Kidney Dis & Hypertension Provider ID: 000839728003 NPI: 1316041916 103 Medicine Way Rd Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Ages: 0-99 Hospital Affiliations: Yavapai Regional Medical Center West Verde Valley Medical Cntr

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Nimri, Alexander M, MD, (M), B Nimri, Alexander M, MD, (M), B Parekh, Shehzad M, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002957073014 Provider ID: 002957073014 Provider ID: 002274862001 NPI: 1467666123 NPI: 1467666123 NPI: 1023027307 103 Medicine Way Rd 1106 N Beeline Hwy 1106 N Beeline Hwy Peridot, AZ 85542 Payson, AZ 85541 Payson, AZ 85541

(480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Web address: www.akdhc.net Web address: www.akdhc.net Provider: Urdu Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Providence Portland Medical Providence Portland Medical Kingman Regional Medical Center Center Center Western Arizona Regional Tuality Healthcare Tuality Healthcare Medical Maryvale Hospital Medical Center Maryvale Hospital Medical Center Havasu Regional Medical Center Abrazo Maryvale Campus Abrazo Maryvale Campus Valley View Medical Center Banner Del E Webb Medical Banner Del E Webb Medical Center Center Robey, Jean T, MD, (F), B Banner Boswell Medical Center Banner Boswell Medical Center Group Name: Az Kidney Dis & Banner Baywood Medical Center Banner Baywood Medical Center Hypertension Abrazo Arizona Heart Hospital Abrazo Arizona Heart Hospital Provider ID: 002752551001 NPI: 1255377800 Parekh, Shehzad M, MD, (M), B 103 Medicine Way Rd Group Name: Az Kidney Dis & Peridot, AZ 85542

Hypertension (480) 857-2381 EB, IB, P, R Provider ID: 002274862001 Languages Spoken: NPI: 1023027307 Provider: Vietnamese 103 Medicine Way Rd Mo-Fr - 8:00 AM - 4:30 PM Peridot, AZ 85542 Web address: www.akdhc.net

(480) 857-2381 EB, IB, P, R Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Urdu Abrazo Arrowhead Campus Ages: 0-99 Banner Del E Webb Medical Hospital Affiliations: Center Kingman Regional Medical Center Banner Boswell Medical Center Western Arizona Regional Abrazo Arizona Heart Hospital Medical Scttsdle Hlth Osb Havasu Regional Medical Center Banner Estrella Medical Center Valley View Medical Center Kindred Hospital Az-northwest Phoenix

Specialists / Especialistas Arizona - Gila Robey, Jean T, MD, (F), B Rokkam, Vamsi, MD, (M) Rokkam, Vamsi, MD, (M) Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002752551001 Provider ID: 002808635001 Provider ID: 002808635001 NPI: 1255377800 NPI: 1174738389 NPI: 1174738389 1106 N Beeline Hwy 103 Medicine Way Rd 1106 N Beeline Hwy Payson, AZ 85541 Peridot, AZ 85542 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, IB, P, R (480) 857-2381 EB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Vietnamese Provider: Hindi, Spanish Provider: Hindi, Spanish Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.akdhc.net Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Abrazo Arrowhead Campus Abrazo Central Campus Abrazo Central Campus Banner Del E Webb Medical Abrazo Arrowhead Campus Abrazo Arrowhead Campus Center Medical Center At Bowling Green Medical Center At Bowling Green Banner Boswell Medical Center Maryvale Hospital Medical Center Maryvale Hospital Medical Center Abrazo Arizona Heart Hospital Abrazo Maryvale Campus Abrazo Maryvale Campus Scttsdle Hlth Osb Abrazo Scottsdale Campus Abrazo Scottsdale Campus Banner Estrella Medical Center Jcl Dv Hospital Jcl Dv Hospital Kindred Hospital Az-northwest Honorhealth John C Lincoln Honorhealth John C Lincoln Phoenix Medical Ctr Medical Ctr

Santos, Peter W, DO, (M), B Group Name: Az Kidney Dis & Hypertension Provider ID: 002799711002 NPI: 1932249612 103 Medicine Way Rd Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R Languages Spoken: Provider: Tagalog Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Ages: 0-99 Hospital Affiliations: Abrazo Central Campus Abrazo Arrowhead Campus Abrazo Arizona Heart Hospital Banner Thunderbird Medical Center Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Ungar, Scott A, DO, (M), B Santos, Peter W, DO, (M), B Uddin, Muhammad A, MD, (M), Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & B Hypertension Hypertension Group Name: Az Kidney Dis & Provider ID: 003338019003 Provider ID: 002799711002 Hypertension NPI: 1306075924 NPI: 1932249612 Provider ID: 002195413003 103 Medicine Way Rd 1106 N Beeline Hwy NPI: 1396936373 Peridot, AZ 85542

Payson, AZ 85541 1106 N Beeline Hwy (480) 857-2381 EB, IB, P, R

(480) 857-2381 EB, P, R Payson, AZ 85541 Languages Spoken:

Languages Spoken: (480) 857-2381 EB, P, R Provider: Spanish Provider: Tagalog Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Provider: Hindi, Punjabi, Web address: www.akdhc.net Ages: 0-99 Spanish, Urdu Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Abrazo Central Campus Web address: www.akdhc.net Abrazo Central Campus Abrazo Arrowhead Campus Ages: 0-99 Banner Boswell Medical Center Abrazo Arizona Heart Hospital Hospital Affiliations: Banner Baywood Medical Center Banner Thunderbird Medical Banner Baywood Medical Center Banner Baywood Heart Hospital Center Tempe St Lukes Hosp A Campus Banner Univ Medical Cntr Of St Lukes Phoenix Campus Uddin, Muhammad A, MD, (M), Banner Desert Medical Center Banner Desert Care Center B Chandler Regional Medical Center Banner Gateway Medical Center Group Name: Az Kidney Dis & Mercy Gilbert Medical Center Arizona Regional Medical Center Hypertension Mountain Vista Medical Ctr Provider ID: 002195413003 NPI: 1396936373 103 Medicine Way Rd Peridot, AZ 85542

(480) 857-2381 EB, IB, P, R Languages Spoken: Provider: Hindi, Punjabi, Spanish, Urdu Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Ages: 0-99 Hospital Affiliations: Banner Baywood Medical Center Tempe St Lukes Hosp A Campus Of St Lukes Banner Desert Medical Center Chandler Regional Medical Center Mercy Gilbert Medical Center Mountain Vista Medical Ctr = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Gila Ungar, Scott A, DO, (M), B Zaw, Yuzana K, MD, (F) Zhao, Hui J, MD, (M), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 003338019003 Provider ID: 006883536001 Provider ID: 002827657001 NPI: 1306075924 NPI: 1013313451 NPI: 1629125414 1106 N Beeline Hwy 1106 N Beeline Hwy 1106 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(480) 857-2381 EB, P, R (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Burmese, Spanish Provider: Chinese Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.akdhc.net Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Zhao, Hui J, MD, (M), B Abrazo Arrowhead Campus Abrazo Central Campus Group Name: Az Kidney Dis & Banner Thunderbird Medical Banner Boswell Medical Center Hypertension Center Banner Baywood Medical Center Provider ID: 002827657001 Havasu Regional Medical Center Banner Baywood Heart Hospital NPI: 1629125414 Scttsdle Hlth Osb Banner Univ Medical Cntr 103 Medicine Way Rd Greenbaum Surgical Speciality Phoenix Campus Peridot, AZ 85542 Hospital

Banner Desert Care Center (480) 857-2381 EB, IB, P, R Scttsdle Hlth Tpk Banner Gateway Medical Center Languages Spoken: Scottsdale Healthcare Tho Arizona Regional Medical Center Provider: Chinese Web address: www.akdhc.net Zaw, Yuzana K, MD, (F) Ages: 0-99 Group Name: Az Kidney Dis & Hospital Affiliations: Hypertension Abrazo Arrowhead Campus Provider ID: 006883536001 Banner Thunderbird Medical NPI: 1013313451 Center 103 Medicine Way Rd Havasu Regional Medical Center Peridot, AZ 85542 Scttsdle Hlth Osb

(480) 857-2381 EB, IB, P, R Greenbaum Surgical Speciality Languages Spoken: Hospital Provider: Burmese, Spanish Scttsdle Hlth Tpk Staff: Burmese, Spanish Scottsdale Healthcare Tho Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Zou, Lixian, MD, (F), B Donovan, Brenda A, DNP, (F) Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Neurology / Neurología Hypertension Provider ID: 002513853002 Lee-Iannotti, Joyc e K, MD, (F), B Provider ID: 006881204007 NPI: 1053359737 Group Name: Banner Univ Phys NPI: 1659868776 103 Medicine Way Rd Specialists 1106 N Beeline Hwy Peridot, AZ 85542 Provider ID: 003190529009 Payson, AZ 85541 (480) 857-2381 EB, IB, P, R NPI: 1518133271 (480) 857-2381 EB, P, R Languages Spoken: 807 S Ponderosa St Mo-Fr - 8:00 AM - 4:30 PM Provider: Chinese, Spanish Payson, AZ 85541 Web address: www.akdhc.net

Mo-Fr - 8:00 AM - 4:30 PM (928) 474-3222 RE, T Ages: 0-99 Web address: www.akdhc.net Ages: 0-99 Ages: 0-99 Hospital Affiliations: Edstrom, Trent, NP, (M) Hospital Affiliations: Metrohealth Medical Center Group Name: Az Kidney Dis & Abrazo Central Campus Casa Grande Regional Med Ctr Hypertension Abrazo Arrowhead Campus Banner Casa Grande Medical Provider ID: 007611665001 Abrazo Scottsdale Campus Center NPI: 1558957811 Honorhealth John C Lincoln Banner Thunderbird Medical 103 Medicine Way Rd Medical Ctr Center Peridot, AZ 85542 Jcl Nm Hospital Mayo Clinic Hospital (480) 857-2381 EB, IB, P, R Banner Boswell Medical Center Banner Univ Medical Cntr Ages: 0-99 Phoenix Campus Hospital Affiliations: Zou, Lixian, MD, (F), B Banner Desert Medical Center Banner Univ Medical Cntr Group Name: Az Kidney Dis & Areas of Expertise: E020, E070, Phoenix Campus Hypertension E112, E160, E165 Provider ID: 002513853002 Edstrom, Trent, NP, (M) NPI: 1053359737 Group Name: Az Kidney Dis & 1106 N Beeline Hwy Nurse Practitioner / Enfermera Hypertension Payson, AZ 85541 Especialista Provider ID: 007611665001

(480) 857-2381 EB, P, R Donovan, Brenda A, DNP, (F) NPI: 1558957811 Languages Spoken: Group Name: Az Kidney Dis & 1106 N Beeline Hwy Provider: Chinese, Spanish Hypertension Payson, AZ 85541 Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 006881204007 (480) 857-2381 EB, P, R Web address: www.akdhc.net NPI: 1659868776 Ages: 0-99 Ages: 0-99 103 Medicine Way Rd Hospital Affiliations: Hospital Affiliations: Peridot, AZ 85542 Banner Univ Medical Cntr

Abrazo Central Campus (480) 857-2381 EB, IB, P, R Phoenix Campus Abrazo Arrowhead Campus Mo-Fr - 8:00 AM - 4:30 PM Abrazo Scottsdale Campus Web address: www.akdhc.net Honorhealth John C Lincoln Ages: 0-99 Medical Ctr Jcl Nm Hospital Banner Boswell Medical Center = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Gila Espinoza, Hugo A, NP, (M) Hemenway, Charolette, NP, (F) Morse, Suzanne, NP, (F) Group Name: Community Group Name: Community Group Name: Northern Arizona Bridges Bridges Pain Svcs Provider ID: 005122453017 Provider ID: 003187301008 Provider ID: 002748654002 NPI: 1417207051 NPI: 1386955573 NPI: 1386750511 5734 Hope Ln Ste 2 803 W Main St 708 S Coeur D Alene Ln Ste C Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541

(928) 425-2415 EB, P, R, RE, T (928) 468-0022 EB, P, R, RE, S, T (928) 474-9719 EB, P, R, RE, T Mo-Fr - 8:00 AM - 4:00 PM Languages Spoken: Cultural Competency: Y Ages: 0-99 Provider: Spanish Web address: www.communitybrid Web address: https://communitybrid gesaz.org Nyokwoyo, Euphrase M, NP, (M) gesaz.org/ Accepting Existing Patients Only Group Name: Banner Urgent Ages: 0-99 Ages: 0-99 Care Services Areas of Expertise: E010, E017, Areas of Expertise: P010, P035, Provider ID: 006904757051 E020, E025, E040, E070, E090, PLIC, THS NPI: 1316420631 E105, E112, E115, E160, E170, 101 E State Highway 260 Ste G E180, E185, E190, E198, E200, Hernandez, Priscila E, NP, (F) Payson, AZ 85541

E205, E220, E376, E385, P010, Group Name: Az Kidney Dis & (928) 478-8905 P020, P030, PLIC, THS Hypertension Languages Spoken: Provider ID: 007611648001 Provider: Swahili Espinoza, Hugo A, NP, (M) NPI: 1386258473 Accepting Existing Patients Only Group Name: Community 103 Medicine Way Rd Ages: 0-99 Bridges Peridot, AZ 85542 Provider ID: 005122453017 (480) 857-2381 EB, IB, P, R NPI: 1417207051 Ages: 0-99 803 W Main St Hospital Affiliations: Payson, AZ 85541 Banner Univ Medical Cntr

(928) 468-0032 EB, P, R, RE, S, T Phoenix Campus

Languages Spoken: Hernandez, Priscila E, NP, (F) Provider: Spanish Group Name: Az Kidney Dis & Mo-Fr - 8:00 AM - 4:00 PM Hypertension Ages: 0-99 Provider ID: 007611648001 Areas of Expertise: E010, E017, NPI: 1386258473 E020, E025, E040, E070, E090, 1106 N Beeline Hwy E105, E112, E115, E160, E170, Payson, AZ 85541

E180, E185, E190, E198, E200, (480) 857-2381 EB, P, R E205, E220, E376, E385, P010, Ages: 0-99 P020, P030, PLIC, THS Hospital Affiliations: Banner Univ Medical Cntr Phoenix Campus

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Prieto, Roseanne P, NP, (F) Group Name: Az Kidney Dis & Rasmussen, Jared, NP, (M) Oncology / Oncología Hypertension Group Name: San Carlos Apache Bi, Sucai, MD, (M) , B Provider ID: 005396266019 Healthcare Corporation Group Name: Banner Cancer NPI: 1780076638 Provider ID: 006748316001 Center Specialists 103 Medicine Way Rd NPI: 1437651999 Provider ID: 002313000007 Peridot, AZ 85542 103 Medicine Way Rd NPI: 1659363794 (480) 857-2381 Peridot, AZ 85542 807 S Ponderosa St Ages: 0-99 (928) 475-1278 EB, IB, P, R Payson, AZ 85541

Hospital Affiliations: Ages: 0-99 (928) 471-3222 RE, T Abrazo Arrowhead Campus Languages Spoken: Banner Del E Webb Medical Villegas, Joanne E, MA, (F) Provider: Chinese Center Group Name: Canyonlands Web address: www.pvhomed.com Banner Boswell Medical Center Community Health Care Ages: 0-99 Banner Thunderbird Medical Provider ID: 005721838002 Hospital Affiliations: Center NPI: 1154752483 Good Samaritan Reg Med Center West Valley Hospital Medical 5860 S Hospital Dr Ste 102 Banner Univ Medical Cntr Center Globe, AZ 85501 Phoenix Campus Abrazo West Campus (928) 402-0491 E, EB, G, IB, P, St Josephs Hsp And Med Ctr Banner Estrella Medical Center PL, R, RE, S, T Banner Gateway Medical Center Dignity Health Mo-Fr - 8:00 AM - 6:00 PM Ages: 0-99 Prieto, Roseanne P, NP, (F) Areas of Expertise: A021, A060, Ophthalmology / Oftalmología Group Name: Az Kidney Dis & DD, E010, E017, E020, E025, Asota, Ijeoma M, MD, (F), B Hypertension E042, E090, E200, MAT1, P010 Group Name: American Vision Provider ID: 005396266019 Partners NPI: 1780076638 Provider ID: 003473042004 1106 N Beeline Hwy NPI: 1346405321 Payson, AZ 85541 520 S Hill St (480) 857-2381 Globe, AZ 85501

Ages: 0-99 (928) 425-8989 E, EB, G, IB, P, Hospital Affiliations: R, RE, S, T Abrazo Arrowhead Campus Languages Spoken: Banner Del E Webb Medical Staff: Spanish Center Web address: www.goodeyes.com Banner Boswell Medical Center Ages: 0-99 Banner Thunderbird Medical Hospital Affiliations: Center Genesis Medical Center Dewitt West Valley Hospital Medical Genesis Medical Center De Witt Center Genesis Medical Center Abrazo West Campus Trinity Medical Center Banner Estrella Medical Center Advocate Trinity Hospital Dignity Health Trinity Muscatine = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Gila Berbos, Zachary J, MD, (M), B Bryan, Joseph S, MD, (M), B Bakall, Benjamin B, MD, (M), B Group Name: American Vision Group Name: Associated Retina Group Name: Associated Retina Partners Consultants Consultants Provider ID: 003427078001 Provider ID: 001320935005 Provider ID: 003382160004 NPI: 1497996433 NPI: 1881686558 NPI: 1700085222 520 S Hill St 302 W Main St 302 W Main St Globe, AZ 85501 Payson, AZ 85541

Payson, AZ 85541 (928) 425-8989 E, EB, G, IB, P, (602) 242-4928 E, EB, G, P, R,

(602) 242-4928 E, EB, G, P, R, R, RE, S, T RE, S, T RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: French, Spanish Provider: Swedish Web address: www.goodeyes.com Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Abrazo Central Campus Banner Baywood Medical Center Select Specialty Hospital Honorhealth John C Lincoln U Of I Hosps & Clinics Scttsdle Hlth Osb Medical Ctr U Of Iowa Hosp And Clinic Jcl Nm Hospital Maricopa Medical Center Boyer, Phillip D, DO, (M), B Banner Boswell Medical Center Banner Desert Medical Center Group Name: American Vision Queens Medical Center Banner Estrella Medical Center Partners Valleywise Health Banner Gateway Medical Center Provider ID: 003064416003 Banner Univ Medical Cntr Areas of Expertise: PLIC, THS NPI: 1073703757 Phoenix Campus 520 S Hill St Banner Desert Medical Center Barakat, Mark R, MD, (M), B Globe, AZ 85501 Areas of Expertise: PLIC, THS

Group Name: American Vision (928) 425-8989 E, EB, G, IB, P, Partners R, RE, S, T Provider ID: 002940822006 Languages Spoken: NPI: 1225214646 Provider: French, Spanish 520 S Hill St Web address: https://www.goodeyes Globe, AZ 85501 .com/

(928) 425-8989 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T Hospital Affiliations: Languages Spoken: Mt Graham Regional Medical Provider: German, Spanish Cente Staff: German, Spanish Sierra Vista Regional Health Ctr Web address: https://www.goodeyes Canyon Vista Medical Center .com/ Ages: 0-99 Hospital Affiliations: Yuma Regional Medical Center Cleveland Clinic Foundation Scttsdle Hlth Osb

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Campion, Michael, MD, (M), B Gaitan, Jaime R, MD, (M), B Graff, Jordan M, MD, (M), B Group Name: American Vision Group Name: Associated Retina Group Name: American Vision Partners Consultants Partners Provider ID: 000759736003 Provider ID: 002672706003 Provider ID: 002800899001 NPI: 1265404503 NPI: 1275580573 NPI: 1952487829 520 S Hill St 302 W Main St 520 S Hill St Globe, AZ 85501 Payson, AZ 85541 Globe, AZ 85501

(928) 425-8989 E, EB, G, IB, P, (602) 242-4928 E, EB, G, P, R, (928) 425-8989 E, EB, G, IB, P, R, RE, S, T RE, S, T R, RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Staff: Spanish Provider: Spanish Provider: Spanish Web address: www.sweye.com Ages: 0-99 Web address: https://www.goodeyes Ages: 0-99 Hospital Affiliations: .com/ Hospital Affiliations: Banner Health Arizona Ages: 0-99 University Med Ctr Of Southern Phx Childrens Hospital Hospital Affiliations: Nevada St Josephs Hsp And Med Ctr U Of I Hosps & Clinics Casa Grande Regional Med Ctr Areas of Expertise: PLIC, THS U Of Iowa Hosp And Clinic Banner Casa Grande Medical Center Gordon, Alan J, MD, (M), B Isenberg, Richard A, MD, (M) Sierra Vista Regional Health Ctr Group Name: Associated Retina Group Name: Risser Thomas Eye Canyon Vista Medical Center Consultants Clinic St Rose Dominican Hosp Delima Provider ID: 001013539010 Provider ID: 002121687001 Campus NPI: 1518959287 NPI: 1669453452 Desert Springs Hospital 302 W Main St 302 W Main St Havasu Regional Medical Center Payson, AZ 85541 Payson, AZ 85541

(602) 242-4928 E, EB, G, P, R, (928) 474-4126 E, EB, G, P, R, El Gasim, Mahmood M, MD, (M), RE, S, T RE, S, T B Languages Spoken: Ages: 0-99 Group Name: American Vision Provider: Spanish Hospital Affiliations: Partners Ages: 0-99 Abrazo Central Campus Provider ID: 006388203001 Hospital Affiliations: Banner Payson Medical Center NPI: 1477814739 Abrazo Central Campus Banner Thunderbird Medical 520 S Hill St Honorhealth John C Lincoln Center Globe, AZ 85501 Medical Ctr Honorhealth Scottsdale Shea

(928) 425-8989 E, EB, G, IB, P, Jcl Nm Hospital Medical Ctr R, RE, S, T Valleywise Health Scottsdale Healthcare Shea Languages Spoken: Banner Desert Medical Center Medical Ctr Provider: Spanish St Josephs Hsp And Med Ctr Scttsdle Hlth Shea Web address: https://www.goodeyes .com/ Ages: 0-99

Specialists / Especialistas Arizona - Gila Kwong, Henry M, MD, (M), B Rao, Rushil G, MD, (M), B Reddy, Rahul K, MD, (M), B Group Name: Associated Retina Group Name: Associated Retina Group Name: Associated Retina Consultants Consultants Consultants Provider ID: 002784073006 Provider ID: 005623126004 Provider ID: 003060704012 NPI: 1033257746 NPI: 1518250398 NPI: 1083806863 302 W Main St 302 W Main St 302 W Main St Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(602) 242-4928 E, EB, G, P, R, (602) 242-4928 E, EB, G, P, R, (602) 242-4928 E, EB, G, P, R, RE, S, T RE, S, T RE, S, T Languages Spoken: Ages: 0-99 Languages Spoken: Provider: French Hospital Affiliations: Provider: Telugu Staff: Spanish Callahan Eye Foundation Hospital Web address: www.associatedretina Ages: 0-99 Jcl Dv Hospital specialists.com Hospital Affiliations: Valleywise Health Ages: 0-99 Abrazo Central Campus Banner Thunderbird Medical Hospital Affiliations: Banner Estrella Medical Center Center Valleywise Health Areas of Expertise: PLIC, THS Banner Univ Medical Cntr Vanderbilt University Med Ctr Phoenix Campus Vanderbilt University Medical Moore, Grant H, MD, (M), B Banner Desert Medical Center Center Group Name: American Vision Scttsdle Hlth Osb Vanderbilt Childrens Hospital Partners Honorhealth Scottsdale Shea Areas of Expertise: PLIC, THS Provider ID: 006643068003 Medical Ctr NPI: 1710239751 Risser, Christian F, MD, (M), B 520 S Hill St Group Name: Risser Thomas Eye Globe, AZ 85501 Clinic

(928) 425-8989 E, EB, G, IB, P, Provider ID: 000284891001 R, RE, S, T NPI: 1457482630 Web address: www.goodeyes.com 302 W Main St Ages: 0-99 Payson, AZ 85541

(928) 474-4126 E, EB, G, P, R, Odden, Jamie L, MD, (F) RE, S, T Group Name: Associated Retina Languages Spoken: Consultants Staff: Spanish Provider ID: 007729557001 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1427588698 Ages: 0-99 302 W Main St Hospital Affiliations: Payson, AZ 85541 Banner Payson Medical Center

(602) 242-4928 E, EB, G, P, R, Honorhealth John C Lincoln RE, S, T Medical Ctr Ages: 0-99 Jcl Nm Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Sangave, Amit A, MD, (M), B Croft, Scott T, MD, (M), B Group Name: American Vision Welch, Matthew J, MD, (M), B Group Name: Cobre Valley Tonto Partners Group Name: Associated Retina Basin Clinic Provider ID: 006614024006 Consultants Provider ID: 001342682004 NPI: 1447516133 Provider ID: 003357151006 NPI: 1619934163 520 S Hill St NPI: 1316100977 124 N Tewksbury Blvd Globe, AZ 85501 302 W Main St Young, AZ 85554

(928) 425-8989 E, EB, G, IB, P, Payson, AZ 85541 (928) 462-3435 EB, P, R, RE, T

R, RE, S, T (602) 242-4928 E, EB, G, P, R, Languages Spoken: Languages Spoken: RE, S, T Provider: Japanese Provider: Spanish Web address: www.associatedretina Ages: 0-99 Staff: Spanish consultants.com Hospital Affiliations: Web address: www.goodeyes.com Ages: 0-99 Frances Mahon Deaconess Hosp Ages: 0-99 Hospital Affiliations: Memorial Hospital Of Carbon Hospital Affiliations: Loyola University Medical Center Cnty Banner Thunderbird Medical Maricopa Medical Center Memorial Hosp Of Converse Cnty Center Areas of Expertise: PLIC, THS Cobre Valley Regional Medical Henry Ford Hospital Center Banner Desert Medical Center Abrazo Scottsdale Campus Banner Gateway Medical Center Orthopaedic Surgery / Cirugía Honorhealth John C Lincoln Ortopédica Medical Ctr Sipperley, Jack O, MD, (M), B Biehn, Jeffrey L, DO, (M) Jcl Nm Hospital Group Name: American Vision Group Name: Banner Physician Honorhealth Scottsdale Shea Partners Specialists Arizona Medical Ctr Provider ID: 000063964001 Provider ID: 003501763001 NPI: 1235130402 NPI: 1669637062 520 S Hill St 126 E Main St Ste D Globe, AZ 85501 Payson, AZ 85541

(928) 425-8989 E, EB, G, IB, P, (928) 596-4800 EB, P, R R, RE, S, T Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Spanish Banner Ironwood Medical Center Staff: Spanish Banner Goldfield Medical Center Web address: www.goodeyes.com Ages: 0-99 Hospital Affiliations: Abrazo Central Campus Select Specialty Hos-phoenix Banner Univ Medical Cntr Phoenix Campus Phx Childrens Hospital St Josephs Hsp And Med Ctr Banner Gateway Medical Center = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Gila Croft, Scott T, MD, (M), B Kelly, Lawrence J, MD, (M), B Sepich, Dustin J, MD, (M) Group Name: Cobre Valley Tonto Group Name: Banner Physician Group Name: Banner Physician Basin Clinic Specialists Arizona Specialists Arizona Provider ID: 001342682003 Provider ID: 002036792005 Provider ID: 005548310003 NPI: 1619934163 NPI: 1124014758 NPI: 1801109152 5880 S Hospital Dr 126 E Main St Ste D 126 E Main St Ste D Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541

(928) 425-3246 E, EB, G, P, PL, (928) 596-4800 EB, P, R (928) 596-4800 EB, P, R R, RE, S, T Web address: svos.md Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Japanese Hospital Affiliations: Desert Springs Hospital Ages: 0-99 Abrazo Arrowhead Campus Banner Del E Webb Medical Hospital Affiliations: Banner Del E Webb Medical Center Frances Mahon Deaconess Hosp Center Banner Boswell Medical Center Memorial Hospital Of Carbon Banner Boswell Medical Center St Rose Dominican Hospital Sie Cnty West Valley Hospital Medical Spring Valley Hosp Med Ctr Memorial Hosp Of Converse Cnty Center Southern Hills Medical Center Cobre Valley Regional Medical Abrazo West Campus Centennial Hills Hosp Med Ctr Center Abrazo Scottsdale Campus Neeley, Ryan A, DO, (M) Tani, Jason C, MD, (M), B Honorhealth John C Lincoln Group Name: Banner Physician Group Name: Banner Physician Medical Ctr Specialists Arizona Specialists Arizona Jcl Nm Hospital Provider ID: 007063505002 Provider ID: 001409477003 Honorhealth Scottsdale Shea NPI: 1053738229 NPI: 1104813013 Medical Ctr 126 E Main St Ste D 126 E Main St Ste D Payson, AZ 85541 Payson, AZ 85541

(928) 596-4800 EB, P, R (928) 596-4800 EB, P, R Languages Spoken: Ages: 0-99 Provider: Spanish Hospital Affiliations: Ages: 0-99 Banner Payson Medical Center Hospital Affiliations: Banner Baywood Medical Center Casa Grande Regional Med Ctr Arizona Spine & Joint Hospital Banner Casa Grande Medical Banner Gateway Medical Center Center Banner Baywood Medical Center Banner Desert Medical Center Banner Gateway Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Van De Wyngaerde, David G, Goodman, Herbert D, MD, (M) MD, (M), B Group Name: Desert Pain & Pediatric Orthopaedic Surgery / Group Name: Banner Health Rehab Specialists Cirugía Oftalmológica Pediátrica Center At Payson Provider ID: 000713472002 Udall, John H, M D, (M) Provider ID: 001073817005 NPI: 1346258472 Group Name: Banner Health NPI: 1528065919 621 S Fifth St Center At Payson 117 E Main St Ste A100 Globe, AZ 85501 Provider ID: 002950766004 Payson, AZ 85541 (928) 425-8273 E, EB, IB, P, R NPI: 1649477357 (928) 474-1714 EB, P, R Languages Spoken: 117 E Main St Ste A100 Languages Spoken: Provider: French Payson, AZ 85541

Provider: Spanish Staff: Spanish (928) 474-1714 EB, P, R Ages: 0-99 Interpreter: Medical Interp Ages: 0-99 Hospital Affiliations: Vendor Hospital Affiliations: Blue Ridge Regional Hospital Ages: 0-99 Banner Baywood Medical Center Northern Hospital/surry County Hospital Affiliations: Banner Baywood Heart Hospital Havasu Regional Medical Center Maryvale Hospital Medical Center Banner Desert Medical Center Banner Baywood Medical Center Abrazo Maryvale Campus St Josephs Hsp And Med Ctr Banner Univ Medical Cntr Banner Gateway Medical Center Phoenix Campus Morse, Suzanne, NP, (F) Banner Desert Medical Center Group Name: Northern Arizona St Josephs Hsp And Med Ctr Pain Svcs Core Institute Specialty Hospital Provider ID: 002748654002 NPI: 1386750511 708 S Coeur D Alene Ln Ste C Pain Management / Tratamiento Payson, AZ 85541 Del Dolor (928) 474-9719 EB, P, R, RE, T Gollapalli, Lakshm an, MD, (M), Mo-Fr - 8:00 AM - 4:00 PM B Ages: 0-99 Group Name: Arizona Anesthesia Solutions Provider ID: 005598823015 NPI: 1578850756 103 Medicine Way Rd Peridot, AZ 85542

(480) 420-4027 EB, IB, P, R Ages: 0-99 Hospital Affiliations: Santa Cruz Valley Regional Hospital

Specialists / Especialistas Arizona - Gila

Pediatric Urology / Urología Physical Medicine And Physician Assistant / Asistente Pediátrica Rehabilitation / Physiatry / Médico Gleason, Philip E , MD, (M), B Medicina Física Y De Crandell, Gary D, PA, (M) Group Name: Banner Physician Rehabilitación/Fisiatría Group Name: American Vision Super Spec Arizona Porter, John C, MD , (M), B Partners Provider ID: 001200531004 Group Name: Desert Pain & Provider ID: 002617836010 NPI: 1871585810 Rehab Specialists NPI: 1528087251 803 S Ponderosa St Ste C Provider ID: 000770877001 411 S Beeline Hwy Ste A Payson, AZ 85541 NPI: 1700940541 Payson, AZ 85541

(928) 596-4550 EB, P, R 621 S Fifth St (602) 955-1000 E, EB, G, IB, P, Web address: www.bannerhealth.co Globe, AZ 85501 R, RE, S, T

m (928) 425-8273 E, EB, IB, P, R Web address: https://www.goodeyes Ages: 0-99 Languages Spoken: .com/ Hospital Affiliations: Provider: Spanish Ages: 0-99 Spectrum Health Hospitals Ages: 0-99 Hospital Affiliations: Flagstaff Medical Center Hospital Affiliations: Mt Graham Regional Medical Banner Thunderbird Medical Jcl Dv Hospital Cente Center Honorhealth John C Lincoln Banner Payson Medical Center Banner Univ Medical Cntr Medical Ctr Phoenix Campus Jcl Nm Hospital Dennis, Lebron, PA, (M) Banner Desert Medical Center Valleywise Health Group Name: Hospitalists Of Honorhealth Scottsdale Shea Banner Thunderbird Medical Arizona Medical Ctr Center Provider ID: 007594661001 Scottsdale Healthcare Shea Banner Univ Medical Cntr NPI: 1174142046 Medical Ctr Phoenix Campus 1100 E Monroe St Scttsdle Hlth Shea Globe, AZ 85501

(480) 239-8779 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas Freeburg, Dominic D, PA, (M) Mills, Lora L, PA, (F) Wolfe-Ruiz, Cheryl A, PA, (F) Group Name: Banner Physician Group Name: American Vision Group Name: American Vision Specialists Arizona Partners Partners Provider ID: 006590224002 Provider ID: 003141760005 Provider ID: 003554539004 NPI: 1407211808 NPI: 1649422999 NPI: 1386709517 122 E Main St 411 S Beeline Hwy Ste A 411 S Beeline Hwy Ste A Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(928) 596-4600 EB, P, R (928) 474-3556 E, EB, G, IB, P, (928) 474-3556 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T R, RE, S, T Hospital Affiliations: Web address: www.goodeyes.com Languages Spoken: Banner Baywood Medical Center Ages: 0-99 Provider: Spanish Banner Baywood Heart Hospital Web address: www.americanvisionp Banner Gateway Medical Center Rankel, Brian J, PA, (M) artners.com Group Name: American Vision Ages: 0-99 Henderson, Jacquelynn D, PA, (F) Partners Group Name: American Vision Provider ID: 003375525003 Wolfe-Ruiz, Cheryl A, PA, (F) Partners NPI: 1407181928 Group Name: American Vision Provider ID: 005666040006 411 S Beeline Hwy Ste A Partners NPI: 1003875253 Payson, AZ 85541 Provider ID: 003554539017

411 S Beeline Hwy Ste A (928) 474-3556 E, EB, G, IB, P, NPI: 1386709517 Payson, AZ 85541 R, RE, S, T 520 S Hill St

(928) 474-3556 E, EB, G, IB, P, Languages Spoken: Globe, AZ 85501

R, RE, S, T Provider: Spanish (928) 425-8989 E, EB, G, IB, P, Languages Spoken: Web address: www.goodeyes.com R, RE, S, T Provider: Spanish Ages: 0-99 Languages Spoken: Web address: https://www.sweye.co Provider: Spanish m Seidel, Donald R, PA, (M) Web address: www.americanvisionp Ages: 0-99 Group Name: Desert Pain & artners.com Rehab Specialists Ages: 0-99 Hood, Roderick W, PA, (M) Provider ID: 000094786002 Group Name: Advanced NPI: 1821051590 Dermatology Of Arizona 621 S Fifth St Provider ID: 002707469008 Globe, AZ 85501

NPI: 1427044221 (928) 425-8273 E, EB, IB, P, R 903 E State Highway 260 Ste 4 Ages: 0-99 Payson, AZ 85541

(602) 264-9044 EB, P, R Languages Spoken: Provider: Spanish Ages: 0-99

Specialists / Especialistas Arizona - Gila

Law, Patrick W, DPM, (M) Mclaws, Ivan D, DPM, (M), B Podiatry / Podiatría Group Name: Cobre Valley Group Name: Mclaws Ivan D Evans, Robert T, DPM, (M), B Regional Medical Center Provider ID: 000819060001 Group Name: Robert T Evans Provider ID: 007467196001 NPI: 1356428536 Dpm NPI: 1790207363 200 E Lone Pine Dr Provider ID: 002457108002 5880 S Hospital Dr Payson, AZ 85541 NPI: 1578532248 Globe, AZ 85501 (928) 474-9242 EB, P, R 200 E Lone Pine Dr (928) 425-3261 E, EB, G, P, PL, Languages Spoken: Payson, AZ 85541 R, RE, S, T Provider: Spanish

(928) 474-9242 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cobre Valley Regional Medical Banner Payson Medical Center Jcl Dv Hospital Center Honorhealth John C Lincoln Udall, Craig K, DPM, (M) Medical Ctr Law, Patrick W, DPM, (M) Group Name: Integrated Medical Jcl Nm Hospital Group Name: Cobre Valley Services Regional Medical Center Provider ID: 006090550002 Law, Patrick W, DPM, (M) Provider ID: 007467196001 NPI: 1396180477 Group Name: Cobre Valley NPI: 1790207363 111 W Cedar Ln Ste A Regional Medical Center 5990 S Hospital Dr Payson, AZ 85541 Provider ID: 007467196001 Globe, AZ 85501 (623) 882-1292 EB, IB, P, R, RE, NPI: 1790207363 (928) 425-8151 EB, P, R T 124 N Tewksbury Blvd Ages: 0-99 Ages: 0-99 Young, AZ 85554 Hospital Affiliations: Hospital Affiliations:

(928) 462-3435 EB, P, R, RE, T Cobre Valley Regional Medical St Joseph Hosp Atlanta Ages: 0-99 Center Windy Hill Hospital Hospital Affiliations: St Josephs Hsp And Med Ctr Cobre Valley Regional Medical Law, Patrick W, DPM, (M) Chandler Regional Medical Center Center Group Name: Cobre Valley Areas of Expertise: THS Regional Medical Center Law, Patrick W, DPM, (M) Provider ID: 007467196001 Group Name: Cobre Valley NPI: 1790207363 Regional Medical Center 5994 S Hospital Dr Provider ID: 007467196001 Globe, AZ 85501 NPI: 1790207363 (928) 425-7108 EB, P, R, RE, T 186 E Stephens Way Ages: 0-99 Tonto Basin, AZ 85553 Hospital Affiliations:

(928) 479-2871 EB, P, R Cobre Valley Regional Medical Ages: 0-99 Center Hospital Affiliations: Cobre Valley Regional Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Gila Specialists / Especialistas

Pulmonary Medicine / Medicina Radiation Oncology / Oncología Urology / Urología Pulmonar De Radiación Bohnert, William W, MD, (M), B Salim, Muhamma d M, MD, (M), Nguyen, Tam T, M D, (M), B Group Name: San Carlos Apache B Group Name: Cobre Valley Healthcare Corporation Group Name: Muhammad M Surgical Services Provider ID: 000769619002 Salim Md Provider ID: 001820887003 NPI: 1649246299 Provider ID: 000076997001 NPI: 1437128113 103 Medicine Way Rd NPI: 1760467419 5880 S Hospital Dr Peridot, AZ 85542

5880 S Hospital Dr Globe, AZ 85501 (928) 475-1200 EB, IB, P, R

Globe, AZ 85501 (928) 425-3246 E, EB, G, P, PL, Ages: 0-99

(480) 821-0129 E, EB, G, P, PL, R, RE, S, T Hospital Affiliations: R, RE, S, T Ages: 0-99 St Lukes Medical Center Ages: 0-99 Hospital Affiliations: Banner Univ Medical Cntr Hospital Affiliations: Valley Hospital Medical Center Phoenix Campus Detar Hospital Navarro Summit Regional Medical Center Honorhealth Scottsdale Shea Tempe St Lukes Hosp A Campus St Rose Dominican Hosp Delima Medical Ctr Of St Lukes Campus Scottsdale Healthcare Shea Banner Baywood Heart Hospital Desert Springs Hospital Medical Ctr Banner Desert Medical Center Summerlin Hospital Medical Ctr Scttsdle Hlth Shea Chandler Regional Medical Center St Josephs Hsp And Med Ctr Phx Childrens Hospital Areas of Expertise: MAT1 St Josephs Hsp And Med Ctr

Bohnert, William W, MD, (M), B Group Name: San Carlos Apache Healthcare Corporation Provider ID: 000769619002 NPI: 1649246299 115 Medicine Way Rd Peridot, AZ 85542

(928) 475-1200 EB, P, R Ages: 0-99 Hospital Affiliations: St Lukes Medical Center Banner Univ Medical Cntr Phoenix Campus Honorhealth Scottsdale Shea Medical Ctr Scottsdale Healthcare Shea Medical Ctr Scttsdle Hlth Shea Phx Childrens Hospital St Josephs Hsp And Med Ctr = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

Specialists / Especialistas Arizona - Pinal

Riesenman, Paul J, MD, (M), B Group Name: Banner Physician Cardiology / Cardiología Vascular Surgery / Cirugía Specialists Arizona Faitelson, Hymie Lionel, MD, Vascular Provider ID: 003500083002 (M), B Balraj, Praveen C, MD, (M), B NPI: 1831318195 Group Name: Pima Heart Group Name: Banner Physician 122 E Main St Physicians Specialists Arizona Payson, AZ 85541 Provider ID: 001312162009 Provider ID: 005559511002 (928) 596-4600 EB, P, R NPI: 1912962804 NPI: 1447562640 Ages: 0-99 1040 W American Ave 122 E Main St Hospital Affiliations: Oracle, AZ 85623

Payson, AZ 85541 Casa Grande Regional Med Ctr (520) 838-3540 E, EB, G, IB, P,

(928) 596-4600 EB, P, R Banner Casa Grande Medical PL, R, RE, S, T Languages Spoken: Center Languages Spoken: Provider: Tamil, Telugu University Hospital Provider: Hindi, Telugu Ages: 0-99 Banner Baywood Medical Center Ages: 0-99 Hospital Affiliations: Banner Baywood Heart Hospital Hospital Affiliations: Banner Baywood Medical Center Banner Gateway Medical Center Banner University Med Ctr South Banner Baywood Heart Hospital Campus Banner Desert Medical Center St Joseph's Hospital

Pinal

Banner Gateway Medical Center Tucson Medical Center

Advanced Registered Nurse University Medical Center Li, Xiaoyi, MD, (M) Practitioner / Enfermera Banner University Med Ctr Group Name: Banner Physician Registrada Avanzada Tucson Campus

Specialists Arizona Provider ID: 007463611001 Lutostanski, Karen, NP, (F) Gavlick, Kirk M, DO, (M), B NPI: 1063754687 Group Name: Horizon Health Group Name: Pima Heart 122 E Main St And Wellness Physicians Payson, AZ 85541 Provider ID: 005672765016 Provider ID: 002388677011 NPI: 1447631940 (928) 596-4600 EB, P, R NPI: 1669434619 Languages Spoken: 980 E Mt Lemmon Road 1040 W American Ave Provider: Mandarin Oracle, AZ 85623 Oracle, AZ 85623 (520) 896-6019 EB, P, R Ages: 0-99 (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations: Web address: www.hhwaz.org PL, R, RE, S, T Casa Grande Regional Med Ctr Ages: 0-99 Ages: 0-99 Banner Casa Grande Medical Areas of Expertise: THS Hospital Affiliations: Center Tucson Medical Center Banner Baywood Medical Center Carondelet St Marys Hospital Banner Baywood Heart Hospital Northwest Medical Center

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

Arizona - Pinal Specialists / Especialistas Lancero, Lou L, MD, (M), B Myer, James H, MD, (M) Skeif, Basel, MD, (M), B Group Name: Pima Heart Group Name: Pima Heart Group Name: Pima Heart Physicians Physicians Physicians Provider ID: 000969738005 Provider ID: 001873890005 Provider ID: 002930230007 NPI: 1740268440 NPI: 1679551295 NPI: 1003090390 1040 W American Ave 1040 W American Ave 1040 W American Ave Oracle, AZ 85623 Oracle, AZ 85623 Oracle, AZ 85623

(520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Web address: http://www.pimaheart Languages Spoken: Hospital Affiliations: .com Provider: Arabic Carondelet Holy Cross Hospital Ages: 0-99 Ages: 0-99 St Joseph's Hospital Hospital Affiliations: Hospital Affiliations: Tucson Medical Center St Joseph's Hospital St Joseph's Hospital Mt Graham Regional Medical Tucson Medical Center Tucson Medical Center Cente Carondelet St Marys Hospital Bayshore Community Hospital Carondelet St Marys Hospital Bayshore Medical Center Peress, Darren F, MD, (M) Riverview Medical Center Morales, Monty C, MD, (M), B Group Name: Pima Heart Jersey Shore Univ Med Ctr Group Name: Pima Heart Physicians Physicians Provider ID: 002010090010 Spooner, Peter H, MD, (M), B Provider ID: 001068534006 NPI: 1548248057 Group Name: Pima Heart NPI: 1043298656 1040 W American Ave Physicians 1040 W American Ave Oracle, AZ 85623 Provider ID: 002143978004

Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, NPI: 1194727438

(520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T 1040 W American Ave PL, R, RE, S, T Web address: http://www.pimaheart Oracle, AZ 85623

Ages: 0-99 .com (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 PL, R, RE, S, T Tucson Medical Center Hospital Affiliations: Web address: http://www.pimaheart Carondelet St Marys Hospital St Joseph's Hospital .com Northwest Medical Center Tucson Medical Center Ages: 0-99 Oro Valley Hospital Carondelet St Marys Hospital Hospital Affiliations: University Medical Center Tucson Medical Center Banner University Med Ctr University Medical Center Tucson Campus Banner University Med Ctr Mosaic Medical Center Albany Tucson Campus Northwest Medical Center El Dorado Hospital Oro Valley Hospital Kindred Hospital Tucson

100

Specialists / Especialistas Arizona - Pinal

Boiangiu, Constantin C, MD, (M), Evans, James L, MD, (M), B Cardiovascular Disease / B Group Name: Pima Heart Enfermedad Cardiovascular Group Name: Pima Heart Physicians Balderman, Joshua, MD, (M), B Physicians Provider ID: 000988194011 Group Name: Pima Heart Provider ID: 003351264008 NPI: 1497712996 Physicians NPI: 1265645436 1040 W American Ave Provider ID: 006945646002 1040 W American Ave Oracle, AZ 85623 NPI: 1306285325 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, 1040 W American Ave (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Oracle, AZ 85623 PL, R, RE, S, T Languages Spoken:

(520) 838-3540 E, EB, G, IB, P, Languages Spoken: Provider: Spanish PL, R, RE, S, T Provider: Romanian Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Tucson Medical Center Northwest Medical Center Hospital Affiliations: El Dorado Hospital St Joseph's Hospital Berman, Scott S, MD, (M), B Tucson Medical Center Katariya, Kushagra, MD, (M), B Group Name: Pima Heart Oro Valley Hospital Group Name: Pima Heart Physicians Physicians Provider ID: 001159874012 Dahdal, Samir Y, MD, (M), B Provider ID: 002000440001 NPI: 1811004435 Group Name: Pima Heart NPI: 1275598062 1040 W American Ave Physicians 1040 W American Ave Oracle, AZ 85623 Provider ID: 002437517036 Oracle, AZ 85623

(520) 838-3540 E, EB, G, IB, P, NPI: 1578660015 (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T 1040 W American Ave PL, R, RE, S, T Languages Spoken: Oracle, AZ 85623 Ages: 0-99 Provider: Spanish (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 PL, R, RE, S, T St Joseph's Hospital Hospital Affiliations: Ages: 21-99 Pht Jackson Memorial Hospital St Joseph's Hospital Hospital Affiliations: Sierra Vista Regional Health Ctr Tucson Medical Center Canyon Vista Medical Center Albany Medical Center Hospital Carondelet St Marys Hospital University Medical Center University Medical Center Banner University Med Ctr Banner University Med Ctr Tucson Campus Tucson Campus Northwest Medical Center Oro Valley Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

101

Arizona - Pinal Specialists / Especialistas Lancero, Lou L, MD, (M), B Peress, Darren F, MD, (M), B Thomas, William J, MD, (M), B Group Name: Pima Heart Group Name: Pima Heart Group Name: Pima Heart Physicians Physicians Physicians Provider ID: 000969738005 Provider ID: 002010090010 Provider ID: 001422438008 NPI: 1740268440 NPI: 1548248057 NPI: 1891773024 1040 W American Ave 1040 W American Ave 1040 W American Ave Oracle, AZ 85623 Oracle, AZ 85623 Oracle, AZ 85623

(520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Web address: http://www.pimaheart Web address: http://www.pimaheart Hospital Affiliations: .com .com Carondelet Holy Cross Hospital Ages: 0-99 Ages: 0-99 St Joseph's Hospital Hospital Affiliations: Hospital Affiliations: Tucson Medical Center St Joseph's Hospital Carondelet St Marys Hospital Mt Graham Regional Medical Tucson Medical Center Northwest Medical Center Cente Carondelet St Marys Hospital Oro Valley Hospital Carondelet St Marys Hospital University Medical Center Banner University Med Ctr Tirrito, Salvatore J, MD, (M), B Myer, James H, MD, (M), B Tucson Campus Group Name: Pima Heart Group Name: Pima Heart Mosaic Medical Center Albany Physicians Physicians Northwest Medical Center Provider ID: 002333388005 Provider ID: 001873890005 Oro Valley Hospital NPI: 1487632659 NPI: 1679551295 1040 W American Ave 1040 W American Ave Spooner, Peter H, MD, (M), B Oracle, AZ 85623

Oracle, AZ 85623 Group Name: Pima Heart (520) 838-3540 E, EB, G, IB, P,

(520) 838-3540 E, EB, G, IB, P, Physicians PL, R, RE, S, T PL, R, RE, S, T Provider ID: 002143978004 Web address: www.pimaheart.com Web address: http://www.pimaheart NPI: 1194727438 Ages: 0-99 .com 1040 W American Ave Hospital Affiliations: Ages: 0-99 Oracle, AZ 85623 St Joseph's Hospital

Hospital Affiliations: (520) 838-3540 E, EB, G, IB, P, Tucson Medical Center St Joseph's Hospital PL, R, RE, S, T Carondelet St Marys Hospital Tucson Medical Center Web address: http://www.pimaheart Northwest Medical Center Carondelet St Marys Hospital .com Ages: 0-99 Hospital Affiliations: Tucson Medical Center University Medical Center Banner University Med Ctr Tucson Campus El Dorado Hospital Kindred Hospital Tucson

102

Specialists / Especialistas Arizona - Pinal

Evans, James L, MD, (M), B Family Nurse Practitioner / Group Name: Pima Heart Interventional Cardiology / Enfermera De Familia Physicians Cardiología Intervencionista Arnold, Michael L , FNP, (F) Provider ID: 000988194011 Gavlick, Kirk M, DO, (M), B Group Name: Pima Heart NPI: 1497712996 Group Name: Pima Heart Physicians 1040 W American Ave Physicians Provider ID: 004068071038 Oracle, AZ 85623 Provider ID: 002388677011 NPI: 1699105114 (520) 838-3540 E, EB, G, IB, P, NPI: 1669434619 1040 W American Ave PL, R, RE, S, T 1040 W American Ave Oracle, AZ 85623 Languages Spoken: Oracle, AZ 85623

(520) 838-3540 E, EB, G, IB, P, Provider: Spanish (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Tucson Medical Center Hospital Affiliations: Tucson Medical Center El Dorado Hospital Tucson Medical Center Carondelet St Marys Hospital Makki, Nader M, MD, (M), B Northwest Medical Center Internal Medicine / Medicina Group Name: Pima Heart Interna Physicians Makki, Nader M, MD, (M), B Dahdal, Samir Y, MD, (M), B Provider ID: 006817639002 Group Name: Pima Heart Group Name: Pima Heart NPI: 1306127808 Physicians Physicians 1040 W American Ave Provider ID: 006817639002 Provider ID: 002437517036 Oracle, AZ 85623 NPI: 1306127808 NPI: 1578660015 (520) 838-3540 E, EB, G, IB, P, 1040 W American Ave 1040 W American Ave PL, R, RE, S, T Oracle, AZ 85623 Oracle, AZ 85623 Languages Spoken: (520) 838-3540 E, EB, G, IB, P,

(520) 838-3540 E, EB, G, IB, P, Provider: Arabic, Farsi PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Languages Spoken: Ages: 21-99 Hospital Affiliations: Provider: Arabic, Farsi Hospital Affiliations: Banner University Med Ctr South Ages: 0-99 Tucson Medical Center Campus Hospital Affiliations: Albany Medical Center Hospital University Medical Center Banner University Med Ctr South University Medical Center Banner University Med Ctr Campus Banner University Med Ctr Tucson Campus University Medical Center Tucson Campus Banner University Med Ctr Tucson Campus

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

103

Arizona - Pinal Specialists / Especialistas

Morales, Monty C, MD, (M), B Lutostanski, Karen, NP, (F) Group Name: Pima Heart Nurse Practitioner / Enfermera Group Name: Horizon Health Physicians Especialista And Wellness Provider ID: 001068534006 Arnold, Michael L , FNP, (F) Provider ID: 005672765016 NPI: 1043298656 Group Name: Pima Heart NPI: 1447631940 1040 W American Ave Physicians 980 E Mt Lemmon Road Oracle, AZ 85623 Provider ID: 004068071038 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, NPI: 1699105114 (520) 896-6019 EB, P, R PL, R, RE, S, T 1040 W American Ave Web address: www.hhwaz.org Ages: 0-99 Oracle, AZ 85623 Ages: 0-99

Hospital Affiliations: (520) 838-3540 E, EB, G, IB, P, Areas of Expertise: THS Tucson Medical Center PL, R, RE, S, T Carondelet St Marys Hospital Ages: 0-99 Marquis, Kellie, NP, (F) Northwest Medical Center Hospital Affiliations: Group Name: Pima Heart Oro Valley Hospital Tucson Medical Center Physicians Provider ID: 006844855034 Myer, James H, MD, (M) Chan, Sean M, NP, (M) NPI: 1730672262 Group Name: Pima Heart Group Name: Pima Heart 1040 W American Ave Physicians Physicians Oracle, AZ 85623 Provider ID: 001873890005 Provider ID: 007463932001 (520) 838-3540 E, EB, G, IB, P, NPI: 1679551295 NPI: 1972123743 PL, R, RE, S, T 1040 W American Ave 1040 W American Ave Ages: 0-99 Oracle, AZ 85623 Oracle, AZ 85623 Hospital Affiliations:

(520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, Northwest Medical Center PL, R, RE, S, T PL, R, RE, S, T Oro Valley Hospital Web address: http://www.pimaheart Ages: 0-99 .com Ruehl, Mary L, NP, (F) Ages: 0-99 Harris, Jonathan G, NP, (M) Group Name: Pima Heart Hospital Affiliations: Group Name: Pima Heart Physicians St Joseph's Hospital Physicians Provider ID: 002608914032 Tucson Medical Center Provider ID: 006477265033 NPI: 1275511503 Carondelet St Marys Hospital NPI: 1407381189 1040 W American Ave 1040 W American Ave Oracle, AZ 85623 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P,

(520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Tucson Medical Center Santa Cruz Valley Regional Hospital Areas of Expertise: DD, THS

104

Specialists / Especialistas California - San Bernardino

Pacanowski, John P, MD, (M), B Thoracic Cardiovascular Surg / Vascular Surgery / Cirugía Group Name: Pima Heart Cirugía - Torácica Y Vascular Physicians Cardiovascular Balderman, Joshua, MD, (M) Provider ID: 002312447001 Katariya, Kushagr a, MD, (M), B Group Name: Pima Heart NPI: 1083606669 Group Name: Pima Heart Physicians 1040 W American Ave Physicians Provider ID: 006945646002 Oracle, AZ 85623 Provider ID: 002000440001 NPI: 1306285325 (520) 838-3540 E, EB, G, IB, P, NPI: 1275598062 1040 W American Ave PL, R, RE, S, T 1040 W American Ave Oracle, AZ 85623 Ages: 0-99

Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations:

(520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T St Joseph's Hospital PL, R, RE, S, T Ages: 0-99 Tucson Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Northwest Medical Center St Joseph's Hospital California Pht Jackson Memorial Hospital Berman, Scott S, MD, (M), B

San Bernardino

Group Name: Pima Heart

Physicians Vascular Surgery / Cirugía Thoracic Surgery / Cirugía Provider ID: 001159874012 Torácica Vascular NPI: 1811004435 Katariya, Kushagr a, MD, (M) 1040 W American Ave Cooper, Wantzy, DO, (F) Group Name: Pima Heart Oracle, AZ 85623 Group Name: Tri-State Vascular Group Physicians (520) 838-3540 E, EB, G, IB, P, Provider ID: 002000440001 PL, R, RE, S, T Provider ID: 002738649005 NPI: 1275598062 Languages Spoken: NPI: 1942383393 1040 W American Ave Provider: Spanish 1401 Bailey Ave Bldg A Oracle, AZ 85623 Ages: 0-99 Needles, CA 92363 (760) 590-0155 (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations: PL, R, RE, S, T St Joseph's Hospital Languages Spoken: Ages: 0-99 Sierra Vista Regional Health Ctr Provider: Chinese Hospital Affiliations: Canyon Vista Medical Center Cultural Competency: Y St Joseph's Hospital Carondelet St Marys Hospital Ages: 18-99 Pht Jackson Memorial Hospital University Medical Center Hospital Affiliations: Banner University Med Ctr Regional Medical Center Of San Tucson Campus Jose Northwest Medical Center Western Arizona Regional Oro Valley Hospital Medical Saint Louise Regional Hospital O'connor Hospital Inspira Medical Ctr Elmer Inspira Medical Ctr Vineland

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

105

Nevada - Clark Specialists / Especialistas

Jones, Jamison C, MD, (M), B Nevada Cardiovascular Disease / Group Name: Revere Health Enfermedad Cardiovascular Provider ID: 003042088001

Clark

George, Zachary H, MD, (M), B NPI: 1205031549

Cardiology / Cardiología Group Name: Revere Health 330 Falcon Ridge Pkwy Ste 400a

Provider ID: 002544200005 Mesquite, NV 89027 Jones, Jamison C, MD, (M) NPI: 1548215825 (435) 251-2900 EB, P, R Group Name: Revere Health 1301 Bertha Howe Ave Ste 6 Ages: 0-99 Provider ID: 003042088001 Mesquite, NV 89027 Hospital Affiliations: NPI: 1205031549 (435) 251-2900 EB, P, R Cedar City Hospital 1301 Bertha Howe Ave Ste 6 Ages: 0-99 St George Regional Hospital Mesquite, NV 89027 Hospital Affiliations: (801) 251-2900 EB, P, R Ghs Greer Memorial Hospital Ages: 0-99 Prisma Health Greer Memorial Hematology/Oncology / Hospital Affiliations: Hospital Hematología/Oncología Cedar City Hospital St Francis Downtown Te, Joseph D, MD , (M), B St George Regional Hospital Ghs Greenville Memorial Medical Group Name: Revere Health Ctr Provider ID: 001909701002 Jones, Jamison C, MD, (M) Prisma Health Greenville NPI: 1700946423 Group Name: Revere Health Memorial Hosp 330 Falcon Ridge Pkwy Ste 400a Provider ID: 003042088001 Ghs Greenville Memorial Hosptial Mesquite, NV 89027 NPI: 1205031549 Ghs Marshall I Pickens (435) 628-9298 EB, P, R 330 Falcon Ridge Pkwy Ste 400a Mesa View Regional Hospital Ages: 0-99 Mesquite, NV 89027 Hospital Affiliations: (435) 251-2900 EB, P, R Jones, Jamison C, MD, (M), B St George Regional Hospital Ages: 0-99 Group Name: Revere Health Hospital Affiliations: Provider ID: 003042088001 Cedar City Hospital NPI: 1205031549 St George Regional Hospital 1301 Bertha Howe Ave Ste 6 Mesquite, NV 89027

(801) 251-2900 EB, P, R Ages: 0-99 Hospital Affiliations: Cedar City Hospital St George Regional Hospital

106

Specialists / Especialistas Nevada - Clark

Krause, Lonny D, NP, (M) Lord, Ron K, MD, (M), B Internal Medicine / Medicina Group Name: Revere Health Group Name: Retina Assoc Of Interna Provider ID: 007066489001 Southern Utah Arshad, Anees, MD , (M), B NPI: 1528523206 Provider ID: 002363759001 Group Name: Arizona Pulmonary 330 Falcon Ridge Pkwy Ste 400a NPI: 1790991107 Associates Mesquite, NV 89027 340 Falcon Ridge Pkwy Ste 601 Provider ID: 002160853008 (435) 628-9298 EB, P, R Mesquite, NV 89027 NPI: 1487760807 Ages: 18-99 (866) 874-6496 EB, P, R, RE, T 1299 Bertha Howe Ave Ages: 0-99 Mesquite, NV 89027 Hospital Affiliations: Ophthalmology / Oftalmología (702) 346-8040 E, EB, G, IB, P, Truman Lakewood PL, R, RE, S, T Carlson, Joshua N, MD, (M), B Cedar City Hospital Ages: 0-99 Group Name: Retina Assoc Of Banner Page Hospital Hospital Affiliations: Southern Utah St George Regional Hospital Western Arizona Regional Provider ID: 003643894003 Sevier Valley Hospital Medical NPI: 1093943086 Mesa View Regional Hospital Valle Vista Health System 340 Falcon Ridge Pkwy Ste 601 Valley View Medical Center Mesquite, NV 89027 Ophthalmology Retina Surgery / (435) 216-7032 EB, P, R, RE, T Languages Spoken: Cirugía De Retina De Nurse Practitioner / Enfermera Provider: Spanish Oftalmología Especialista Ages: 0-99 Lord, Ron K, MD , (M) Chapman, Joshua T, NP, (M) Hospital Affiliations: Group Name: Retina Assoc Of Group Name: Revere Health St George Regional Hospital Southern Utah Provider ID: 007653975001 Vanderbilt University Med Ctr Provider ID: 002363759001 NPI: 1790378917 Vanderbilt University Medical NPI: 1790991107 1301 Bertha Howe Ave Ste 6 Center 340 Falcon Ridge Pkwy Ste 601 Mesquite, NV 89027 Mesa View Regional Hospital Mesquite, NV 89027

(435) 251-2900 EB, P, R (866) 874-6496 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Krause, Lonny D, NP, (M) Truman Lakewood Group Name: Revere Health Cedar City Hospital Provider ID: 007066489001 Banner Page Hospital NPI: 1528523206 St George Regional Hospital 1301 Bertha Howe Ave Ste 6 Sevier Valley Hospital Mesquite, NV 89027 Mesa View Regional Hospital

(801) 251-2900 EB, P, R Ages: 18-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

107

Nevada - Clark Specialists / Especialistas

Parry, Todd R, MD, (M), B Mcpherson, Bruce A, PA, (M) Orthopaedic Surgery / Cirugía Group Name: Revere Health Group Name: Revere Health Ortopédica Provider ID: 002096544002 Provider ID: 002321601001 O'brien, Aaron M, MD, (M), B NPI: 1114905932 NPI: 1265419451 Group Name: Revere Health 330 Falcon Ridge Pkwy Ste 400a 330 Falcon Ridge Pkwy Ste 400a Provider ID: 005184266003 Mesquite, NV 89027 Mesquite, NV 89027 NPI: 1114155074 (435) 628-9393 EB, P, R (435) 628-9393 EB, P, R 330 Falcon Ridge Pkwy Ste 400a Ages: 0-99 Ages: 0-99 Mesquite, NV 89027 Hospital Affiliations:

(435) 628-9393 EB, P, R St George Regional Hospital Ages: 0-99 Delta Community Hospital Pulmonary Medicine / Medicina Hospital Affiliations: Christus Good Shepherd Medical Pulmonar Cleveland Clinic Foundation Center Arshad, Anees, MD , (M), B St George Regional Hospital Mesa View Regional Hospital Group Name: Arizona Pulmonary Associates Parry, Scott A, MD, (M), B Provider ID: 002160853008 Group Name: Revere Health Physician Assistant / Asistente NPI: 1487760807 Provider ID: 001374575003 Médico 1299 Bertha Howe Ave NPI: 1285611475 Aston, Nathan W , PA, (M) Mesquite, NV 89027

330 Falcon Ridge Pkwy Ste 400a Group Name: Revere Health (702) 346-8040 E, EB, G, IB, P, Mesquite, NV 89027 Provider ID: 003361194002 PL, R, RE, S, T

(435) 628-9393 EB, P, R NPI: 1568754364 Ages: 0-99 Languages Spoken: 330 Falcon Ridge Pkwy Ste 400a Hospital Affiliations: Provider: French Mesquite, NV 89027 Western Arizona Regional

Web address: www.reverehealth.co (435) 628-9298 EB, P, R Medical m Ages: 0-99 Valle Vista Health System Ages: 0-99 Valley View Medical Center Hospital Affiliations: Cox, Brandon R, PA, (M) Kane County Hospital Group Name: Revere Health Saifee, Mustufa T, MD, (M), B St George Regional Hospital Provider ID: 005302318005 Group Name: Advanced Pulmon Delta Community Hospital NPI: 1508275868 Sleep Disord & Int Med Mesa View Regional Hospital 330 Falcon Ridge Pkwy Ste 400a Provider ID: 002207312001 Mesquite, NV 89027 NPI: 1568428357

(435) 628-9393 EB, P, R 1301 Bertha Howe Ave Ste 10 Ages: 0-99 Mesquite, NV 89027

Hospital Affiliations: (435) 688-7770 E, EB, IB, P, R, T St George Regional Hospital Ages: 0-99 Hospital Affiliations: St George Regional Hospital

108

Specialists / Especialistas Utah - Kane

Saifee, Mustufa T, MD, (M), B Shoultes, Raschelle D, NP, (F) Group Name: Advanced Pulmon Cardiovascular Disease / Group Name: Revere Health Sleep Disord & Int Med Enfermedad Cardiovascular Provider ID: 007298338001 Provider ID: 002207312001 Jones, Jamison C, MD, (M), B NPI: 1578115044 NPI: 1568428357 Group Name: Revere Health 355 N Main St 1301 Bertha Howe Ave Ste 11 Provider ID: 003042088001 Kanab, UT 84741 Mesquite, NV 89027 NPI: 1205031549 (435) 251-2900 E, EB, G, IB, P, (435) 313-7770 EB, P, R 355 N Main St PL, R, RE, S, T Ages: 0-99 Kanab, UT 84741 Ages: 0-99

Hospital Affiliations: (435) 251-2900 E, EB, G, IB, P, Hospital Affiliations: St George Regional Hospital PL, R, RE, S, T Cedar City Hospital Ages: 0-99 St George Regional Hospital Hospital Affiliations: Utah Cedar City Hospital Orthopaedic Surgery / Cirugía Kane St George Regional Hospital Ortopédica

Anderson, Michael B, MD, (M), B Cardiology / Cardiología Nurse Practitioner / Enfermera Group Name: Revere Health Jones, Jamison C, MD, (M) Especialista Provider ID: 000404961001 Group Name: Revere Health Chapman, Joshua T, NP, (M) NPI: 1093792210 Provider ID: 003042088001 Group Name: Revere Health 355 N Main St Ste 150 NPI: 1205031549 Provider ID: 007653975001 Kanab, UT 84741 355 N Main St NPI: 1790378917 (435) 628-9393 EB, P, R Kanab, UT 84741 355 N Main St Ages: 0-99 (435) 251-2900 E, EB, G, IB, P, Kanab, UT 84741 Hospital Affiliations: PL, R, RE, S, T (801) 354-8225 E, EB, G, IB, P, Kane County Hospital Ages: 0-99 PL, R, RE, S, T St George Regional Hospital Hospital Affiliations: Ages: 0-99 Delta Community Hospital Cedar City Hospital St George Regional Hospital Krause, Lonny D, NP, (M) Group Name: Revere Health Provider ID: 007066489001 NPI: 1528523206 355 N Main St Kanab, UT 84741

(435) 251-2900 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

109

Utah - Washington Specialists / Especialistas Parry, Scott A, MD, (M), B

Washington

Group Name: Revere Health Jones, Jamison C, MD, (M)

Provider ID: 001374575003 Cardiology / Cardiología Group Name: Revere Health

NPI: 1285611475 Provider ID: 003042088001 355 N Main St Boorman, David C, MD, (M), B NPI: 1205031549 Kanab, UT 84741 Group Name: Revere Health 2825 E Mall Dr Provider ID: 000374330004 (435) 628-9393 E, EB, G, IB, P, St George, UT 84790 NPI: 1659344471 PL, R, RE, S, T (435) 251-2900 EB, P, R, RE, T Languages Spoken: 1380 E Medical Center Dr # 4100 Ages: 0-99 Provider: French Saint George, UT 84790 Hospital Affiliations: Web address: www.reverehealth.co (435) 251-2900 EB, P, R Cedar City Hospital m Ages: 0-99 St George Regional Hospital Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Alta View Hospital Laffely, Nicholas H, MD, (M) Kane County Hospital Cedar City Hospital Group Name: Revere Health St George Regional Hospital St George Regional Hospital Provider ID: 003050254005 Delta Community Hospital Delta Community Hospital NPI: 1801981410 Mesa View Regional Hospital 2825 E Mall Dr Boorman, David C, MD, (M), B St George, UT 84790 Group Name: Revere Health Prince, Edward J, MD, (M), B (435) 251-2900 EB, P, R, RE, T Group Name: Revere Health Provider ID: 000374330004 Ages: 0-99 Provider ID: 002690367003 NPI: 1659344471 Hospital Affiliations: NPI: 1659306975 2825 E Mall Dr St George Regional Hospital 355 N Main St St George, UT 84790 Kanab, UT 84741 (435) 251-2900 EB, P, R, RE, T Ages: 0-99 Cardiovascular Disease / (435) 628-9393 E, EB, G, IB, P, PL, R, RE, S, T Hospital Affiliations: Enfermedad Cardiovascular Web address: www.centralutahclini Alta View Hospital Boorman, David C , MD, (M), B c.com Cedar City Hospital Group Name: Revere Health Ages: 0-99 St George Regional Hospital Provider ID: 000374330004 Hospital Affiliations: Delta Community Hospital NPI: 1659344471 Kane County Hospital 1380 E Medical Center Dr # 4100 Banner Page Hospital Jones, Jamison C, MD, (M) Saint George, UT 84790 Group Name: Revere Health St George Regional Hospital (435) 251-2900 EB, P, R Provider ID: 003042088001 Ages: 0-99 NPI: 1205031549 Hospital Affiliations: 1380 E Medical Center Dr # 4100 Alta View Hospital Saint George, UT 84790 Cedar City Hospital (435) 251-2900 EB, P, R St George Regional Hospital Ages: 0-99 Delta Community Hospital Hospital Affiliations: Cedar City Hospital St George Regional Hospital

110

Specialists / Especialistas Utah - Washington

Boorman, David C, MD, (M), B Jones, Jamison C, MD, (M), B Group Name: Revere Health Group Name: Revere Health Family Practice / Medicina Provider ID: 000374330004 Provider ID: 003042088001 Familiar NPI: 1659344471 NPI: 1205031549 Kirk, Stephen T, MD, (M), B 2825 E Mall Dr 1380 E Medical Center Dr # 4100 Group Name: Revere Health St George, UT 84790 Saint George, UT 84790 Provider ID: 003124316001 (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R NPI: 1578737979 Ages: 0-99 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: Hospital Affiliations: St George, UT 84790

Alta View Hospital Cedar City Hospital (435) 251-2900 Cedar City Hospital St George Regional Hospital Ages: 0-99 St George Regional Hospital Hospital Affiliations: Delta Community Hospital Jones, Jamison C, MD, (M), B Garfield Memorial Hospital Group Name: Revere Health Salt Lake Regional Med Ctr George, Zachary H, MD, (M), B Provider ID: 003042088001 Group Name: Revere Health NPI: 1205031549 Provider ID: 002544200005 2825 E Mall Dr General Surgery / Cirugía NPI: 1548215825 St George, UT 84790 Black, Cameron T, MD, (M) 2825 E Mall Dr (435) 251-2900 EB, P, R, RE, T Group Name: Utah Surgical St George, UT 84790 Ages: 0-99 Associates (435) 251-2900 EB, P, R, RE, T Hospital Affiliations: Provider ID: 005372430002 Ages: 0-99 Cedar City Hospital NPI: 1679916225 Hospital Affiliations: St George Regional Hospital 1490 E Foremaster Dr Ste 200 Ghs Greer Memorial Hospital Saint George, UT 84790

Prisma Health Greer Memorial (435) 628-1641 EB, P, R, RE, T Hospital Family Nurse Practitioner / St Francis Downtown Enfermera De Familia Ages: 0-99 Ghs Greenville Memorial Medical Mcmahon, Kristi na T, NP, (F) Hospital Affiliations: Ctr Group Name: Utah Surgical Cedar City Hospital Prisma Health Greenville Associates St George Regional Hospital Memorial Hosp Provider ID: 003329104002 Ghs Greenville Memorial Hosptial NPI: 1053600171 Ghs Marshall I Pickens 1490 E Foremaster Dr Ste 200 Mesa View Regional Hospital Saint George, UT 84790

(435) 628-1641 EB, P, R, RE, T Mo-Th - 9:00 AM - 5:00 PM Fr - 9:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

111

Utah - Washington Specialists / Especialistas Garber, Jason E, MD, (M) Myers, Brad A, MD, (M), B Group Name: Western Reg Ctr Lewis, Ryan L, DO, (M), B Group Name: Utah Surgical For Brn/Spine Surg Group Name: Utah Surgical Associates Provider ID: 002079516001 Associates Provider ID: 000964008002 NPI: 1164489480 Provider ID: 002679174002 NPI: 1700986635 1404 W Sunriver Pkwy NPI: 1942290622 1380 E Medical Center Dr Saint George, UT 84790 1490 E Foremaster Dr Ste 200 Saint George, UT 84790

(702) 835-0088 EB, P, R Saint George, UT 84790 (435) 628-1641 E, EB, G, IB, P,

Ages: 0-99 (435) 628-1641 EB, P, R, RE, T PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 Froedtert Memorial Lutheran Languages Spoken: Hospital Affiliations: Hosp Provider: Spanish St George Regional Hospital University Med Ctr Of Southern Mo-Th - 9:00 AM - 5:00 PM Nevada Fr - 9:00 AM - 4:00 PM Valley Hospital Medical Center Ages: 0-99 Hematology/Oncology / Desert Springs Hospital Hospital Affiliations: Hematología/Oncología Summerlin Hospital Medical Ctr St George Regional Hospital Te, Joseph D, MD , (M), B Centennial Hills Hosp Med Ctr Group Name: Revere Health Miller, John T, MD, (M), B Provider ID: 001909701002 Jennings, Cameron S, MD, (M), B Group Name: Utah Surgical NPI: 1700946423 Group Name: Utah Surgical Associates 2019 E Riverside Dr Ste A200 Associates Provider ID: 001466885003 Saint George, UT 84790 NPI: 1639279698 Provider ID: 006492057001 (435) 628-9298 EB, P, R, RE, T NPI: 1790044527 1490 E Foremaster Dr Ste 200 1380 E Medical Center Dr Saint George, UT 84790 Ages: 0-99 Saint George, UT 84790 (435) 628-1641 EB, P, R, RE, T Hospital Affiliations: St George Regional Hospital (435) 628-1641 EB, P, R Mo-Th - 9:00 AM - 5:00 PM Ages: 0-99

Fr - 9:00 AM - 4:00 PM Hospital Affiliations: Ages: 0-99 Internal Medicine / Medicina St George Regional Hospital Hospital Affiliations: Interna

St George Regional Hospital Jennings, Cameron S, MD, (M), B Green, Adam S, MD, (M)

Group Name: Utah Surgical Group Name: Revere Health Associates Provider ID: 003357593001 Provider ID: 006492057001 NPI: 1801946975 NPI: 1790044527 1490 E Foremaster Dr Bldg C 1490 E Foremaster Dr Ste 200 Saint George, UT 84790 Saint George, UT 84790 (801) 812-4624 EB, G, IB, P, PL,

(435) 628-1641 EB, P, R, RE, T R, RE, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mountain View Hospital St George Regional Hospital

112

Specialists / Especialistas Utah - Washington

Bunker, Jocelyn, NP, (F) Interventional Cardiology / Neurology / Neurología Group Name: Revere Health Cardiología Intervencionista Schlagel, Laura J, MD, (F) Provider ID: 007555430001 Laffely, Nicholas H, MD, (M), B Group Name: Red Rock NPI: 1205448479 Group Name: Revere Health Neurology 1380 E Medical Ctr Dr Ste 4100 Provider ID: 003050254005 Provider ID: 001587178006 St George, UT 84790 NPI: 1801981410 NPI: 1306803226 (435) 251-2900 EB, P, R 2825 E Mall Dr 2019 E Riverside Dr Ste A101 Ages: 0-99 St George, UT 84790 Saint George, UT 84790

(435) 251-2900 EB, P, R, RE, T (435) 673-5217 EB, P, R Bunker, Jocelyn, NP, (F) Ages: 0-99 Ages: 0-99 Group Name: Revere Health Hospital Affiliations: Hospital Affiliations: Provider ID: 007555430001 St George Regional Hospital St Marys Hospital NPI: 1205448479 St George Regional Hospital 2825 E Mall Dr Decatur Memorial Hospital St George, UT 84790 Neurological Surgery / Cirugía (435) 251-2900 EB, P, R, RE, T Neurológica Ages: 0-99 Garber, Jason E, MD, (M), B Nurse Practitioner / Enfermera Group Name: Western Reg Ctr Especialista Chapman, Joshua T, NP, (M) For Brn/Spine Surg Barton, Deborah D, NP, (F) Group Name: Revere Health Provider ID: 002079516001 Group Name: Revere Health Provider ID: 007653975001 NPI: 1164489480 Provider ID: 001777835004 NPI: 1790378917 1404 W Sunriver Pkwy NPI: 1548234222 2825 E Mall Dr Saint George, UT 84790 1380 E Medical Center Dr # 4100 St George, UT 84790

(702) 835-0088 EB, P, R Saint George, UT 84790 (435) 251-2900 EB, P, R, RE, T

Ages: 0-99 (435) 251-2900 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Froedtert Memorial Lutheran Hospital Affiliations: Heaton, Rex, NP, (F) Hosp St George Regional Hospital Group Name: Revere Health University Med Ctr Of Southern Provider ID: 004271065006 Nevada Barton, Deborah D, NP, (F) NPI: 1477627917 Valley Hospital Medical Center Group Name: Revere Health 2019 E Riverside Dr Ste A200 Desert Springs Hospital Provider ID: 001777835005 Saint George, UT 84790 Summerlin Hospital Medical Ctr NPI: 1548234222 (435) 628-9298 EB, P, R, RE, T Centennial Hills Hosp Med Ctr 2825 E Mall Dr St George, UT 84790 Ages: 0-99 Hospital Affiliations: (435) 251-2900 EB, P, R, RE, T Ages: 0-99 St George Regional Hospital Hospital Affiliations: St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

113

Utah - Washington Specialists / Especialistas Hughes, Marissa L, NP, (F) Mickelson, Brookanne J, NP, (F) Shoultes, Raschelle D, NP, (F) Group Name: Revere Health Group Name: Southwest Spine & Group Name: Revere Health Provider ID: 007394705001 Pain Care Specialists Provider ID: 007298338001 NPI: 1639704471 Provider ID: 002459684001 NPI: 1578115044 1380 E Medical Ctr Dr Ste 4100 NPI: 1013916915 1380 E Medical Center Dr Ste 410 St George, UT 84790 2891 E Mall Dr Ste 101 Saint George, UT 84790

(435) 251-2900 EB, P, R Saint George, UT 84790 (435) 251-2900 EB, P, R

Ages: 0-99 (435) 656-2424 EB, P, R Ages: 0-99 Ages: 18-99 Hospital Affiliations: Krause, Lonny D, NP, (M) Hospital Affiliations: Cedar City Hospital Group Name: Revere Health St George Regional Hospital St George Regional Hospital Provider ID: 007066489001 Areas of Expertise: MAT1 NPI: 1528523206 1380 E Medical Center Dr # 4100 Mickelson, Brookanne J, NP, (F) Ophthalmology / Oftalmología Saint George, UT 84790 Group Name: Southwest Spine & Carlson, Joshua N, MD, (M), B (435) 251-2900 EB, P, R Pain Care Specialists Group Name: Retina Assoc Of Ages: 18-99 Provider ID: 002459684001 Southern Utah NPI: 1013916915 Provider ID: 003643894003 Krause, Lonny D, NP, (M) 301 N 200 E Ste 2a NPI: 1093943086 Group Name: Revere Health St George, UT 84770 230 N 1680 E Bldg F Provider ID: 007066489001 (435) 688-7246 Saint George, UT 84790

NPI: 1528523206 Ages: 18-99 (866) 874-6496 EB, P, R 2825 E Mall Dr Hospital Affiliations: Languages Spoken: St George, UT 84790 St George Regional Hospital Provider: Spanish (435) 251-2900 EB, P, R, RE, T Areas of Expertise: MAT1 Ages: 0-99 Ages: 18-99 Hospital Affiliations: Mickelson, Brookanne J, NP, (F) St George Regional Hospital Mcmahon, Kristina T, NP, (F) Group Name: Southwest Spine & Vanderbilt University Med Ctr Group Name: Utah Surgical Pain Care Specialists Vanderbilt University Medical Associates Provider ID: 002459684001 Center Provider ID: 003329104002 NPI: 1013916915 Mesa View Regional Hospital NPI: 1053600171 652 S Medical Center Dr # 410 1490 E Foremaster Dr Ste 200 Saint George, UT 84790

Saint George, UT 84790 (435) 215-0228 EB, P, R

(435) 628-1641 EB, P, R, RE, T Ages: 18-99 Hospital Affiliations: Mo-Th - 9:00 AM - 5:00 PM St George Regional Hospital Fr - 9:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: St George Regional Hospital

114

Specialists / Especialistas Utah - Washington

Lord, Ron K, MD, (M), B Clark, Randy R, MD, (M), B Group Name: Retina Assoc Of Orthopaedic Surgery / Cirugía Group Name: Revere Health Southern Utah Ortopédica Provider ID: 003486543002 Provider ID: 002363759001 Anderson, Micha el B, MD, (M), B NPI: 1679781140 NPI: 1790991107 Group Name: Revere Health 736 S 900 E Ste 203 230 N 1680 E Bldg F Provider ID: 000404961001 Saint George, UT 84790 Saint George, UT 84790 NPI: 1093792210 (435) 628-9393 EB, P, R (866) 874-6496 EB, P, R 2825 E Mall Dr Languages Spoken: Web address: www.southernutahreti St George, UT 84790 Provider: Spanish

na.com (435) 251-2900 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Los Robles Regional Med Ctr Truman Lakewood Kane County Hospital St George Regional Hospital Cedar City Hospital St George Regional Hospital Valley Presbyterian Hospital Banner Page Hospital Delta Community Hospital St George Regional Hospital O'brien, Aaron M, MD, (M), B Sevier Valley Hospital Clark, Randy R, MD, (M), B Group Name: Revere Health Mesa View Regional Hospital Group Name: Revere Health Provider ID: 005184266003 Provider ID: 003486543002 NPI: 1114155074 NPI: 1679781140 2825 E Mall Dr Ophthalmology Retina Surgery / 2825 E Mall Dr St George, UT 84790 Cirugía De Retina De St George, UT 84790 (435) 251-2900 EB, P, R, RE, T Oftalmología (435) 251-2900 EB, P, R, RE, T Ages: 0-99 Lord, Ron K, MD , (M) Languages Spoken: Hospital Affiliations: Group Name: Retina Assoc Of Provider: Spanish Cleveland Clinic Foundation Southern Utah Ages: 0-99 St George Regional Hospital Provider ID: 002363759001 Hospital Affiliations: NPI: 1790991107 Los Robles Regional Med Ctr 230 N 1680 E Bldg F St George Regional Hospital Saint George, UT 84790 Valley Presbyterian Hospital

(866) 874-6496 EB, P, R Web address: www.southernutahreti na.com Ages: 0-99 Hospital Affiliations: Truman Lakewood Cedar City Hospital Banner Page Hospital St George Regional Hospital Sevier Valley Hospital Mesa View Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

115

Utah - Washington Specialists / Especialistas

Parry, Scott A, MD, (M), B Prince, Edward J, MD, (M), B Group Name: Revere Health Group Name: Revere Health Otolaryngology / Otolaringología Provider ID: 001374575003 Provider ID: 002690367003 Doxey, G P, MD, (M), B NPI: 1285611475 NPI: 1659306975 Group Name: Southern Utah Ear 2825 E Mall Dr 2825 E Mall Dr Nose Throat St George, UT 84790 St George, UT 84790 Provider ID: 000066097003 (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R, RE, T NPI: 1245298959 Languages Spoken: Web address: www.centralutahclini 617 E Riverside Dr Ste 201 Provider: French c.com Saint George, UT 84790

Web address: www.reverehealth.co Ages: 0-99 (435) 628-3334 EB, G, P, PL, R, m Hospital Affiliations: RE, S, T Ages: 0-99 Kane County Hospital Languages Spoken: Hospital Affiliations: Banner Page Hospital Provider: Italian, Spanish Kane County Hospital St George Regional Hospital Ages: 0-99 St George Regional Hospital Hospital Affiliations: Delta Community Hospital Sutak, Alan K, MD, (M) Cedar City Hospital Mesa View Regional Hospital Group Name: Revere Health St George Regional Hospital Provider ID: 005161088002 Parry, Todd R, MD, (M), B NPI: 1679915847 Gardner, Kent E, MD, (M), B Group Name: Revere Health 2825 E Mall Dr Group Name: Southern Utah Ear Provider ID: 002096544002 St George, UT 84790 Nose Throat NPI: 1114905932 (435) 251-2900 EB, P, R, RE, T Provider ID: 001873930003 2825 E Mall Dr Languages Spoken: NPI: 1881702355 St George, UT 84790 Provider: Russian 617 E Riverside Dr Ste 201 (435) 251-2900 EB, P, R, RE, T Ages: 0-99 Saint George, UT 84790

Ages: 0-99 Hospital Affiliations: (435) 628-3334 EB, G, P, PL, R, Hospital Affiliations: Duke Regional Hospital RE, S, T St George Regional Hospital St George Regional Hospital Mo-Fr - 8:30 AM - 5:00 PM Delta Community Hospital Ages: 0-99 Christus Good Shepherd Medical Hospital Affiliations: Center St George Regional Hospital Mesa View Regional Hospital

116

Specialists / Especialistas Utah - Washington Jacob, Joseph R, MD, (M), B Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Group Name: Southern Utah Ear Group Name: Southwest Spine & Group Name: Southwest Spine & Nose Throat Pain Care Specialists Pain Care Specialists Provider ID: 005484734002 Provider ID: 005564439001 Provider ID: 005564439001 NPI: 1134446891 NPI: 1710203047 NPI: 1710203047 617 E Riverside Dr Ste 201 301 N 200 E Ste 2a 652 S Medical Center Dr Ste 400 Saint George, UT 84790 St George, UT 84770 Saint George, UT 84790

(435) 628-3334 EB, G, P, PL, R, (435) 688-7246 E, EB, IB, P, R (435) 656-2424 RE, S, T Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Russian Hospital Affiliations: Provider: Russian Mo-Th - 8:30 AM - 5:00 PM St George Regional Hospital Mo-Th - 8:30 AM - 4:30 PM Fr - 8:30 AM - 3:00 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Pain Management / Tratamiento St George Regional Hospital St George Regional Hospital Del Dolor Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Group Name: Southwest Spine & Group Name: Southwest Spine & Group Name: Southwest Spine & Pain Care Specialists Pain Care Specialists Pain Care Specialists Provider ID: 005564439001 Provider ID: 005564439001 Provider ID: 005564439001 NPI: 1710203047 NPI: 1710203047 NPI: 1710203047 2891 E Mall Dr Ste 101 652 S Medical Center Dr Ste 110 652 S Medical Center Dr Ste 410 Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 (435) 656-2424 EB, P, R (435) 656-2424 (435) 215-0228 Languages Spoken: Languages Spoken: Languages Spoken: Provider: Russian Provider: Russian Provider: Russian Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: St George Regional Hospital St George Regional Hospital St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

117

Utah - Washington Specialists / Especialistas

Hillstead, Alan P, MD, (M) Christensen, Bryt A, MD, (M), B Group Name: Southwest Spine & Physical Medicine And Group Name: Southwest Spine & Pain Care Specialists Rehabilitation / Physiatry / Pain Care Specialists Provider ID: 003641599008 Medicina Física Y De Provider ID: 005564439001 NPI: 1144431958 Rehabilitación/Fisiatría NPI: 1710203047 2051 E Red Hills Pkwy Ste 7 Christensen, Bryt A, MD, (M), B 652 S Medical Center Dr Ste 110 Saint George, UT 84770 Group Name: Southwest Spine & Saint George, UT 84790 (435) 656-2424 EB, P, R Pain Care Specialists (435) 656-2424 EB, P, R Web address: www.southwestspinea Provider ID: 005564439001 Languages Spoken: ndpain.com NPI: 1710203047 Provider: Russian Ages: 0-99 2891 E Mall Dr Ste 101 Ages: 0-99 Hospital Affiliations: Saint George, UT 84790 Hospital Affiliations:

Cedar City Hospital (435) 656-2424 St George Regional Hospital St George Regional Hospital Languages Spoken: Sevier Valley Hospital Provider: Russian Christensen, Bryt A, MD, (M), B Ages: 0-99 Group Name: Southwest Spine & Hillstead, Alan P, MD, (M) Hospital Affiliations: Pain Care Specialists Group Name: Southwest Spine & St George Regional Hospital Provider ID: 005564439001 Pain Care Specialists NPI: 1710203047 Provider ID: 003641599005 Christensen, Bryt A, MD, (M), B 652 S Medical Center Dr Ste 400 NPI: 1144431958 Group Name: Southwest Spine & Saint George, UT 84790 652 S Medical Center Dr Ste 110 Pain Care Specialists (435) 656-2424 Saint George, UT 84790 Provider ID: 005564439001 Languages Spoken: (435) 656-2424 EB, P, R NPI: 1710203047 Provider: Russian Web address: www.southwestspinea 301 N 200 E Ste 2a Mo-Th - 8:30 AM - 5:00 PM ndpain.com St George, UT 84770 Fr - 8:30 AM - 3:00 PM

Ages: 0-99 (435) 688-7246 E, EB, IB, P, R Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cedar City Hospital Languages Spoken: St George Regional Hospital St George Regional Hospital Provider: Russian Sevier Valley Hospital Mo-Th - 8:30 AM - 4:30 PM Christensen, Bryt A, MD, (M), B Ages: 0-99 Group Name: Southwest Spine & Hospital Affiliations: Pain Care Specialists St George Regional Hospital Provider ID: 005564439001 NPI: 1710203047 652 S Medical Center Dr Ste 410 Saint George, UT 84790

(435) 215-0228 Languages Spoken: Provider: Russian Ages: 0-99 Hospital Affiliations: St George Regional Hospital = Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services CSAZ.15.999.01.9.011

118

Specialists / Especialistas Utah - Washington Root, Max R, MD, (M) Bowler, Brent, PA, (M) Root, Bradley D, DO, (M) Group Name: Revere Health Group Name: Revere Health Group Name: Revere Health Provider ID: 000058093002 Provider ID: 007613588001 Provider ID: 001732894002 NPI: 1295725380 NPI: 1326388323 NPI: 1154312197 1424 E Foremaster Dr Ste 120 2825 E Mall Dr 1424 E Foremaster Dr Ste 120 Saint George, UT 84790 St George, UT 84790

Saint George, UT 84790 (435) 656-8800 EB, P, R (435) 251-2900 EB, P, R, RE, T

(435) 656-8800 EB, P, R Languages Spoken: Mo-Fr - 9:00 AM - 5:00 PM Languages Spoken: Provider: Dutch Ages: 0-99 Provider: Dutch Ages: 0-99 Mo-Fr - 7:00 AM - 5:00 PM Hospital Affiliations: Cox, Brandon R, PA, (M) Ages: 0-99 Cedar City Hospital Group Name: Revere Health Hospital Affiliations: St George Regional Hospital Provider ID: 005302318008 St George Regional Hospital Areas of Expertise: MAT1 NPI: 1508275868 Areas of Expertise: MAT1 2825 E Mall Dr Root, Max R, MD, (M) St George, UT 84790

Root, Bradley D, DO, (M) Group Name: Revere Health (435) 251-2900 EB, P, R, RE, T Group Name: Revere Health Provider ID: 000058093002 Ages: 0-99 Provider ID: 001732894002 NPI: 1295725380 Hospital Affiliations: NPI: 1154312197 2825 E Mall Dr St George Regional Hospital 2825 E Mall Dr St George, UT 84790

St George, UT 84790 (435) 251-2900 EB, P, R, RE, T Dickson, Alysha N, PA, (F)

(435) 251-2900 EB, P, R, RE, T Languages Spoken: Group Name: Revere Health Languages Spoken: Provider: Dutch Provider ID: 006569969001 Provider: Dutch Ages: 0-99 NPI: 1275081358 Ages: 0-99 Hospital Affiliations: 2825 E Mall Dr Hospital Affiliations: Cedar City Hospital St George, UT 84790

St George Regional Hospital St George Regional Hospital (435) 251-2900 EB, P, R, RE, T Areas of Expertise: MAT1 Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations: St George Regional Hospital Physician Assistant / Asistente Médico Green, Jared A, PA, (M) Aston, Nathan W , PA, (M) Group Name: Revere Health Group Name: Revere Health Provider ID: 002828240003 Provider ID: 003361194002 NPI: 1134198419 NPI: 1568754364 1380 E Medical Center Dr # 4100 2825 E Mall Dr Saint George, UT 84790 St George, UT 84790 (435) 251-2900 EB, P, R

(435) 251-2900 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

119

Utah - Washington Specialists / Especialistas Green, Jared A, PA, (M) Petersen, Colby B, PA, (M) Stucki, Sean J, PA, (M) Group Name: Revere Health Group Name: Revere Health Group Name: Revere Health Provider ID: 002828240003 Provider ID: 002743045001 Provider ID: 006450938001 NPI: 1134198419 NPI: 1740229913 NPI: 1245296383 2825 E Mall Dr 1380 E Medical Center Dr # 4100 1424 E Foremaster Dr Ste 120 St George, UT 84790 Saint George, UT 84790 Saint George, UT 84790

(435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R (435) 656-8800 EB, P, R Ages: 0-99 Ages: 0-99 Mo-Fr - 7:00 AM - 5:00 PM Hospital Affiliations: Ages: 0-99 St George Regional Hospital Petersen, Colby B, PA, (M) Group Name: Revere Health Stucki, Sean J, PA, (M) Johnson, Dayne A, PA, (M) Provider ID: 002743045001 Group Name: Revere Health Group Name: Southwest Spine & NPI: 1740229913 Provider ID: 006450938001 Pain Care Specialists 2825 E Mall Dr NPI: 1245296383 Provider ID: 003311419001 St George, UT 84790 2825 E Mall Dr

NPI: 1669505178 (435) 251-2900 EB, P, R, RE, T St George, UT 84790

652 S Medical Center Dr Ste 110 Ages: 0-99 (435) 251-2900 EB, P, R, RE, T Saint George, UT 84790 Ages: 0-99

(435) 656-2424 EB, P, R Sefcovic, Ashley H, PA, (F) Ages: 0-99 Group Name: Revere Health Hospital Affiliations: Provider ID: 007535555001 Podiatry / Podiatría St George Regional Hospital NPI: 1598317844 Reber, Keith R, D PM, (M), B 1490 E Foremaster Dr Bldg C Group Name: Foot & Ankle Kaonohi, Leighton K, PA, (M) Saint George, UT 84790 Institute Group Name: Revere Health (435) 628-9393 EB, G, IB, P, PL, Provider ID: 000404218001 Provider ID: 003711007002 R, RE, S, T NPI: 1669479358 NPI: 1548518343 Ages: 0-99 754 S Main St Ste 3 2825 E Mall Dr Saint George, UT 84770

St George, UT 84790 Sefcovic, Ashley H, PA, (F) (435) 628-2671 EB, P, PL, R, RE, (435) 251-2900 EB, P, R, RE, T Group Name: Revere Health T Ages: 0-99 Provider ID: 007535555001 Mo-Th - 8:00 AM - 1:00 PM Hospital Affiliations: NPI: 1598317844 Fr - 8:00 AM - 5:00 PM St George Regional Hospital 2825 E Mall Dr Web address: www.feetnet.com St George, UT 84790 Ages: 0-99 Mcpherson, Bruce A, PA, (M) (435) 251-2900 EB, P, R, RE, T Hospital Affiliations: Group Name: Revere Health Ages: 0-99 St George Regional Hospital Provider ID: 002321601001 NPI: 1265419451 2825 E Mall Dr St George, UT 84790

(435) 251-2900 EB, P, R, RE, T Ages: 0-99

120

Specialists / Especialistas Utah - Washington

Pulmonary Medicine / Medicina Pulmonar Saifee, Mustufa T , MD, (M), B Group Name: Advanced Pulmon Sleep Disord & Int Med Provider ID: 002207312001 NPI: 1568428357 1380 E Medical Center Dr Saint George, UT 84790

(435) 251-2600 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: St George Regional Hospital

Saifee, Mustufa T, MD, (M), B Group Name: Advanced Pulmon Sleep Disord & Int Med Provider ID: 002207312001 NPI: 1568428357 640 E 700 S Ste 105 Saint George, UT 84770

(435) 688-7770 E, EB, P, R, S Ages: 0-99 Hospital Affiliations: St George Regional Hospital

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

121

Arizona - Gila Dental Providers / Proveedores De Servicios Dentales

Dental Providers / Proveedores De Servicios Dentales

Arizona Mandap, Marissa P, DMD, (F) Pediatric Dentistry / Odontología Provider ID: 000070473700Z Pediátrica

Gila

NPI: 1104018886 Chinn, Lisa E, DDS, (F)

Dentistry / Odontología 410 S Sixth St Provider ID: 000045049200Z

Globe, AZ 85501 NPI: 1255530952 Diquattro, Ryan, DDS, (M) (928) 425-0972 410 S Sixth St Provider ID: 001224365300Z Languages Spoken: Globe, AZ 85501 NPI: 1912134024 Provider: Arabic, English, Hindi, (928) 425-0972 906 S Beeline Hwy Spanish Languages Spoken: Payson, AZ 85541 Mo-Th - 7:00 AM - 5:00 PM Provider: Arabic, English, Hindi, (928) 472-2500 Fr - 7:00 AM - 4:00 PM Spanish Languages Spoken: Sa - 8:00 AM - 2:00 PM Mo-Th - 7:00 AM - 5:00 PM Provider: English Ages: 0-99 Fr - 7:00 AM - 4:00 PM Mo-Th - 8:00 AM - 5:00 PM Sa - 8:00 AM - 2:00 PM Fr - 9:00 AM - 5:00 PM Maneely, Matthew H, DDS, (M) Ages: 0-99 Ages: 0-99 Provider ID: 000172353800Z

NPI: 1669496824 Pinal Flaherty, Brett D, DDS, (M) 410 S Sixth St Provider ID: 000153622600Z Globe, AZ 85501 Dentistry / Odontología NPI: 1407143456 (928) 425-0972 906 S Beeline Hwy Languages Spoken: Kaiser, Bradley O, DDS, (M) Payson, AZ 85541 Provider: Arabic, English, Hindi, Provider ID: 001203727800Z (928) 472-2500 Spanish NPI: 1255627162 Languages Spoken: Mo-Th - 7:00 AM - 5:00 PM 1700 W American Ave Provider: English, Spanish Fr - 7:00 AM - 4:00 PM Oracle, AZ 85623 Mo-Th - 8:00 AM - 5:00 PM Sa - 8:00 AM - 2:00 PM (520) 896-3631 EB, E, P, R, IB Fr - 9:00 AM - 5:00 PM Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: English Ages: 0-99 Hamblin, John S, DDS, (M) Provider ID: 000110623400Z NPI: 1912009960 410 S Sixth St Globe, AZ 85501

(928) 425-0972 Languages Spoken: Provider: Arabic, English, Hindi, Spanish Mo-Th - 7:00 AM - 5:00 PM Fr - 7:00 AM - 4:00 PM Sa - 8:00 AM - 2:00 PM Ages: 0-99

122

Nationwide Vision Providers / Proveedores De Nationwide Vision Arizona - Pinal

Nationwide Vision Providers / Proveedores De Nationwide Vision Walker, Bradley, OD, (M) Arizona Provider ID: 831200001530 NPI: 1003889460

Gila

371 West Central

Optometry / Optometría Coolidge, AZ 85218

(520) 723-3000 P Woods, Russell, OD, (M) Cultural Competency: Y Provider ID: 815100001536 Web address: nationwidevision.com NPI: 1609832054 Ages: 0-99 520 S. Hill Street Globe, AZ 85501

(928) 425-8989 P Cultural Competency: Y Web address: nationwidevision.com Ages: 0-99

Pinal

Optometry / Optometría Ethington, Roger, OD, (M) Provider ID: 835000001530 NPI: 1679545776 371 West Central Coolidge, AZ 85218

(520) 723-3000 P Cultural Competency: Y Web address: nationwidevision.com Ages: 0-99

Jackson, Jeffrey, OD, (M) Provider ID: 837800001601 NPI: 1003014051 560 N Camino Mercado Ste 1 Casa Grande, AZ 85222

(520) 426-9224 P Cultural Competency: Y Web address: nationwidevision.com Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

123

Arizona - Gila Ancillary Providers / Proveedores Auxiliares

Ancillary Providers / Proveedores Auxiliares

Rim Country Dialysis Arizona Provider ID: 002866371001 Home Health Agency / Agencia De Cuidado De La Salud A Gila NPI: 1427243534 Domicilio

809 W Longhorn Rd

Critical Care / Cuidado Crítico Payson, AZ 85541 Banner Home Care Arizona

(928) 474-7000 EB, P, R Provider ID: 006874088001 Salim, Muhammad M NPI: 1023051927 Provider ID: 000076997001 708 E State Highway 260 Ste A1 NPI: 1760467419 Durable Medical Equipment / Payson, AZ 85541 5880 S Hospital Dr Equipo Médico Duradero (928) 596-4777 EB, P, R Globe, AZ 85501 Lincare Web address: www.bannerhealth.co (480) 821-0129 E, EB, G, P, PL, Provider ID: 001815015018 m R, RE, S, T NPI: 1043439201 Hospital Affiliations: 804 N Beeline Hwy Ste A Copper State Home Health Detar Hospital Navarro Payson, AZ 85541 Provider ID: 006591755003 Tempe St Lukes Hosp A Campus (928) 474-0885 EB, P, R NPI: 1972999100 Of St Lukes 966 N Broad St Ste 7 Banner Baywood Heart Hospital Mountain Respiratory Globe, AZ 85501 Banner Desert Medical Center Provider ID: 002500244001 (928) 200-9708 EB, P, R Chandler Regional Medical Center NPI: 1154380681 306 W Aero Dr Payson, AZ 85541 Hospice / Centro De Cuidados Dialysis Center / Centro De Paliativos (928) 474-4202 EB, P, R Diálisis

Aviant Hospice Gila Rcg San Carlos Preferred Homecare Provider ID: 006258610001 Provider ID: 003020775001 Provider ID: 001957929001 NPI: 1952578957 NPI: 1487756656 NPI: 1619918000 136 S Broad St 860 Us Hwy 70 119 W Aero Dr Globe, AZ 85501 Peridot, AZ 85542 Payson, AZ 85541 (928) 425-5400 EB, P, R (928) 475-5987 EB, P, R (928) 474-6293 EB, P, R Web address: preferredhomecare.co Hospice Compassus Renal Care Group - Globe m Provider ID: 003689467001 Provider ID: 002768418001 NPI: 1023048857 NPI: 1306958111 511 S Mud Springs Rd 2250 E Highway 60 Ste O-2 Payson, AZ 85541 Miami, AZ 85539 (928) 238-3211 EB, P, R (928) 425-2624 EB, P, R Web address: www.compassus.com

124

Ancillary Providers / Proveedores Auxiliares Arizona - Gila

Riley, Thomas Banner Physical Therapy And Occupational Therapy / Terapia Provider ID: 006803432001 Rehab Ocupacional NPI: 1598263550 Provider ID: 006772902001 Betts, Amy 126 E Main St Ste C NPI: 1235654237 Provider ID: 006839706001 Payson, AZ 85541 126 E Main St NPI: 1699099333 (928) 468-8907 EB, P, R Payson, AZ 85541 405 W Main St Ste D (601) 610-6866 EB, P, R Payson, AZ 85541 Orthotics/Prosthetics / (928) 474-0429 EB, IB, P, R Banner Physical Therapy And Ortesis/Prótesis Rehab Ferrin, Scott D Hanger Prosthetics & Orthotics Provider ID: 006772902001 Provider ID: 002912484001 West NPI: 1235654237 NPI: 1619087780 Provider ID: 006376259001 126 E Main St Ste A 103 Medicine Way Rd NPI: 1962576850 Payson, AZ 85541 Peridot, AZ 85542 1106 N Beeline Hwy (800) 721-8202 EB, P, R

(605) 853-2786 EB, IB, P, R Payson, AZ 85541

(928) 537-5119 EB, P, R Banner Physical Therapy And Kenny, Tiffany D Rehab Provider ID: 006929476001 Provider ID: 006772902001 NPI: 1225255656 Physical Therapy / Fisioterapia NPI: 1235654237 126 E Main St Ste C Albers, Victoria L 126 E Main St Ste C Payson, AZ 85541 Provider ID: 005241450002 Payson, AZ 85541 (928) 471-3445 EB, P, R NPI: 1770982233 (928) 471-3445 EB, P, R 126 E Main St Ste C King, Sarah M Payson, AZ 85541 Bourquin, Todd L

Provider ID: 003444773001 (928) 468-8907 EB, P, R Provider ID: 001867065005 NPI: 1619243177 NPI: 1225036809 126 E Main St Ste C Andersen, Janice I 126 E Main St Ste C Payson, AZ 85541 Provider ID: 002431254001 Payson, AZ 85541 (928) 468-8907 EB, P, R NPI: 1265598619 (928) 471-3445 EB, P, R 126 E Main St Ste C Languages Spoken: Mcqueary, Elizabeth S Payson, AZ 85541 Provider: Japanese, Spanish

Provider ID: 003623381003 (928) 471-3445 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM NPI: 1568702728 126 E Main St Ste C Asiala, Chelsey A Bryant, Kimberly Payson, AZ 85541 Provider ID: 006090332004 Provider ID: 006656731003 (928) 471-3445 EB, P, R NPI: 1831543586 NPI: 1104058320 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541

(928) 471-3445 EB, P, R (928) 468-8907 EB, P, R

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

125

Arizona - Gila Ancillary Providers / Proveedores Auxiliares Carrillo, Diane E Erickson, Nikki Herzberg, David A Provider ID: 003679045002 Provider ID: 006778739001 Provider ID: 002410690003 NPI: 1356492193 NPI: 1023229911 NPI: 1013074210 126 E Main St Ste C 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(928) 468-8907 EB, P, R (928) 471-3445 EB, P, R (928) 468-8907 EB, P, R Hospital Affiliations: Sharp Memorial Hospital Faby, Kristen Jean Philippe, Alethea D Provider ID: 003293439010 Provider ID: 005922843003 Desjardins, Marissa L NPI: 1194039081 NPI: 1912382284 Provider ID: 006795730001 126 E Main St Ste C 126 E Main St Ste C NPI: 1083112106 Payson, AZ 85541 Payson, AZ 85541

126 E Main St Ste C (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R Payson, AZ 85541 Hospital Affiliations:

(928) 471-3445 EB, P, R Foote, Stacey J Banner Univ Medical Cntr Provider ID: 003475301001 Phoenix Campus Dunn, Andrea L NPI: 1598063547 Provider ID: 003335962003 405 W Main St Ste D Kempton, James P NPI: 1093797805 Payson, AZ 85541 Provider ID: 006468068001

126 E Main St Ste C (928) 474-0429 EB, IB, P, R NPI: 1508395492 Payson, AZ 85541 1100 N Broad St Ste A

(928) 471-3445 EB, P, R Greenfield, Danielle R Globe, AZ 85501

Languages Spoken: Provider ID: 007180740001 (480) 807-9000 P, R, RE, T Provider: Spanish NPI: 1801441209 Mo-Th - 8:00 AM - 5:00 PM 126 E Main St Ste C Fr - 8:00 AM - 12:00 PM Elhabach, Wasim Payson, AZ 85541 Web address: kemptonpt.com

Provider ID: 003520729002 (928) 468-8907 EB, P, R NPI: 1376899682 Laukonen, Sabrina R 126 E Main St Ste C Hansen, Ethan Provider ID: 006129131002 Payson, AZ 85541 Provider ID: 007437542001 NPI: 1497109086

(928) 471-3445 EB, P, R NPI: 1518198860 126 E Main St Ste C 126 E Main St Ste B Payson, AZ 85541

Emery, Caitlin Payson, AZ 85541 (928) 471-3445 EB, P, R

Provider ID: 006797539001 (928) 468-8610 P, R, RE, T NPI: 1992213110 Malsch, Jacquelyn M 126 E Main St Ste C Hardcastle, Lacey A Provider ID: 005600681001 Payson, AZ 85541 Provider ID: 003287785002 NPI: 1942685656

(928) 471-3445 EB, P, R NPI: 1750692109 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541

Payson, AZ 85541 (928) 468-8907 EB, P, R

(928) 468-8907 EB, P, R

126

Ancillary Providers / Proveedores Auxiliares Arizona - Gila Mc Murty, Brent W Schild, Annie Walden, Daniel H Provider ID: 006924456001 Provider ID: 006987235001 Provider ID: 006049347002 NPI: 1326529124 NPI: 1851866370 NPI: 1881066819 126 E Main St Ste C 126 E Main St Ste C 708 S Coeur D Alene Ln Ste B Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541

(928) 468-8907 EB, P, R (928) 468-8907 EB, P, R (928) 468-8610 EB, P, R Hospital Affiliations: Languages Spoken: Phx Childrens Hospital Sherrill, Christine C Provider: Dutch, Spanish Provider ID: 000945044006 Mosley, Anna M NPI: 1659552370 Walton, Aileen K Provider ID: 003471201005 126 E Main St Ste C Provider ID: 002626291001 NPI: 1104184647 Payson, AZ 85541 NPI: 1437178621

126 E Main St Ste C (928) 468-8907 EB, P, R 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541

(928) 471-3445 EB, P, R Stehlin, Adam M (928) 471-3445 EB, P, R Provider ID: 006245923002 Nossek, Scott J NPI: 1083168843 West, Ronald R Provider ID: 002662597001 126 E Main St Ste C Provider ID: 005975555001 NPI: 1861495210 Payson, AZ 85541 NPI: 1033299342

405 W Main St Ste D (928) 468-8907 EB, P, R 103 Medicine Way Rd Payson, AZ 85541 Peridot, AZ 85542

(928) 474-0429 EB, IB, P, R Tenney, Jared K (928) 475-1200 EB, IB, P, R Mo-Fr - 7:30 AM - 5:00 PM Provider ID: 002662532001 Web address: www.paysonphysicalt NPI: 1255334694 Wutoh, Kenneth W herapy.com 405 W Main St Ste D Provider ID: 005953666002 Payson, AZ 85541 NPI: 1427454065

Payson Physical Therapy (928) 474-0429 EB, IB, P, R 126 E Main St Ste C Provider ID: 000788655001 Mo-Fr - 7:30 AM - 5:00 PM Payson, AZ 85541

NPI: 1194943423 (928) 468-8907 EB, P, R 405 W Main St Ste D Udofia, Ekop Payson, AZ 85541 Provider ID: 003398584002 Zerr, Patrick E

(928) 474-0429 EB, IB, P, R NPI: 1376848291 Provider ID: 002203783003 Languages Spoken: 126 E Main St Ste C NPI: 1750460846 Provider: Spanish Payson, AZ 85541 405 W Main St Ste D

Mo-Fr - 7:30 AM - 5:00 PM (928) 468-8907 EB, P, R Payson, AZ 85541

(928) 474-0429 EB, IB, P, R Salik, Kathleen R Languages Spoken: Provider ID: 006778667001 Provider: Spanish NPI: 1063910032 Mo-Fr - 7:30 AM - 5:00 PM 126 E Main St Ste C Payson, AZ 85541

(928) 471-3445 EB, P, R

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

127

Utah - Kane Ancillary Providers / Proveedores Auxiliares

Rehabilitation Center / Centro De Physical Therapy / Fisioterapia Physical Therapy / Fisioterapia Rehabilitación Desert Palms Physic al Therapy Harward, Aaron A Bhsm Rehab Catalina Provider ID: 005302116001 Provider ID: 007153726001 Provider ID: 003061804001 NPI: 1194121350 NPI: 1225505464 NPI: 1134308596 340 Falcon Ridge Pkwy Ste 500 126 E Main St Ste C 23 S Mcnab Pkwy Mesquite, NV 89027

Payson, AZ 85541 San Manuel, AZ 85631 (702) 346-3105 E, EB, G, P, R,

(928) 468-8907 EB, P, R (520) 385-4066 E, EB, G, IB, P, RE, S, T PL, R, RE, S, T Languages Spoken: Languages Spoken: Provider: American Sign Speech Pathology / Patología Del Provider: Spanish Language Habla Interpreter: Spanish Staff: Spanish Cockfield, Ann D Mo,Tu,Th - 8:00 AM - 5:00 PM Mo,We,Fr - 7:00 AM - 5:00 PM Provider ID: 006794574001 We,Fr - 8:30 AM - 4:30 PM Tu,Th - 9:00 AM - 5:00 PM NPI: 1851809065 126 E Main St Ste C Payson, AZ 85541 Nevada Utah

(928) 471-3445 EB, P, R

Clark Kane

Pinal Durable Medical Equipment / Home Health Agency / Agencia

Equipo Médico Duradero De Cuidado De La Salud A Dialysis Center / Centro De Lincare Domicilio Diálisis Provider ID: 001815015435 Zions Way Home Health & Rcg Mammoth NPI: 1043439201 Hospice Provider ID: 002768419001 1646 W Pioneer Blvd Ste 130 Provider ID: 003612988002 NPI: 1104928373 Mesquite, NV 89027 NPI: 1588930705

14786 S Hwy 77 (702) 346-2122 EB, P, R 217 E 300 S Ste 204 Mammoth, AZ 85618 Kanab, UT 84741

(520) 487-0150 EB, P, R (435) 688-0648 EB, P, R

128

Ancillary Providers / Proveedores Auxiliares Utah - Washington

Washington Home Health Agency / Agencia Blatter, Grant L De Cuidado De La Salud A Ambulatory Surgery Center / Provider ID: 003566493001 Domicilio NPI: 1558377309 Centro De Cirugía Ambulatoria

Zions Way Home Health & 2825 E Mall Dr South Main Surgery Center Hospice St George, UT 84790 Provider ID: 001236542002 Provider ID: 003612988002 (435) 251-2900 EB, P, R, RE, T NPI: 1972528537 NPI: 1588930705 Hospital Affiliations: 754 S Main St Ste 3 1173 S 250 W Ste 401 Cedar City Hospital Saint George, UT 84770 Saint George, UT 84770 (435) 628-2671 EB, P, PL, R, RE, (435) 688-0648 EB, P, R Harward, Aaron A T Web address: zionsway.com Provider ID: 005302116001 NPI: 1194121350

Dialysis Center / Centro De 1490 E Foremaster Dr Ste 110 Orthotics/Prosthetics / Saint George, UT 84790 Diálisis Ortesis/Prótesis (435) 652-4455 EB, P, R Liberty Dialysis St George Hanger Prosthetics & Orthotics Languages Spoken: Provider ID: 002975646002 Provider ID: 006374534001 Provider: American Sign NPI: 1861671422 NPI: 1881768778 Language 624 S 1000 E Ste 101 923 S River Rd Ste 100 Staff: Spanish Saint George, UT 84790 Saint George, UT 84790 Interpreter: American Sign (435) 656-4596 EB, P, R (435) 673-6449 EB, P, R Language

Durable Medical Equipment / Harward, Aaron A Physical Therapy / Fisioterapia Provider ID: 005302116001

Equipo Médico Duradero

Blatter, Grant L NPI: 1194121350 Lincare Provider ID: 003566493001 1532 E 1450 S Provider ID: 001815015436 NPI: 1558377309 Saint George, UT 84790 NPI: 1043439201 1424 E Foremaster Dr Ste 120 (435) 359-9200 E, EB, IB, P, R, 291 E 1400 S Ste 7 Saint George, UT 84790 S, T Saint George, UT 84790 (435) 656-8800 EB, P, R Languages Spoken: (435) 674-4477 EB, P, R Hospital Affiliations: Provider: American Sign Cedar City Hospital Language Mo,We,Fr - 7:00 AM - 5:00 PM Blatter, Grant L Tu,Th - 9:00 AM - 5:00 PM Provider ID: 003566493001 NPI: 1558377309 Tomlinson, Stephen J 1449 N 1400 W Ste 21 Provider ID: 002444333001 Saint George, UT 84770 NPI: 1043325715

(435) 656-8800 EB, P, R 1424 E Foremaster Dr Ste 120 Hospital Affiliations: Saint George, UT 84790 Cedar City Hospital (435) 656-8800 EB, P, R

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

129

Ancillary Providers / Proveedores Auxiliares Tomlinson, Stephen J Provider ID: 002444333001 NPI: 1043325715 1449 N 1400 W Ste 21 Saint George, UT 84770

(435) 656-8800 EB, P, R

Tomlinson, Stephen J Provider ID: 002444333001 NPI: 1043325715 2825 E Mall Dr St George, UT 84790

(435) 251-2900 EB, P, R, RE, T

130

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

Behavioral Health Providers / Proveedores De Salud Mental Fargas Rodriguez, Arnaldo, MA, Kazaka, Katharine A, MS, (F) Arizona (M) Group Name: Community Group Name: Southwest Bridges

Gila

Behavioral Health Services Inc Provider ID: 003226614001

Advanced Practice Registered Provider ID: 003624150001 NPI: 1386889517 Psychiatric Nurse Practitioner / NPI: 1689831794 5734 E Hope Lane Enfermera Psiquiátrica Titulada 404 W Aero Dr Globe, AZ 85501 En Práctica Avanzada Payson, AZ 85541 (928) 425-2415

(928) 474-3303 EB, P, R, RE, T Ages: 0-99 Bancroft, Tammi L, MS, (F) Areas of Expertise: PLIC, THS Group Name: Community Languages Spoken: Bridges Provider: Spanish Mccarvell, Kathleen A, NP, (F) Provider ID: 006316045043 Ages: 0-99 Group Name: Horizon Health NPI: 1396196986 Areas of Expertise: A060, E020, And Wellness 803 W Main St E025, E042, E070, E160, P010, Provider ID: 003179911003 Payson, AZ 85541 THS NPI: 1154500981 (928) 468-0022 EB, P, R, RE, S, T 415 W Baseline Spur Hemenway, Charolette, NP, (F) Globe, AZ 85501 Cultural Competency: Y Group Name: Community (928) 402-9297 EB, P, R, RE, T Ages: 18-99 Bridges Areas of Expertise: A100, E429, Provider ID: 003187301008 Cultural Competency: Y MAT1, PLIC, THS NPI: 1386955573 Ages: 0-99 803 W Main St Hospital Affiliations: Ekman, John K, FNP, (M) Payson, AZ 85541 Tacoma General Allenmore

Group Name: Southeastern (928) 468-0022 EB, P, R, RE, S, T Areas of Expertise: A060, E010, Arizona Behavioral Health S E017, E020, E025, E062, E070, Provider ID: 002455301001 Cultural Competency: Y E160, E165, E185, E198, E200, NPI: 1194722256 Web address: www.communitybrid E210, E220, E240, E377, MAT1, 996 N Broad St Ste 10 gesaz.org P010, P035, P080, THS Globe, AZ 85501 Accepting Existing Patients Only (928) 425-2185 EB, P, R Ages: 0-99 Rankovic, Alecia, MSN, (F) Ages: 0-99 Areas of Expertise: P010, P035, Group Name: Community Hospital Affiliations: PLIC, THS Bridges Mt Graham Regional Medical Provider ID: 003360055001 Cente NPI: 1205129384 Areas of Expertise: A060, A101, 5734 E Hope Lane E020, E025, E062, E070, E112, Globe, AZ 85501

E155, E160, E165, E170, E180, (928) 425-2415 E185, E200, E210, E377, E381, Ages: 0-99 P010, THS Areas of Expertise: MAT1, PLIC, THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

131

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental

Rankovic, Alecia, MSN, (F) Davenport, Lori L, MA, (F) Group Name: Community Professional Counselor / Group Name: Southwest Bridges Consejero Profesional Behavioral Health Services Inc Provider ID: 003360055001 Appleby Kittle, C arrie L, MA, (F) Provider ID: 006797188001 NPI: 1205129384 Group Name: Community NPI: 1689171654 803 W Main St Bridges 404 W Aero Dr Payson, AZ 85541 Provider ID: 007132860001 Payson, AZ 85541 (928) 468-0022 EB, P, R, RE, S, T NPI: 1871867085 (928) 474-3303 EB, P, R, RE, T 803 W Main St Ages: 0-99 Payson, AZ 85541 Mo-Fr - 9:00 AM - 5:00 PM Areas of Expertise: MAT1, PLIC, Cultural Competency: Y (928) 468-0022 EB, P, R, RE, S, T THS Ages: 0-99 Cultural Competency: Y Areas of Expertise: A101, E017, Sexton, Alicia A, MS, (F) Ages: 0-99 E020, E055, E070, E080, E090, Group Name: Southwest Areas of Expertise: PLIC, THS E105, E165, E170, E185, E190, Behavioral Health Services Inc E200, E215, E235, E374, E377, Provider ID: 006592681001 Benitez, Jose, LPC, (M) P010, P020, THS NPI: 1932627395 Group Name: North Country 404 W Aero Dr Healthcare Fargas Rodriguez, Arnaldo, MA, Payson, AZ 85541 Provider ID: 007160389001 (M) (928) 474-3303 EB, P, R, RE, T NPI: 1619233624 Group Name: Southwest 126 E Main St Ste B Behavioral Health Services Inc Ages: 0-99 Payson, AZ 85541 Provider ID: 003624150001 Areas of Expertise: A101, E020, (928) 468-8610 P, R, RE, T NPI: 1689831794 E377, P010, P080, THS Mo-Th - 7:00 AM - 6:00 PM 404 W Aero Dr Fr - 7:00 AM - 4:00 PM Payson, AZ 85541 Villegas, Joanne E, MA, (F) Ages: 0-99 (928) 474-3303 EB, P, R, RE, T Group Name: Canyonlands Community Health Care Colburn, Mary B, MA, (F) Languages Spoken: Provider ID: 005721838002 Group Name: Southwest Provider: Spanish NPI: 1154752483 Behavioral Health Services Inc Ages: 0-99 5860 S Hospital Dr Ste 102 Provider ID: 005524400001 Areas of Expertise: A060, E020, Globe, AZ 85501 NPI: 1558740183 E025, E042, E070, E160, P010, (928) 402-0491 E, EB, G, IB, P, 404 W Aero Dr THS PL, R, RE, S, T Payson, AZ 85541 Mo-Fr - 8:00 AM - 6:00 PM (928) 474-3303 EB, P, R, RE, T Ages: 0-99 Areas of Expertise: A021, A060, Ages: 0-99 DD, E010, E017, E020, E025, Areas of Expertise: THS E042, E090, E200, MAT1, P010

132

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila Martorana, Diana, MA, (F) Millien, Roxanne L, MA, (F) Simmons, Joseph, MA, (M) Group Name: Community Group Name: Pathways Of Az Group Name: Community Bridges Provider ID: 006575885002 Bridges Provider ID: 006527441001 NPI: 1700219318 Provider ID: 007574124001 NPI: 1629516786 Foster Care Only Provider NPI: 1801429824 5734 Hope Ln Payson, AZ 85541 5734 Hope Ln Ste 2 Globe, AZ 85501 (540) 710-6085 Globe, AZ 85501

(928) 425-2415 EB, P, R, RE, T Ages: 0-99 (928) 425-2415 EB, P, R, RE, T Cultural Competency: Y Cultural Competency: Y Park, Lori A, MA, (F) Web address: www.communitybrid Ages: 0-99 Group Name: Horizon Health gesaz.org Areas of Expertise: PLIC, THS And Wellness Ages: 0-99 Provider ID: 003285325002 Areas of Expertise: P010, P035 Martorana, Diana, MA, (F) NPI: 1053561431 Group Name: Community 415 W Baseline Spur Todd, Rock A, LPC, (M) Bridges Globe, AZ 85501 Group Name: North Country

Provider ID: 006527441001 (520) 836-1688 EB, P, R, RE, T Healthcare NPI: 1629516786 Provider ID: 003226853001 803 W Main St Ages: 0-99 NPI: 1205073582 Payson, AZ 85541 Areas of Expertise: THS 708 S Coeur D Alene Ln Ste B (928) 468-0022 EB, P, R, RE, S, T Payson, AZ 85541

Simmons, Joseph, MA, (M) (928) 468-8610 EB, P, R Cultural Competency: Y Group Name: Community Ages: 0-99 Web address: www.communitybrid Bridges gesaz.org Provider ID: 007574124001 Ages: 0-99 NPI: 1801429824 Areas of Expertise: P010, P035, 5734 Hope Ln Ste 1 PLIC, THS Globe, AZ 85501

(928) 425-2415 EB, P, R Mcnabb, Marilyn C, MS, (F) Cultural Competency: Y Group Name: North Country Web address: www.communitybrid Healthcare gesaz.org Provider ID: 001880797003 Ages: 0-99 NPI: 1023020161 Areas of Expertise: P010, P035 126 E Main St Ste B Payson, AZ 85541

(928) 468-8610 P, R, RE, T Ages: 0-99

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

133

Arizona - Pinal Behavioral Health Providers / Proveedores De Salud Mental

Davis, Bryan M, DO, (M) Psychiatry / Psiquiatría Group Name: Community Nwokorie, Angela C, CSW, (F) Capampangan, Da n, MD, (M), B Bridges Group Name: Canyonlands Group Name: Banner Univ Phys Provider ID: 003260199017 Community Health Care Specialists NPI: 1578790473 Provider ID: 007418545001 Provider ID: 003343813007 5734 Hope Ln Ste 2 NPI: 1124434857 NPI: 1114956273 Globe, AZ 85501 5860 S Hospital Dr Ste 102 807 S Ponderosa St (928) 425-2415 EB, P, R, RE, T Globe, AZ 85501 Payson, AZ 85541 (928) 402-0941 E, EB, G, IB, P, Cultural Competency: Y (928) 474-3222 RE, T PL, R, RE, S, T Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Tagalog Areas of Expertise: MAT1, THS Ages: 0-99 Park, Lori A, MA, (F) Hospital Affiliations: Mccall, Scott C, MD, (M), B Group Name: Horizon Health Banner University Med Ctr South Group Name: Southwest And Wellness Campus Behavioral Health Services Inc Provider ID: 003285325002 Cobre Valley Regional Medical Provider ID: 000418611002 NPI: 1053561431 Center NPI: 1083625883 415 W Baseline Spur Casa Grande Regional Med Ctr 404 W Aero Dr Globe, AZ 85501 Payson, AZ 85541 Banner Casa Grande Medical (520) 836-1688 EB, P, R, RE, T Center (928) 474-3303 EB, P, R, RE, T Banner Page Hospital Ages: 0-99 Languages Spoken: Mayo Clinic Hospital Areas of Expertise: THS Provider: Spanish Banner Univ Medical Cntr Web address: www.sbhservices.org Pinal Phoenix Campus Ages: 0-99

Banner Desert Medical Center Areas of Expertise: E070, E160, Areas of Expertise: E020, E070, Advanced Practice Registered MAT1, P010, THS E112, E160, E165 Psychiatric Nurse Practitioner /

Enfermera Psiquiátrica Titulada

Davis, Bryan M, DO, (M) Social Worker - Licensed / En Práctica Avanzada Group Name: Community Trabajador Social - Licenciada Lutostanski, Karen, NP, (F) Bridges Kittell, Gwen, MA, (F) Group Name: Horizon Health Provider ID: 003260199018 Group Name: Community And Wellness NPI: 1578790473 Bridges Provider ID: 005672765016 5734 Hope Ln Provider ID: 007601211001 NPI: 1447631940 Globe, AZ 85501 NPI: 1053914630 980 E Mt Lemmon Road (928) 425-2415 EB, P, R, RE, T 803 W Main St Oracle, AZ 85623 Cultural Competency: Y Payson, AZ 85541 (520) 896-6019 EB, P, R Web address: www.hhwaz.org Ages: 0-99 (928) 468-0022 EB, P, R, RE, S, T Areas of Expertise: MAT1, THS Cultural Competency: Y Ages: 0-99 Ages: 0-99 Areas of Expertise: THS Areas of Expertise: A101, P010

134

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Pinal

Mccarvell, Kathleen A, NP, (F) Group Name: Horizon Health Social Worker - Licensed / And Wellness Trabajador Social - Licenciada Provider ID: 003179911003 Horn, Rebecca J, MS, (F) NPI: 1154500981 Group Name: Sun Life Family 980 E Mt Lemmon Road Health Center Oracle, AZ 85623 Provider ID: 003514294001 (520) 896-6019 EB, P, R NPI: 1295087740 Cultural Competency: Y 1870 W American Way Ages: 0-99 Oracle, AZ 85623

Hospital Affiliations: (520) 896-2092 E, EB, IB, P, R, Tacoma General Allenmore RE, S, T Areas of Expertise: A060, E010, Cultural Competency: Y E017, E020, E025, E062, E070, Ages: 0-99 E160, E165, E185, E198, E200, E210, E220, E240, E377, MAT1, Horn, Rebecca J, MS, (F) P010, P035, P080, THS Group Name: Sun Life Family Health Center Provider ID: 003514294001 Professional Counselor / NPI: 1295087740 Consejero Profesional 23 S Mcnab Pkwy Park, Lori A, MA , (F) San Manuel, AZ 85631

Group Name: Horizon Health (520) 385-2234 E, EB, IB, P, R, And Wellness RE, S, T Provider ID: 003285325002 Cultural Competency: Y NPI: 1053561431 Ages: 0-99 980 E Mt Lemmon Road Oracle, AZ 85623 Park, Lori A, MA, (F)

(520) 896-9240 EB, P, R Group Name: Horizon Health Ages: 0-99 And Wellness Areas of Expertise: THS Provider ID: 003285325002 NPI: 1053561431 Sorensen, Maria, MA, (F) 980 E Mt Lemmon Road Group Name: Horizon Health Oracle, AZ 85623

And Wellness (520) 896-9240 EB, P, R Provider ID: 006438429002 Ages: 0-99 NPI: 1407191067 Areas of Expertise: THS 980 E Mt Lemmon Road Oracle, AZ 85623

(520) 896-6019 EB, P, R Ages: 0-99 Areas of Expertise: E112, THS

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

135

Arizona - Gila Behavioral Health Facilities / Servicios De Salud Mental

Behavioral Health Facilities / Servicios De Salud Mental

Arizona Psychiatric Hospital / Instituto De

Salud Mental

Gila

Southwest Behavioral Health

Community Mental Health Services Center / Centro De Salud Mental Provider ID: 007135577001 En La Comunidad NPI: 1659380780

8985 W Stageline Rd Community Bridges Hope Ln Payson, AZ 85541 Provider ID: 007018610001 (928) 468-2399 EB, P, R NPI: 1093960304 Areas of Expertise: SP50, SP60, 5734 Hope Ln Ste 2 SP80, THS Globe, AZ 85501 (928) 425-2415 EB, P, R, RE, T

Areas of Expertise: THS

Community Bridges Payson Provider ID: 006939441001 NPI: 1548416514 803 W Main St Payson, AZ 85541

(928) 468-0022 EB, P, R, RE, S, T

Areas of Expertise: THS

Mental Health & Substance Abuse Rehab Facility / Centro De Rehabilitaciónilitación Drogadicción Y Salud Mental Horizon Human S rvcs - Globe Provider ID: 005560000001 NPI: 1043492648 415 W Baseline Spur Globe, AZ 85501

(928) 402-9297 EB, P, R, RE, T

136 Federally Qualified Health Care Agency/Rural Health Clinic / Agencia De Atención Médica Con Certificación Federal/Clínica De Salud Rural Arizona - Pinal

Federally Qualified Health Care Agency/Rural Health Clinic / Agencia De Atención Médica Con Certificación Federal/Clínica De Salud Rural Cobre Valley Surgical Services Sun Life Family-San Manue Arizona Provider ID: 006995062001 Provider ID: 005376915001 NPI: 1538315890 NPI: 1467666206

Gila

5880 S Hospital Dr 23 S Mcnab Pkwy

Federally Qualified Health Care Globe, AZ 85501 San Manuel, AZ 85631 Agency / Agencia De Salud (928) 425-3261 E, EB, G, P, PL, (520) 385-2234 E, EB, G, IB, P, Federalmente Calificados R, RE, S, T PL, R, RE, S, T

Web address: www.cvrmc.org Web address: www.slfhc.org/ Canyonlands Hlthcr-Globe Provider ID: 005380500001 Pleasant Valley Comm Medi NPI: 1417218876 Provider ID: 005384771002 5860 S Hospital Dr Ste 102 NPI: 1811962848 Globe, AZ 85501 124 N Tewksbury Blvd (928) 402-0491 E, EB, G, IB, P, Young, AZ 85554

PL, R, RE, S, T (928) 425-3261 EB, P, R, RE, T Web address: https://canyonlandsch Web address: www.cvrmc.org c.org

Pinal North Country Hlth-Payson

Provider ID: 005354251002 Federally Qualified Health Care NPI: 1093146755 Agency / Agencia De Salud 126 E Main St Ste B Federalmente Calificados Payson, AZ 85541

(928) 472-9700 P, R, RE, T Horizon Health And Wellness Web address: northcountryhealthcar Oracle e.org Provider ID: 007321796001 NPI: 1710366737

980 E Mt Lemmon Rd Rural Health Clinic / Clínica De Oracle, AZ 85623 Salud Rural (520) 896-6019 EB, P, R Cobre Valley Regi onal Medical Ctr/Rhc Sun Life Family - Oracle Provider ID: 006740037001 Provider ID: 005376911001 NPI: 1962896167 NPI: 1902018856 5994 S Hospital Dr 1870 W American Way Globe, AZ 85501 Oracle, AZ 85623

(928) 425-7108 EB, P, R, RE, T (520) 896-2092 E, EB, IB, P, R, Web address: www.cvrmc.org RE, S, T

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

137

Arizona - Gila Urgent Care Centers / Centros De Atención Urgente

Urgent Care Centers / Centros De Atención Urgente

Arizona

Gila

Urgent Care Center / Centro De Cuidado De Urgencia Banner Urgent Car e Arizona Provider ID: 003055594002 NPI: 1649406273 101 E State Highway 260 Ste G Payson, AZ 85541

(928) 478-8905 EB, P, R Web address: www.bannerhealth.co m

138

Pharmacy / Farmacia Arizona - Gila

Pharmacy / Farmacia Cvs Pharmacy #11144 Kearny Pharmacy Arizona Provider ID: 0305955 Provider ID: 0363692 NPI: 1659371854 NPI: 1487297842

Gila

100 N Broad St 100 S Tilbury Dr

Pharmacy / Farmacia Globe, AZ 85501 Globe, AZ 85501

(928) 425-5777 (928) 402-2875 Bashas Languages Spoken: Languages Spoken: Provider ID: 0352409 Provider: English, Spanish Provider: English, Spanish NPI: 1972684181 Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-99 142 E Highway 260 Sa - 9:00 AM - 6:00 PM Payson, AZ 85541 Su - 10:00 AM - 6:00 PM Safeway Pharmacy #1536 (928) 474-7039 Ages: 0-99 Provider ID: 0322292 Languages Spoken: NPI: 1700815750 Provider: English, French, Frys Food And Drug 401 E Hwy 260 Spanish Provider ID: 0318798 Payson, AZ 85541

Mo-Fr - 8:00 AM - 8:00 PM NPI: 1801838420 (928) 472-8242 EB, IB, P, R, S Sa - 9:00 AM - 6:00 PM 2115 Us Highway 60 Suite 200 Su - 10:00 AM - 5:00 PM Miami, AZ 85539 Languages Spoken:

Ages: 0-99 (928) 425-8165 Provider: English Languages Spoken: Mo-Fr - 8:00 AM - 8:00 PM Beeline & Hwy 260 Provider: English Sa - 9:00 AM - 6:00 PM Provider ID: 0364808 Mo-Fr - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM NPI: 1487275681 Sa - 9:00 AM - 6:00 PM Ages: 0-99 101 E State Highway 260 Ste G Su - 10:00 AM - 4:00 PM # G Ages: 0-99 San Carlos Apache Healthcare Payson, AZ 85541 Corporation (928) 596-4570 Genoa Healthcare, LLC Provider ID: 0360292 Languages Spoken: Provider ID: 0357055 NPI: 1861875536 Provider: English NPI: 1255630661 103 Medicine Way Rd Mo-Su - 8:00 AM - 8:00 PM 404 W. Aero Dr Peridot, AZ 85542 Ages: 0-99 Payson, AZ 85547 (928) 475-1300

(928) 238-3024 Languages Spoken: Cobre Valley Pharmacy Languages Spoken: Provider: English Provider ID: 0322583 Provider: English Ages: 0-99 NPI: 1639384233 Mo-Fr - 8:30 AM - 5:00 PM 5880 S Hospital Drive Ages: 0-99 Pharmacy Dept Globe, AZ 85501

(928) 402-1192 Languages Spoken: Provider: English, Spanish Ages: 0-99

All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

139

Arizona - Gila Pharmacy / Farmacia Walgreens #6533

Pinal

Provider ID: 0315463

NPI: 1033124375 Pharmacy / Farmacia

100 S Beeline Hwy Payson, AZ 85541 Sun Life Family Health Center Provider ID: 0324070 (928) 474-1599 Languages Spoken: NPI: 1851457295 Provider: English 23 S Mcnab Pkwy Mo-Fr - 8:00 AM - 8:00 PM San Manuel, AZ 85631 Sa,Su - 9:00 AM - 5:00 PM (520) 385-2236 Ages: 0-99 Languages Spoken: Provider: English, Spanish Walmart Pharmacy 10-1334 Web address: www.sunlifepharmac Provider ID: 0316681 yaz.com NPI: 1598783920 Ages: 0-99 100 South Ragus Rd Claypool, AZ 85532

(928) 425-7661 R, S, E, EB, IB, P, T Mo-Fr - 9:00 AM - 9:00 PM Sa - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99

Walmart Pharmacy 10-1369 Provider ID: 0316908 NPI: 1255358461 300 N Beeline Hwy Payson, AZ 85541

(928) 474-0034 E, EB, IB, P, R, S, T Mo-Fr - 9:00 AM - 9:00 PM Sa - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99

140

Home And Community Based Services / Servicios Comunitarios Y Domiciliarios Arizona - Gila

Home And Community Based Services / Servicios Comunitarios Y Domiciliarios Arizona Mentor Dd Grp Homes Arizona Provider ID: 003371886001 NPI: 1114070752

Gila

225 Holly Rd

Attendant Care Agency / Agencia Globe, AZ 85501 De Cuidado Asistente (602) 200-9494 EB, P, R

Accentcare At Home Arizona Mentor Dd Grp Homes Provider ID: 002559920002 Provider ID: 003371886001 NPI: 1518175405 NPI: 1114070752 200 W Frontier St Ste G 309 W Summit St Payson, AZ 85541 Payson, AZ 85541

(928) 404-8000 EB, P, R (602) 200-9494 EB, P, R

Arion Care Solutions Arizona Mentor Dd Grp Homes Provider ID: 007783169001 Provider ID: 003371886001 NPI: 1932721834 NPI: 1114070752 201 N Mogollon Trl 634 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541

(928) 970-1549 EB, P, R (602) 200-9494 EB, P, R

Environmental Adaptation / Adaptación Ambiental Stauffer Plumbing Provider ID: 003448599001 NPI: 1194893032 180 Quail Ridge Rd Globe, AZ 85501

(928) 425-8472 EB, P, R

Habilitation Agency / Agencia De Habilitación Arizona Mentor Dd Grp Homes Provider ID: 003371886001 NPI: 1114070752 107 S Whiting Dr Payson, AZ 85541

(602) 200-9494 EB, P, R

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

141

Arizona - Gila Assisted Living Facilities / Instalaciones De Vida Asistida

Assisted Living Facilities / Instalaciones De Vida Asistida Ordinary Lifestyles Iii Arizona Provider ID: 006402740001 NPI: 1003214370

Gila

207 E Zurich Dr

Assisted Living Home / Asistida Payson, AZ 85541 Por Vida Inicio (928) 595-2068 EB, P, R

Faubush Family Homes Ordinary Lifestyles Iv Provider ID: 006404918001 Provider ID: 006402743001 7760 S Six Shooter Canyon Rd NPI: 1003214370 Globe, AZ 85501 205 W Bonita St (928) 961-4828 EB, P, R Payson, AZ 85541

(928) 595-2068 EB, P, R Frontier House Provider ID: 006402730001 Pinal 906 E Frontier St

Payson, AZ 85541 Assisted Living Home / Asistida (928) 468-2461 EB, P, R Por Vida Inicio

Houston Creek Assisted Living Mary & Pete's Assisted Living Provider ID: 006402725001 Provider ID: 006492626001 210 S Houston Creek Cir NPI: 1679920136 Payson, AZ 85541 203 Ave I

(928) 951-2467 EB, P, R San Manuel, AZ 85631 (520) 909-3241 EB, P, R Ordinary Lifestyles I Provider ID: 006402735001 NPI: 1003214370 401 N Laredo Ln Payson, AZ 85541

(928) 595-2068 EB, P, R

Ordinary Lifestyles Ii Provider ID: 006402738001 NPI: 1003214370 718 N Fox Hill Cir Payson, AZ 85541

(928) 595-2068 EB, P, R

142

Skilled Nursing Facilities / Centros De Enfermería Especializada Arizona - Gila

Skilled Nursing Facilities / Centros De Enfermería Especializada

Arizona Nevada

Clark Gila

Skilled Nursing Facility / Centro Skilled Nursing Facility / Centro De Enfermería Especializada De Enfermería Especializada

Haven Of Globe Highland Manor Of Mesquite Provider ID: 002126592001 Provider ID: 002206888001 NPI: 1467868075 NPI: 1386642460 1100 E Monroe St 272 W Pioneer Blvd Globe, AZ 85501 Mesquite, NV 89027

(928) 425-5721 E, EB, G, IB, P, (702) 346-7666 EB, P, R PL, R, RE, S, T Web address: highlandmanorofmesq Languages Spoken: uite.com Staff: Apache, Spanish

Payson Care Center Provider ID: 000792432001 NPI: 1033177308 107 E Lone Pine Dr Payson, AZ 85541

(928) 474-6896 EB, P, R

Rim Country Hlth & Retirement Community Provider ID: 000284378001 NPI: 1578568267 807 W Longhorn Rd Payson, AZ 85541

(928) 474-1120 EB, P, R

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. CSAZ.15.999.01.9.011

143

AreasAreas of Expertise Index / Índice de Especialidades of Expertise Index / Índice de Especialidades

ABUSE / ABUSO (E010) BIPOLAR DISORDER / TRASTORNO Espinoza, Hugo A, NP...... 86 Espinoza, Hugo A, NP...... 86 BIPOLAR (E042) GENERAL THERAPY / TERAPIA Mccarvell, Kathleen A, NP...... 130, 134 Fargas Rodriguez, Arnaldo, MA. 130, 131 GENERAL (E112) Villegas, Joanne E, MA ...... 87, 131 Villegas, Joanne E, MA ...... 87, 131 Bjork, Janeen C, MD ...... 32 ADOLESCENT CARE (13-18 YEARS) / CO-OCCURRING DISORDERS Capampangan, Dan, MD...... 133 CUIDADO DE ADOLESCENTES (MENTAL AND SUBSTANCE) / Charles, Travis B, DO...... 33 (13-18 AÑOS) (P080) TRASTORNOS CONCOMITANTES Ekman, John K, FNP ...... 130 Espinoza, Hugo A, NP...... 86 (MENTALES Y POR CONSUMO DE Mccarvell, Kathleen A, NP...... 130, 134 Lee-Iannotti, Joyce K, MD ...... 85 SUSTANCIAS) (E062) Sexton, Alicia A, MS...... 131 Sorensen, Maria, MA...... 134 Ekman, John K, FNP ...... 130 ADULT CARE (18 + YEARS) / GERIATRIC CARE (65+ YEARS) / Mccarvell, Kathleen A, NP...... 130, 134 CUIDADO DE ADULTOS (MAYORES CUIDADO GERIÁTRICO (MAYORES DE 18 AÑOS) (P010) COGNITIVE BEHAVIORAL DE 65 AÑOS) (P035) THERAPY / TERAPIA Davenport, Lori L, MA...... 131 Hemenway, Charolette, NP...... 86, 130 COGNITIVO-CONDUCTUAL (E055) Ekman, John K, FNP ...... 130 Martorana, Diana, MA...... 132 Espinoza, Hugo A, NP...... 86 Davenport, Lori L, MA...... 131 Mccarvell, Kathleen A, NP...... 130, 134 Fargas Rodriguez, Arnaldo, MA. 130, 131 DAY HABILITATION / Simmons, Joseph, MA ...... 132 Hemenway, Charolette, NP...... 86, 130 HABILITACIÓN DIURNA (E429) Kittell, Gwen, MA ...... 133 GERIATRIC CARE (65+ YEARS) / Martorana, Diana, MA...... 132 Bancroft, Tammi L, MS...... 37, 130 CUIDADO GERIÁTRICO (MAYORES Mccall, Scott C, MD ...... 133 DEPRESSION / DEPRESIÓN (E070) DE 65 AÑOS) (SP50) Mccarvell, Kathleen A, NP...... 130, 134 Capampangan, Dan, MD...... 133 Southwest Behavioral Health Services 135 Sexton, Alicia A, MS...... 131 Davenport, Lori L, MA...... 131 GRIEF / DUELO (E115) Simmons, Joseph, MA ...... 132 Ekman, John K, FNP ...... 130 Espinoza, Hugo A, NP...... 86 Villegas, Joanne E, MA ...... 87, 131 Espinoza, Hugo A, NP...... 86 LESBIAN, GAY, BISEXUAL, ANGER / IRA (E017) Fargas Rodriguez, Arnaldo, MA. 130, 131 Lee-Iannotti, Joyce K, MD ...... 85 TRANSGENDER, & QUEER (LGBTQ) Davenport, Lori L, MA...... 131 CARE / CUIDADO DE PERSONAS Espinoza, Hugo A, NP...... 86 Mccall, Scott C, MD ...... 133 Mccarvell, Kathleen A, NP...... 130, 134 LESBIANAS, GAYS, BISEXUALES, Mccarvell, Kathleen A, NP...... 130, 134 TRANSGÉNERO Y HOMOSEXUALES Villegas, Joanne E, MA ...... 87, 131 DEPRESSION / DEPRESIÓN (E198) (LGBTQ) (E105) ANXIETY / ANSIEDAD (E020) Espinoza, Hugo A, NP...... 86 Davenport, Lori L, MA...... 131 Capampangan, Dan, MD...... 133 Mccarvell, Kathleen A, NP...... 130, 134 Espinoza, Hugo A, NP...... 86 Davenport, Lori L, MA...... 131 DEVELOPMENTALLY DISABLED / LESBIAN, GAY, BISEXUAL, Ekman, John K, FNP ...... 130 CON DISCAPACIDAD DEL TRANSGENDER, & QUEER (LGBTQ) Espinoza, Hugo A, NP...... 86 DESARROLLO (DD) CARE / CUIDADO DE PERSONAS Fargas Rodriguez, Arnaldo, MA. 130, 131 Cantley Muhammad, Shaheedah M, MD55 Lee-Iannotti, Joyce K, MD ...... 85 LESBIANAS, GAYS, BISEXUALES, Carlile, Maranda S, NP ...... 37 Mccarvell, Kathleen A, NP...... 130, 134 TRANSGÉNERO Y HOMOSEXUALES Demack, Michael K, PA ...... 42 Sexton, Alicia A, MS...... 131 (LGBTQ) (E385) Harris, Jonathan G, NP ...... 103 Villegas, Joanne E, MA ...... 87, 131 Espinoza, Hugo A, NP...... 86 Hoffman, Donna L, FNP...... 31 ATTENTION DEFICIT DISORDERS Vigil, Lynne A, FNP...... 31 LONG-ACTING ANTIPSYCHOTIC (ADHD) / TRASTORNOS POR Villegas, Joanne E, MA ...... 87, 131 INJECTIONS / ANTIPSICÓTICOS INYECTABLES DE ACCIÓN DÉFICIT DE ATENCIÓN (ADHD) DIALECTICAL BEHAVIORAL PROLONGADA (E381) (E025) THERAPY / TERAPIA DIALÉCTICA Ekman, John K, FNP ...... 130 CONDUCTUAL (E080) Ekman, John K, FNP ...... 130 Espinoza, Hugo A, NP...... 86 Davenport, Lori L, MA...... 131 MARRIAGE & COUPLE'S THERAPY Fargas Rodriguez, Arnaldo, MA. 130, 131 / TERAPIA MATRIMONIAL Y DE DOMESTIC VIOLENCE / VIOLENCIA Mccarvell, Kathleen A, NP...... 130, 134 PAREJA (P020) Villegas, Joanne E, MA ...... 87, 131 INTRAFAMILIAR (E090) Davenport, Lori L, MA...... 131 Davenport, Lori L, MA...... 131 BIOFEEDBACK / Espinoza, Hugo A, NP...... 86 BIORRETROALIMENTACIÓN (E040) Espinoza, Hugo A, NP...... 86 Villegas, Joanne E, MA ...... 87, 131 Espinoza, Hugo A, NP...... 86 FAMILY THERAPY / TERAPIA FAMILIAR (P030) CSAZ.15.999.01.9.011

144

Areas of Expertise Index / Índice de Especialidades Areas of Expertise Index / Índice de Especialidades

MEDICAL ILLNESS & DISEASE Ekman, John K, FNP ...... 130 PROVIDER LED INTEGRATED MANAGEMENT / MANEJO DE Lee-Iannotti, Joyce K, MD ...... 85 CARE COORDINATION / ENFERMEDADES Y AFECCIONES Mccarvell, Kathleen A, NP...... 130, 134 COORDINACIÓN DEL CUIDADO DE MÉDICAS (E155) NURSE WITH PRESCRIPTIVE LA SALUD INTEGRADO DIRIGIDA Ekman, John K, FNP ...... 130 PRIVILEGES / ENFERMERA CON POR PROVEEDORES (PLIC) PRIVILEGIOS PARA RECETAR Appleby Kittle, Carrie L, MA...... 131 MEDICATION ASSISTED (A060) TREATMENT (MAT) / Bakall, Benjamin B, MD ...... 88 TRATAMIENTO ASISTIDO CON Ekman, John K, FNP ...... 130 Bancroft, Tammi L, MS...... 37, 130 MEDICAMENTOS (MAT) (A100) Fargas Rodriguez, Arnaldo, MA. 130, 131 Bryan, Joseph S, MD ...... 88 Mccarvell, Kathleen A, NP...... 130, 134 Espinoza, Hugo A, NP...... 86 Bancroft, Tammi L, MS...... 37, 130 Villegas, Joanne E, MA ...... 87, 131 Gaitan, Jaime R, MD ...... 89 MEDICATION ASSISTED OBSESSIVE COMPULSIVE Hemenway, Charolette, NP...... 86, 130 TREATMENT (MAT) - DISORDER (OCD) / TRASTORNO Kazaka, Katharine A, MS ...... 130 BUPRENORPHINE / TRATAMIENTO OBSESIVO-COMPULSIVO (OCD) Kwong, Henry M, MD...... 90 ASISTIDO CON MEDICAMENTOS (E170) Martorana, Diana, MA...... 132 (MAT) (MAT1) Rankovic, Alecia, MSN ...... 130, 131 Davenport, Lori L, MA...... 131 Reddy, Rahul K, MD ...... 90 Andrade, Oscar E, MD...... 31 Ekman, John K, FNP ...... 130 Welch, Matthew J, MD...... 91 Bancroft, Tammi L, MS...... 37, 130 Espinoza, Hugo A, NP...... 86 Bennett, Richard W, MD ...... 53 PSYCHOLOGICAL TESTING / PAIN MANAGEMENT / MANEJO Burk, Bessie, FNP...... 43, 46 PRUEBAS PSICOLÓGICAS (E205) DEL DOLOR (E180) Dardy, Sandra, FNP ...... 47 Espinoza, Hugo A, NP...... 86 Davis, Bryan M, DO ...... 63, 133 Ekman, John K, FNP ...... 130 RESIDENTIAL TREATMENT & Fader, Paul F, MD...... 33 Espinoza, Hugo A, NP...... 86 RECOVERY OF SUBSTANCE USE / Falke, Sharon L, NP...... 37 PAIN MANAGEMENT / MANEJO TRATAMIENTO RESIDENCIAL Y Hunt, Judith A, MD ...... 41 DEL DOLOR (E235) Jarrell, Christopher, NP...... 38 RECUPERACIÓN DEL CONSUMO DE Mccall, Scott C, MD ...... 133 Davenport, Lori L, MA...... 131 SUSTANCIAS (SP80) Mccarvell, Kathleen A, NP...... 130, 134 PERSONALITY DISORDERS / Southwest Behavioral Health Services 135 Michels, Alan P, MD ...... 36 TRASTORNOS DE LA SCHIZOPHRENIA / Mickelson, Brookanne J, NP ...... 113 PERSONALIDAD (E185) ESQUIZOFRENIA (E210) Nguyen, Tam T, MD...... 97 Davenport, Lori L, MA...... 131 Rankovic, Alecia, MSN ...... 130, 131 Ekman, John K, FNP ...... 130 Ekman, John K, FNP ...... 130 Mccarvell, Kathleen A, NP...... 130, 134 Root, Bradley D, DO ...... 118 Espinoza, Hugo A, NP...... 86 Root, Max R, MD ...... 118 Mccarvell, Kathleen A, NP...... 130, 134 SERIOUS MENTAL ILLNESS / Villegas, Joanne E, MA ...... 87, 131 ENFERMEDAD MENTAL GRAVE PHOBIAS / FOBIAS (E190) MEDICATION MANAGEMENT / (E377) ADMINISTRACIÓN DE Davenport, Lori L, MA...... 131 Davenport, Lori L, MA...... 131 Espinoza, Hugo A, NP...... 86 MEDICAMENTOS (E160) Ekman, John K, FNP ...... 130 PHYSICAL DISABILITIES / Capampangan, Dan, MD...... 133 Mccarvell, Kathleen A, NP...... 130, 134 Charles, Travis B, DO...... 33 DISCAPACIDADES FÍSICAS (E376) Sexton, Alicia A, MS...... 131 Ekman, John K, FNP ...... 130 Espinoza, Hugo A, NP...... 86 SUBSTANCE USE DISORDER / Espinoza, Hugo A, NP...... 86 POST TRAUMATIC STRESS TRASTORNO POR CONSUMO DE Fargas Rodriguez, Arnaldo, MA. 130, 131 DISORDER (PTSD) / TRASTORNO SUSTANCIAS (A021) Lee-Iannotti, Joyce K, MD ...... 85 POR ESTRÉS POSTRAUMÁTICO Villegas, Joanne E, MA ...... 87, 131 Mccall, Scott C, MD ...... 133 (PTSD) (E200) Mccarvell, Kathleen A, NP...... 130, 134 TELEMEDICINE / TELEMEDICINA Davenport, Lori L, MA...... 131 (THS) MENTAL HEALTH RESIDENTIAL Ekman, John K, FNP ...... 130 Appleby Kittle, Carrie L, MA...... 131 SERVICE / SERVICIO RESIDENCIAL Espinoza, Hugo A, NP...... 86 PARA LA SALUD MENTAL (SP60) Bakall, Benjamin B, MD ...... 88 Mccarvell, Kathleen A, NP...... 130, 134 Bancroft, Tammi L, MS...... 37, 130 Southwest Behavioral Health Services 135 Villegas, Joanne E, MA ...... 87, 131 Bryan, Joseph S, MD ...... 88 MOOD DISORDERS / TRASTORNOS Colburn, Mary B, MA...... 131 DEL ESTADO DE ÁNIMO (E165) Community Bridges Hope Ln...... 135 Capampangan, Dan, MD...... 133 Community Bridges Payson ...... 135 Davenport, Lori L, MA...... 131 Davenport, Lori L, MA...... 131 Davis, Bryan M, DO ...... 63, 133 CSAZ.15.999.01.9.011

145

AreasAreas of Expertise Index / Índice de Especialidades of Expertise Index / Índice de Especialidades

Ekman, John K, FNP ...... 130 Espinoza, Hugo A, NP...... 86 Fargas Rodriguez, Arnaldo, MA. 130, 131 Fenster, Paul E, MD...... 59 Gaitan, Jaime R, MD ...... 89 Harris, Jonathan G, NP ...... 103 Hemenway, Charolette, NP...... 86, 130 Kazaka, Katharine A, MS ...... 130 Kwong, Henry M, MD...... 90 Lutostanski, Karen, NP...... 98, 103, 133 Martorana, Diana, MA...... 132 Mccall, Scott C, MD ...... 133 Mccarvell, Kathleen A, NP...... 130, 134 Nelson, Gloriajean, NP ...... 39 Park, Lori A, MA...... 132, 133, 134 Patil, Arun S, MD ...... 62, 69 Pineres, Amalia D, MD...... 34 Rankovic, Alecia, MSN ...... 130, 131 Reddy, Rahul K, MD ...... 90 Sexton, Alicia A, MS...... 131 Sorensen, Maria, MA...... 134 Southwest Behavioral Health Services 135 Sumar, Riyaz A, MD ...... 62, 69 Udall, Craig K, DPM ...... 96 Vakil, Hiva, MD ...... 60, 62 Vandruff, John E, MD ...... 35 Welch, Matthew J, MD...... 91 TELEMENTAL HEALTH CAPABILITY / CAPACIDAD PARA SALUD TELEMENTAL (A101) Davenport, Lori L, MA...... 131 Ekman, John K, FNP ...... 130 Kittell, Gwen, MA ...... 133 Sexton, Alicia A, MS...... 131 TRANSGENDER CARE / CUIDADO DE PERSONAS TRANSGÉNERO (E240) Mccarvell, Kathleen A, NP...... 130, 134 TRAUMA / TRAUMA (E215) Davenport, Lori L, MA...... 131 TRAUMA / TRAUMA (E374) Davenport, Lori L, MA...... 131 TREATMENT FOR SEXUAL OFFENDERS / TRATAMIENTO PARA AGRESORES SEXUALES (E220) Espinoza, Hugo A, NP...... 86 Mccarvell, Kathleen A, NP...... 130, 134 CSAZ.15.999.01.9.011

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Index / Índice

A Blatter, Grant L...... 128 Community Bridges Payson...... 135 Abad, Maria M, MD...... 49 Bohnert, William W, MD...... 97 Cook, Matthew O, DO...... 33 Abbott, Brandon H, DO...... 36, 40 Boiangiu, Constantin C, MD...... 100 Cooper, Wantzy, DO...... 104 Abdo, Joseph G, MD...... 65 Boorman, David C, MD...... 109, 110 Coppelli, Luis A, MD...... 65 Accentcare At Home...... 140 Bourquin, Todd L...... 124 Copper State Home Health...... 123 Adams, Tamerut A, DO...... 36 Bowler, Brent, PA...... 118 Cortez, Andrew J, DO...... 74 Ahee, Ann M, NP...... 54 Bowman, Jonathan C, MD...... 51 Cox, Brandon R, PA...... 107, 118 Ahmed, Irfan, MD...... 70 Boyer, Michelle S, PA...... 41 Crandell, Gary D, PA...... 94 Ajluni, Nader R, DO...... 49, 50 Boyer, Phillip D, DO...... 88 Croft, Scott T, MD...... 91, 92 Albers, Victoria L...... 124 Bradbury, Alana J, NP...... 54 Cvs Pharmacy #11144...... 138 Alexander, Cami L, FNP...... 63 Bradley, Ryan B, PA...... 41 D Allen, April, NP...... 37 Brooks, Nathan M, MD...... 32 Dahdal, Samir Y, MD...... 100, 102 Alten, Kimberly B, FNP...... 31 Brown, Coby T, MD...... 58 Dahl, Katharine C, MD...... 74 Amaya-Pinto, Francisco J, MD...... 46 Brown, Mitchell G, NP...... 46 Dardy, Sandra, FNP...... 47 Amin, Tanay J, MD...... 66 Broz, Robin L, DO...... 40 Davenport, Lori L, MA...... 131 Andersen, Janice I...... 124 Bryan, Joseph S, MD...... 88 Davis, Bethany A, MD...... 33, 56 Anderson, Michael B, MD...... 108, 114 Bryan, Michael C, MD...... 55 Davis, Bryan M, DO...... 63, 133 Andrade, Oscar E, MD...... 31, 32 Bryant, Kimberly...... 124 Demack, Michael K, PA...... 42 Appleby Kittle, Carrie L, MA...... 131 Bueno, Damaso S, MD...... 71 Dennis, Lebron, PA...... 94 Arion Care Solutions...... 140 Bunker, Jocelyn, NP...... 112 Desert Palms Physical Therapy Catalina. Arizona Mentor Dd Grp Homes...... 140 Burk, Bessie, FNP...... 43, 46 ...... 127 Arnold, Michael L, FNP...... 102, 103 Buxton-Fattohy, Suzan S, MD...... 72 Desjardins, Marissa L...... 125 Arshad, Anees, MD...... 106, 107 C Diaz, Cynthia D, FNP...... 44, 47 Asiala, Chelsey A...... 124 Campbell, Chad, PA...... 41 Dickson, Alysha N, PA...... 118 Askari, Ali A, MD...... 59 Campbell, Douglas J, MD...... 32 Diquattro, Ryan, DDS...... 121 Asota, Ijeoma M, MD...... 87 Campion, Michael, MD...... 89 Dixon, Megan B, MD...... 74 Astle, Craig D, MD...... 58 Cannon, Kimberly, FNP...... 44, 46, 47 Donovan, Brenda A, DNP...... 85 Aston, Nathan W, PA...... 107, 118 Cantley Muhammad, Shaheedah M, MD. Doxey, G P, MD...... 115 Aviant Hospice Gila...... 123 ...... 55 Dunn, Andrea L...... 125 B Canyonlands Hlthcr-Globe...... 136 E Bakall, Benjamin B, MD...... 88 Capampangan, Dan, MD...... 133 Edstrom, Trent, NP...... 85 Balderman, Joshua, MD...... 100, 104 Caplan, Murray F, MD...... 40 Edwards, Michael G, NP...... 37 Balraj, Praveen C, MD...... 98 Carlile, Maranda S, NP...... 37 Eisenhart, Candee J, NP...... 37 Bancroft, Tammi L, MS...... 37, 130 Carlson, Joshua N, MD...... 106, 113 Ekman, John K, FNP...... 130 Banner Home Care Arizona...... 123 Carlson, Tanner B, PA...... 41 Ekpo, Ini E, MD...... 67 Banner Physical Therapy And Rehab... 124 Carpenter, Derek B, PA...... 50 El Gasim, Mahmood M, MD...... 89 Banner Urgent Care Arizona...... 137 Carrillo, Diane E...... 125 Elhabach, Wasim...... 125 Barakat, Mark R, MD...... 88 Carter, Curtis A, MD...... 52 Emery, Caitlin...... 125 Bartholomew, Patricia, NP...... 37 Chamberlain, Howard L, MD...... 52 Erickson, Nikki...... 125 Barton, Deborah D, NP...... 112 Chan, Sean M, NP...... 103 Espinoza, Hugo A, NP...... 86 Barton, Scott D, MD...... 51, 52 Channis, Basel, MD...... 72 Esplin, William F, DO...... 52 Bashas...... 138 Chapman, Joshua T, NP...... 106, 108, 112 Estrada, Eddie, MD...... 57 Beeline & Hwy 260...... 138 Charles, Travis B, DO...... 33 Ethington, Roger, OD...... 122 Benham, Brady N, MD...... 58 Chaudhary, Asad J, MD...... 72, 73 Evans, James L, MD...... 100, 102 Benitez, Jose, LPC...... 131 Chen, Ang, MD...... 73 Evans, Robert T, DPM...... 96 Bennett, Richard W, MD...... 53 Chinn, Lisa E, DDS...... 121 F Bennett, Sara K, NP...... 37 Christensen, Bryt A, MD...... 116, 117 Faby, Kristen...... 125 Berbos, Zachary J, MD...... 88 Chung Tze Chong, Daniel A, MD...... 46 Fader, Paul F, MD...... 33 Berman, Scott S, MD...... 100, 104 Clark, Randy R, MD...... 114 Faitelson, Hymie Lionel, MD...... 98 Bertelson, Erin N, NP...... 54 Cluff, David B, DO...... 33 Falke, Sharon L, NP...... 37 Betts, Amy...... 124 Cobre Valley Pharmacy...... 138 Fargas Rodriguez, Arnaldo, MA. .130, 131 Bhsm Rehab...... 127 Cobre Valley Regional Medical Ctr/Rhc. Fat-Denatsosie, Brittany J, NP...... 38 Bi, Sucai, MD...... 87 ...... 136 Faubush Family Homes...... 141 Biehn, Jeffrey L, DO...... 91 Cobre Valley Surgical Services...... 136 Fenster, Paul E, MD...... 59 Bishop, Karen, NP...... 37 Cockfield, Ann D...... 127 Ferrin, Scott D...... 124 Bista, Amar B, MD...... 70, 71 Colattur, Shyam N, MD...... 73 Fick, Kathryn L, MD...... 56 Bjork, Janeen C, MD...... 32 Colburn, Mary B, MA...... 131 Fisler, Rita E, MD...... 62 Black, Cameron T, MD...... 110 Community Bridges Hope Ln...... 135 Flaherty, Brett D, DDS...... 121 CSAZ.15.999.01.9.011 Index / Indice 148

Index / Índice

Foote, Stacey J...... 125 Horizon Health And Wellness Oracle. . 136 Liberty Dialysis St George...... 128 Foster, Christine K, MD...... 51, 53 Horizon Human Srvcs - Globe...... 135 Lieder, Emily R, MD...... 33 Foulger, Jordan, PA...... 42 Horn, Rebecca J, MS...... 134 Lietzow, Rebecca J, FNP...... 39 Freeburg, Dominic D, PA...... 95 Horne, Susan C, MD...... 65 Lincare...... 123, 127, 128 Freeman, Monica, NP...... 38 Hospice Compassus...... 123 Lord, Ron K, MD...... 106, 114 Frontier House...... 141 Houston Creek Assisted Living...... 141 Lorenzo, Alberto P, MD...... 33 Frys Food And Drug...... 138 Hubbard, Jonathan P, DO...... 52 Lundell, Robert D, DO...... 46 G Hughes, Marissa L, NP...... 113 Lunt, Bryce C, MD...... 53 Gaitan, Jaime R, MD...... 89 Hunt, Judith A, MD...... 41 Lutostanski, Karen, NP...... 98, 103, 133 Gandhi, Zahabia T, MD...... 50, 54 I M Garber, Jason E, MD...... 111, 112 Isenberg, Richard A, MD...... 89 Makki, Nader M, MD...... 102 Garcia, Matilda C, MD...... 40 Itkin, David J, MD...... 67 Malsch, Jacquelyn M...... 125 Gardner, Kent E, MD...... 115 J Manch, Richard A, MD...... 64, 67, 68 Gavlick, Kirk M, DO...... 98, 102 Jackson, Jeffrey, OD...... 122 Mandap, Marissa P, DMD...... 121 Genoa Healthcare, LLC...... 138 Jacob, Joseph R, MD...... 116 Maneely, Matthew H, DDS...... 121 George, Zachary H, MD...... 105, 110 Jain, Neal, MD...... 41, 59 Mannino, Anthony, DO...... 34 Gilles, Pierre C, MD...... 65 Jarrell, Christopher, NP...... 38 Marmoush, Fady Y, MD...... 60 Glaser, Katherine, MD...... 56 Jazayeri, Sadra S, MD...... 63 Marquis, Kellie, NP...... 103 Gleason, Philip E, MD...... 94 Jean Philippe, Alethea D...... 125 Martorana, Diana, MA...... 132 Godsey, Jacy K, NP...... 47 Jebaily, Nicholas X, MD...... 60 Mary & Pete's Assisted Living...... 141 Gollapalli, Lakshman, MD...... 93 Jennings, Cameron S, MD...... 111 Massaro, Sara, FNP...... 44 Gomez, Aaron J, MD...... 41 Jensen, Blaine S, PA...... 42 Mc Murty, Brent W...... 126 Goodman, Herbert D, MD...... 93 Johnson, Dayne A, PA...... 119 Mcbride, Zachariah, PA...... 42 Gordon, Alan J, MD...... 89 Jones, Jamison C, MD. .105, 108, 109, 110 Mccall, Scott C, MD...... 133 Goswami, Puja, MD...... 75 Judd, Lois M, NP...... 38 Mccarvell, Kathleen A, NP...... 130, 134 Graff, Jordan M, MD...... 89 K Mcdevitt, Kyle K, NP...... 47 Gray, Shannon M, NP...... 47 Kaiser, Bradley O, DDS...... 121 Mclaws, Ivan D, DPM...... 96 Green, Adam S, MD...... 111 Kaonohi, Leighton K, PA...... 119 Mcmahan, Therese A, CNM...... 70 Green, Jared A, PA...... 118, 119 Kartoumah, Almutaz B, MD...... 77 Mcmahon, Kristina T, NP...... 110, 113 Greenfield, Danielle R...... 125 Kasper, Lawrence M, MD...... 66 Mcnabb, Marilyn C, MS...... 132 H Katariya, Kushagra, MD...... 100, 104 Mcpherson, Bruce A, PA...... 107, 119 Hachem, Hassan A, MD...... 75, 76 Kazaka, Katharine A, MS...... 130 Mcqueary, Elizabeth S...... 124 Hamblin, John S, DDS...... 121 Kearny Pharmacy...... 138 Melde, Richard A, MD...... 34, 36 Hamburg, Morris B, NP...... 38 Keen, Brent L, MD...... 33 Memon, Abdul Q, MD...... 60, 61, 69 Hanger Prosthetics & Orthotics...... 128 Kelly, Lawrence J, MD...... 92 Meyers, Mark A, MD...... 63 Hanger Prosthetics & Orthotics West... 124 Kempton, James P...... 125 Michels, Alan P, MD...... 36 Hanna, Abboud, MD...... 76 Kenny, Tiffany D...... 124 Mickelson, Brookanne J, NP...... 113 Hansen, Ethan...... 125 King, Sarah M...... 124 Miller, Elizabeth G, NP...... 39 Hardcastle, Lacey A...... 125 Kirk, Stephen T, MD...... 110 Miller, John T, MD...... 111 Harris, Jonathan G, NP...... 103 Kittell, Gwen, MA...... 133 Millien, Roxanne L, MA...... 132 Harward, Aaron A...... 127, 128 Klotz, Hayley, PA...... 42 Mills, Lora L, PA...... 95 Havard, Lauren L, MD...... 36 Krause, Lonny D, NP...... 106, 108, 113 Mishler, Rick E, MD...... 78 Haven Of Globe...... 142 Kuhn, Elizabeth E, NP...... 38 Moasser, Amir H, MD...... 79 Heaton, Rex, NP...... 112 Kuker, Jenni, NP...... 38 Monson, Melissa, FNP...... 44, 48 Hemenway, Charolette, NP...... 86, 130 Kumar, Shantha, MD...... 59, 60, 68 Moore, Grant H, MD...... 90 Henderson, Jacquelynn D, PA...... 95 Kumar, Swati, MD...... 63 Morales, Monty C, MD...... 99, 103 Hernandez, Priscila E, NP...... 86 Kwong, Henry M, MD...... 90 Morales, Ralph E, MD...... 62 Herzberg, David A...... 125 L Morgosh, Kelsey, MD...... 34 Highland Manor Of Mesquite...... 142 Laffely, Nicholas H, MD...... 109, 112 Morse, Suzanne, NP...... 86, 93 Hill, Jennifer L, MD...... 59 Lancero, Lou L, MD...... 99, 101 Mosley, Anna M...... 126 Hillstead, Alan P, MD...... 117 Laukonen, Sabrina R...... 125 Mountain Respiratory...... 123 Hoadley, Robert, NP...... 38 Law, Patrick W, DPM...... 96 Mugo, Patti W, MD...... 34 Hoffman, Donna L, FNP...... 31 Layton, Brent J, MD...... 36 Murphy, Kevin G, MD...... 56 Hogan, Donn M, MD...... 76 Lee-Iannotti, Joyce K, MD...... 85 Mustafa, Esmat M, MD...... 79, 80 Holder, Karen V, NP...... 31, 38 Leopold, Peter S, DO...... 77, 78 Myer, James H, MD...... 99, 101, 103 Hollingshead, Bryson J, DO...... 51 Lewis, Ryan L, DO...... 111 Myers, Brad A, MD...... 111 Holloway, Amanda L, DO...... 33 Li, Xiaoyi, MD...... 98 N Hood, Roderick W, PA...... 95 Liao, Tina Y, MD...... 50 Nair, Lekha M, NP...... 48 CSAZ.15.999.01.9.011 Index / Indice 149

Index / Índice

Napier, Jessica R, FNP...... 48 R Skeif, Basel, MD...... 99 Narayanan, Rajnikanth, MD...... 80 Raja, Rubina A, MD...... 36 Smith, Bianca H, DO...... 57 Nayyar, Deepak, MD...... 46 Ramos, Alberto X, MD...... 64, 68 Sorensen, Maria, MA...... 134 Neeley, Ryan A, DO...... 92 Rankel, Brian J, PA...... 95 South Main Surgery Center...... 128 Neff, Richard K, MD...... 34 Rankovic, Alecia, MSN...... 130, 131 Southwest Behavioral Health Services. 135 Nelson, Gloriajean, NP...... 39 Rao, Rushil G, MD...... 90 Spooner, Peter H, MD...... 99, 101 Neumann, Thomas V, MD...... 80 Rasmussen, Jared, NP...... 87 Sridhara, Srilekha, MD...... 69 Newland, Anne M, MD...... 36 Razavi, Mir-Muhammad K, MD...... 69 Stager, Laura A, FNP...... 45, 49 Nguyen, Tam T, MD...... 97 Rcg Mammoth...... 127 Staheli, John K, MD...... 54 Nichols, Cameron L, PA...... 42 Rcg San Carlos...... 123 Stauffer Plumbing...... 140 Nichols, Deborah, FNP...... 31, 39 Reber, Keith R, DPM...... 119 Stehlin, Adam M...... 126 Nichols, Logan R, PA...... 50 Reddy, Rahul K, MD...... 90 Stein, Susan R, MD...... 57 Nilson, Wendell T, MD...... 54 Reicho, Paul R, MD...... 65 Stratford, C K, MD...... 53 Nimri, Alexander M, MD...... 81 Renal Care Group - Globe...... 123 Stucki, Sean J, PA...... 119 Nix, Jessica, FNP...... 44, 48 Riesenman, Paul J, MD...... 98 Sumar, Riyaz A, MD...... 62, 69 North Country Hlth-Payson...... 136 Riley, Thomas...... 124 Sun Life Family - Oracle...... 136 Nossek, Scott J...... 126 Rim Country Dialysis...... 123 Sun Life Family Health Center...... 139 Nwokorie, Angela C, CSW...... 133 Rim Country Hlth & Retirement Sun Life Family-San Manue...... 136 Nyokwoyo, Euphrase M, NP...... 86 Community...... 142 Sutak, Alan K, MD...... 115 O Risser, Christian F, MD...... 90 Swain, Suzanne M, NP...... 39 O'brien, Aaron M, MD...... 107, 114 Robey, Jean T, MD...... 81, 82 Swanson, Jennifer, PA...... 42, 43 Odden, Jamie L, MD...... 90 Rokkam, Vamsi, MD...... 82 T Onibokun, Adedayo O, MD...... 56 Rooney, Holly E, MD...... 35 Tani, Jason C, MD...... 92 Ordinary Lifestyles I...... 141 Rooney, John E, MD...... 64 Te, Joseph D, MD...... 105, 111 Ordinary Lifestyles Ii...... 141 Root, Bradley D, DO...... 118 Tenney, Jared K...... 126 Ordinary Lifestyles Iii...... 141 Root, Eric J, DO...... 51 Thibedeau, Jessie, NON...... 70 Ordinary Lifestyles Iv...... 141 Root, Max R, MD...... 118 Thomas, William J, MD...... 101 Ott, Darin D, DO...... 51 Ruehl, Mary L, NP...... 103 Tirrito, Salvatore J, MD...... 101 P S Todd, Rock A, LPC...... 132 Pacanowski, John P, MD...... 104 Safeway Pharmacy #1536...... 138 Tomlinson, Stephen J...... 128, 129 Packer, Susan, FNP...... 44, 45 Saifee, Mustufa T, MD...... 107, 108, 120 Toth, Sharon L, FNP...... 31 Palo Verde Hospital...... 30 Salik, Kathleen R...... 126 Trantham, Edward, NP...... 39 Parekh, Shehzad M, MD...... 81 Salim, Muhammad M...... 123 Truong, Frank, MD...... 35 Park, Lori A, MA...... 132, 133, 134 Salim, Muhammad M, MD...... 97 Turney-Shaw, Jean R, NP...... 40 Parry, Ami, NP...... 54 Salinas, Claudia, FNP...... 45, 48 U Parry, Scott A, MD...... 107, 109, 115 Salvatore, Theresa, NP...... 39 Udall, Craig K, DPM...... 96 Parry, Todd R, MD...... 107, 115 San Carlos Apache Healthcare Udall, John H, MD...... 93 Patel, Natasha, MD...... 56 Corporation...... 138 Uddin, Muhammad A, MD...... 83 Patil, Arun S, MD...... 62, 69 Sangave, Amit A, MD...... 91 Udofia, Ekop...... 126 Paul, David M, MD...... 66, 67 Santos, Peter W, DO...... 82, 83 Ullal, Himanshu, PA...... 43 Paul, Edward G, MD...... 34 Savage, Colleen M, NP...... 39 Ungar, Scott A, DO...... 83, 84 Paulson, Toby, DO...... 60, 68 Savala, Virginia A, DO...... 57 V Payson Care Center...... 142 Scales, Krystal, NP...... 39 Vakil, Hiva, MD...... 60, 62 Payson Physical Therapy...... 126 Schild, Annie...... 126 Van De Wyngaerde, David G, MD...... 93 Pendleton, Gus C, MD...... 53 Schlagel, Laura J, MD...... 112 Vandruff, James E, DO...... 35 Peress, Darren F, MD...... 99, 101 Schraudenbach, Cooper C, MD...... 35 Vandruff, John E, MD...... 35 Petersen, Colby B, PA...... 119 Sefcovic, Ashley H, PA...... 119 Vigil, Lynne A, FNP...... 31 Petkov, Pavel S, MD...... 57 Seidel, Donald R, PA...... 95 Villegas, Joanne E, MA...... 87, 131 Philip, Selin, NP...... 48 Sepich, Dustin J, MD...... 92 W Pieratt, Paula J, NP...... 45 Seppala, Ruth L, NP...... 45, 49 Walden, Daniel H...... 126 Pineres, Amalia D, MD...... 34 Sexton, Alicia A, MS...... 131 Walgreens #6533...... 139 Pleasant Valley Comm Medi...... 136 Shaikh, Athar A, MD...... 46 Walker, Bradley, OD...... 122 Porter, John C, MD...... 94 Sherrill, Christine C...... 126 Walmart Pharmacy 10-1334...... 139 Preferred Homecare...... 123 Shimamoto, Sam R, MD...... 59 Walmart Pharmacy 10-1369...... 139 Prieto, Roseanne P, NP...... 87 Shoultes, Raschelle D, NP...... 108, 113 Walter, Logan C, DO...... 57 Prince, Edward J, MD...... 109, 115 Silva, Anthony V, MD...... 64, 69 Walton, Aileen K...... 126 Q Simmons, Joseph, MA...... 132 Watson, Joy M, PA...... 43 Quesada, Nikki C, NP...... 48 Sipperley, Jack O, MD...... 91 Webb, Angela M, NP...... 49 CSAZ.15.999.01.9.011 Index / Indice 150

Index / Índice

Welch, Matthew J, MD...... 91 Werrell, Bradley H, DO...... 35 West, Ronald R...... 126 Whitehair, Jennifer J, MD...... 56 Williams, Pamela N, FNP...... 45, 49 Willms, Jonathan R, DO...... 58 Winger, Jeffrey B, NP...... 54 Winward, Tracy W, MD...... 58 Wolfe-Ruiz, Cheryl A, PA...... 95 Wombold, Leroy D, DO...... 66 Woods, Kristin A, NP...... 40 Woods, Russell, OD...... 122 Wright, Kelly G, FNP...... 31 Wutoh, Kenneth W...... 126 Wyma, Mark, PA...... 43 X Xie, Bing, FNP...... 45, 49 Z Zaw, Yuzana K, MD...... 84 Zerr, Patrick E...... 126 Zhao, Hui J, MD...... 84 Zions Way Home Health & Hospice.127, 128 Zou, Lixian, MD...... 85 CSAZ.15.999.01.9.011

151 Notes ______

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______CSAZ.15.999.01.9.011

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