Provider Directory Directorio De Proveedores

CSAZ.18.999.01.9.017

Arizona

Provider Directory Directorio de proveedores

Central (Gila and Pinal counties) Central (condados de Gila y Pinal)

Directory of Physicians and Other Health Care Professionals Directorio de médicos y proveedores de atención médica For members enrolled in: / Para los miembros inscritos en: AHCCCS Complete Care

Member Services / Servicios para Miembros 1-800-348-4058, TTY 711

CSAZ19MC4476044_003

9/8/2021 CSAZ.18.999.01.9.017

We care about you and your family's health

UnitedHealthcare Community Plan partners with Arizona Health Care Cost Containment System (AHCCCS), Arizona Department of Health Services (ADHS) and Department of Economic Security (DES) to oﬀer many diﬀerent health plans.

UnitedHealthcare Commmunity Plan does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, national origin, veteran status, ancestry, health status or the need for, or cost of, health services.

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Welcome to UnitedHealthcare Community Plan

Finding a provider

This directory will help you ﬁnd doctors and specialists in your area who participate with UnitedHealthcare Community Plan. It also lists the names and addresses of hospitals, pharmacies and dentists you should use, if you need those services.

You can also ﬁnd a current list of network providers on our website at UHCCommunityPlan.com.

To choose or change your Primary Care Provider (PCP) call Member Services at the number below and let us know. (Sometimes doctors may not accept new patients. If that's the case, we can help you make another selection.)

Member Services: 1-800-348-4058, TTY 711

Choosing a Primary Care Provider (PCP) for you and your family is easy There are several types of PCPs listed in this directory.

Primary Care Providers

Family General Practice: Adults and children

Internal Medicine: Adults

Pediatrician: Children

Providers listed in this directory are current as of the date listed on the cover. Information is subject to change.

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Your Primary Care Physician (PCP)

Your health care is important to us. We carefully screen and pick our doctors so you receive the best care. When you enroll, you will be assigned a Primary Care Physician (PCP). Your PCP is your personal care doctor. Your PCP will provide or arrange the covered services you need. Make sure you talk to your PCP about any health problems you have. That way, your PCP gets to know you and your medical history. Always follow your PCP's instructions and get approval before you get any medical services. If you are pregnant you may choose your Primary Care Obstetrician (PCO) as your primary physician, or you may choose a primary care practitioner such as a nurse practitioner, physician's assistant, or midwife. These maternity and family planning providers will ensure you get pre- and postpartum services.

Changing your PCP Your PCP is an important part of your health care team. You and your PCP need to work together. If for any reason you want to change your PCP, call Member Services. If you change your PCP, you must choose another PCP from the UnitedHealthcare Community Plan Provider Directory. We can help you choose a new PCP or tell you more about the PCPs in our network. If you are pregnant, contact Healthy First Steps at 1-800-599-5985. Member Services can send you a list of our providers at no cost to you. If your PCP does not speak your language, call Member Services. UnitedHealthcare Community Plan will provide you with an interpreter at no cost to you.

Seeing a specialist Your PCP is in charge of all your covered health care needs. 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.

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.

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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, contact Member Services at 1-800-348-4058, 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.

Your ID card has a phone number to access behavioral health and substance abuse services. Services are assigned to a provider based on where you live. If you have questions or need help getting behavioral health services, please call the number on your card.

Behavioral health services include but may not be limited to the following: • Behavioral health case management services • Behavioral health medicines, monitoring, and adjustment • Behavioral health therapeutic home care services • Behavioral management • Doctor services • Emergency and non-emergency transportation • Emergency or crisis services • Individual, group and family therapy and counseling • Inpatient hospital services, detoxiﬁcation, and behavioral health residential services • Inpatient psychiatric facility services • Lab and radiology services • Peer and family support • Psychosocial rehabilitation (living skills training, health promotion; supportive employment services) • Psychotropic medications, adjustments and monitoring • Rehabilitation services • Respite care • Screening, evaluation, and diagnosis • Substance use (drug, opioid, and alcohol) counseling, medication assisted treatment • Support services • Treatment planning

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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 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 are experiencing a behavioral health crisis, 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.

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

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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

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

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MSICs are at the following locations:

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 1-855-598-1871 1-800-232-1018 www.dmgcrs.org www.flagstaffmedicalcenter.com

Children's Clinics Children's Rehabilitative Services Square & Compass Building Tuscany Medical Plaza 2600 North Wyatt Drive 2851 S Avenue B, Bld 25, #2504 Tucson, AZ 85712 Yuma, AZ 85364 520-324-5437 928-336-2777 1-800-231-8261, ext. 45437 1-800-837-7309 www.childrensclinics.org www.yumaregional.org

How to use this directory

This directory will help you find doctors and specialists in your area who participate with UnitedHealthcare Community Plan Check your member ID card to confirm the program/plan you are enrolled in. Your ID card is your key to getting health care services. It has your ID number, your name, and other important information. Your ID card identifies you as a UnitedHealthcare Community Plan member. Your ID card has a phone number to access behavioral health and substance abuse services. Services are assigned to a provider based on where you live. If you have questions or need help getting behavioral health services, please call the number on your card.

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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. UHCCommunityPlan.com CSAZ.18.999.01.9.017

Sample hospital listing

Description of hospital listings

This chart will help you understand each hospital's listing

Listing: Example:

Hospital name GoodCare Hospital

Hospital phone number 222-123-4567

Hospital address 627 South Wellness Street Health Valley, AZ 54321

Accreditation Accredited by: The Joint Commission (Accredited)

Accreditation shows that the hospital has been evaluated by experts in hospital care. An accredited hospital must participate in ongoing reviews to make sure that its operations are up to the latest standards. Please see below for the possible rankings.

The Joint Commission is one entity that accredits hospitals. The following ratings are possible: • Accredited: The hospital was in compliance with all standards when surveyed or within 90 days of the survey. • Preliminary accreditation: The hospital passed a brief review of its compliance with the Joint Commission's standards and will be surveyed more fully shortly. • Conditional accreditation: The hospital complies with some, but not all, of the Joint Commission's standards, but will be surveyed more fully shortly. • Provisional accreditation: The hospital was not able to address all of the requirements for improvement that the ﬁrst survey suggested within 45 days, or the hospital failed to show that it has been able to sustain compliance.

Accreditation can also be granted by the American Osteopathic Association (AOA), in which case the listing will read, “Accreditation: AOA (Accredited).”

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A nosotros nos importa la salud de usted y de su familia

UnitedHealthcare Community Plan en asociación con el Sistema de Control de Precios de los Cuidados para la Salud de Arizona (Arizona Health Care Cost Containment System – AHCCCS), con los Servicios de Salud de Arizona (Arizona Department of Health Services – ADHS) y con el Departamento de Seguridad Económica (Department of Economic Security – DES) ofrece muchos diferentes planes de salud.

UnitedHealthcare Community Plan no discrimina a la hora de prestar servicios de salud, independientemente de raza, color, religión, sexo, orientación sexual, edad, discapacidad, origen nacional, condición de veterano, ascendencia, estado de salud o la necesidad de o costo de servicios de salud.

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Bienvenido a UnitedHealthcare Community Plan

Para encontrar a un proveedor

Este directorio le ayudará a encontrar los médicos y especialistas de su área que participan con UnitedHealthcare Community Plan. También detalla los nombres y las direcciones de los hospitales, farmacias y dentistas que debe consultar si necesita esos servicios.

Usted puede encontrar una lista actualizada de proveedores en nuestra red, consultando la Internet en nuestra dirección: UHCCommunityPlan.com.

Para escoger por primera vez o para cambiar a su Proveedor de Atención Primaria (PCP), déjenos saberlo llamando al Servicios para Miembros al número abajo anotado. (En algunas ocasiones algunos doctores no aceptan nuevos pacientes. Si ese es el caso, nosotros podemos ayudarle a hacer otra selección.)

Servicios para Miembros: 1-800-348-4058, TTY 711

Elegir un proveedor de atención primaria (PCP) para usted y su familia es fácil Hay varios tipos de PCP incluidos en este directorio.

Proveedores de atención primaria

Medicina general familiar: Adultos y niños

Medicina interna: Adultos

Pediatras: Niños

Los proveedores anotados en esta lista se encuentran al corriente hasta la fecha anotada en la cubierta. Esta información está sujeta a cambios.

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Su Doctor de Atención Primaria (PCP)

Su salud es importante para nosotros. Nosotros investigamos y seleccionamos a nuestros doctores para que usted reciba los mejores cuidados de salud. Cuando usted se inscribe, se le asignará un Doctor de Atención Primaria (PCP). Su PCP es su doctor personal para darle los cuidados de salud. Su PCP le proveerá o hará los arreglos para proveerle de los cuidados con cobertura que usted necesita. Asegúrese de hablar con su PCP acerca de cualquier problema de salud que usted tenga. En esa forma, su PCP empezará a conocerle a usted y a su historia médica. Siga siempre las instrucciones de su PCP y obtenga la aprobación para recibir servicios médicos antes de obtenerlos. Si está embarazada, usted puede escoger al doctor Ginecólogo-obstetra de Atención Primaria (PCO) que le atiende y designarlo como su doctor principal, o puede elegir un proveedor de atención primaria, como una enfermera especializada, un asistente médico o una partera. Estos proveedores de planiﬁcación familiar y de maternidad se asegurarán de que reciba servicios antes y después del parto.

Para cambiar su PCP Su PCP es una importante parte de su equipo para los cuidados de salud. Usted y su PCP deben trabajar en conjunto. Si hay una razón por la cual quiere cambiar de PCP, llame a Servicios para Miembros. Si usted cambia de PCP, debe escoger a otro PCP consultando el Directorio de Proveedores de UnitedHealthcare Community Plan. Nosotros podemos ayudarle a escoger a un nuevo PCP o podemos informarle con más detalles acerca de los PCP en nuestra red. Si usted está embarazada, contacte a Healthy First Steps (Primeros Pasos de Salud) al 1-800-599-5985. Los Servicios para Miembros le pueden enviar gratuitamente la lista de proveedores. Si su PCP no habla su idioma, llame a Servicios para Miembros. UnitedHealthcare Community Plan le facilitará los servicios de un intérprete sin ningún costo para usted.

Para consultar con un especialista Su PCP está a cargo de todas las necesidades acerca de los servicios para los cuidados de su salud. Si usted necesita de cuidados de salud especiales, su PCP puede referirle a un especialista o a otro doctor. Los miembros también pueden solicitar servicios sin una referencia y pueden elegir un proveedor de la red de proveedores de UnitedHealthcare Community Plan.

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.

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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, comuníquese con Servicios para Miembros al 1-800-348-4058, TTY 711.

Servicios para la salud conductual

A nosotros nos preocupa cómo se siente usted. Los servicios para la salud conductual pueden ayudarle con los asuntos personales que pueden afectarle a usted y/o a su familia. Estos asuntos pueden ser el estrés, la depresión, la ansiedad o por el uso de drogas o de alcohol.

Su tarjeta de identiﬁcación tiene un número de teléfono para contactar a los servicios de salud conductual y los servicios para el abuso de substancias. Los servicios son asignados a un proveedor de acuerdo al área en que usted vive. Si usted tiene cualquier pregunta o necesita ayuda para obtener servicios para la salud conductual, por favor llame al número anotado en su tarjeta.

Los servicios de salud conductual incluyen, entre otros, los siguientes: • Servicios de administración de casos de salud conductual • Medicamentos para la salud conductual, seguimiento y ajuste • Servicios de atención domiciliaria terapéutica de salud conductual • Manejo del comportamiento • Servicios médicos • Transporte de emergencia y no emergencia • Servicios de emergencia o crisis • Terapia y asesoramiento individual, grupal y familiar • Servicios hospitalarios para pacientes hospitalizados, desintoxicación y servicios residenciales de salud conductual

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• Servicios de instalaciones psiquiátricas para pacientes hospitalizados • Servicios de laboratorio y radiología • Apoyo familiar y de pares • 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 • Cuidados de relevo • Detección, evaluación y diagnóstico • Asesoramiento sobre el uso de sustancias (drogas, opioides y alcohol), tratamiento asistido por medicamentos • Servicios de apoyo • Planiﬁcación del tratamiento

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 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.

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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

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 UHCCommunityPlan.com CSAZ.18.999.01.9.017

Clínicas interdisciplinarias de múltiples especialidades (MSIC)

Las Clínicas Interdisciplinarias de Especialidades Múltiples (MSIC) son clínicas donde los miembros menores de 21 años pueden ver a sus especialistas médicos y a cualquier otra persona involucrada en su atención, todo en un solo lugar. En la MSIC, usted y su familia pueden reunirse en persona con los miembros de su equipo de proveedores para recibir atención médica, planiﬁcar su tratamiento y recibir otros servicios que pueda necesitar. Cada MSIC está abierta de 8 a.m. a 5 p.m., de lunes a viernes. Es posible que se lleven a cabo clínicas especíﬁcas, como la clínica cardíaca, en determinados días y horarios. Comuníquese con su MSIC para obtener un horario de clínicas. Para hacer, cambiar o cancelar citas en la MSIC, comuníquese con la MSIC al número de teléfono de la clínica que se indica a continuación.

Los proveedores médicos de su equipo podrían ser: Cirujanos Especialistas medicos Cirujanos pediatras generales Cardiólogos Cirujanos cardiovasculares y torácicos Neurologos Cirujanos de oído, nariz y garganta (ORL) Reumatólogos Neurocirujanos Pediatras generales Cirujano oftalmológico Genetistas Cirujanos ortopédicos Urólogos (general, mano, escoliosis, amputados) Metabolocistas Cirujanos plásticos Proveedores dentales Dentistas Ortodoncistas

Las MSIC se localizan en las siguientes direcciones:

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Cómo usar este directorio

Este directorio lo ayudará a encontrar médicos y especialistas en su área que participen con UnitedHealthcare Community Plan Consulte su tarjeta de identificación de miembro para confirmar el programa/plan en el que está inscrito. Su tarjeta de identificación es la clave para obtener servicios de atención médica. Tiene su número de identificación, su nombre y otra información importante. Su tarjeta de identificación lo identifica como miembro de UnitedHealthcare Community Plan. Su tarjeta de identificación tiene un número de teléfono para acceder a servicios de salud conductual y abuso de sustancias. Los servicios se asignan a un proveedor según su lugar de residencia. Si tiene alguna pregunta o necesita ayuda para obtener servicios de salud conductual, llame al número que figura en su tarjeta.

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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.

UHCCommunityPlan.com CSAZ.18.999.01.9.017

Ejemplo de lista de hospitales

Descripción de la lista de hospitales

Este cuadro le ayudará a comprender la lista de cada hospital

Listado: Ejemplo:

Nombre del hospital GoodCare Hospital

Número de teléfono del hospital 222-123-4567

Dirección del hospital 627 South Wellness Street Health Valley, AZ 54321

Acreditación Acreditado por: The Joint Commission (Acreditado)

La acreditación muestra que el hospital fue evaluado por expertos en atención hospitalaria. Un hospital acreditado debe participar en los estudios continuos para asegurar que sus operaciones cumplen con las normas más recientes. Revise las caliﬁcaciones posibles a continuación.

La Comisión Conjunta (Joint Commission) es una entidad que acredita a los hospitales. Las siguientes caliﬁcaciones son posibles: • Acreditado: El hospital estaba cumpliendo con todas las normas al momento de la revisión o dentro de un lapso de 90 días de la misma. • Acreditación preliminar: El hospital aprobó un breve estudio de su cumplimiento de acuerdo con las normas de la Comisión Conjunta, y será revisado de manera más completa a la brevedad. • Acreditación condicional: El hospital cumple con algunas de las normas, pero no todas, de la Comisión Conjunta, pero será revisado de manera más completa a la brevedad. • Acreditación provisional: El hospital no pudo cumplir con todos los requisitos para mejorar sugeridos en la primera revisión dentro de un lapso de 45 días, o el hospital no pudo demostrar que fue capaz de mantener el cumplimiento.

La acreditación también puede ser otorgada por la Asociación Americana de Osteopatía (American Osteopathic Association, AOA), en cuyo caso en el listado se leerá: “Acreditación: AOA (acreditado)”.

UHCCommunityPlan.com CSAZ.18.999.01.9.017

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 1-800-348-4058, 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 1-800-348-4058, 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 1-800-348-4058, TTY 711, 8 a.m. – 5 p.m., Monday – Friday.

CSAZ20MC4779284_000 CSAZ.18.999.01.9.017

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 1-800-348-4058, 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 1-800-348-4058, 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 1-800-348-4058, TTY 711, de 8 a.m. a 5 p.m., de lunes a viernes. CSAZ.18.999.01.9.017

23 CSAZ.18.999.01.9.017

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25 Table Of Contents / Tabla de Contenido

National Vendors / Proveedores Nacionales ...... 27 Multispecialty Interdisciplinary Clinic / Multi Especialidad Clinica Interdisciplinaria ...... 34 Hospitals / Hospitales ...... 36 Primary Care Providers / Proveedores De Cuidado Primario ...... 37 Specialists / Especialistas ...... 61 Dental Providers / Proveedores De Servicios Dentales ...... 121 Nationwide Vision Providers / Proveedores De Nationwide Vision ...... 123 Pharmacy / Farmacia ...... 124 Ancillary Providers / Proveedores Auxiliares ...... 126 Federally Qualified Health Care Agency/Rural Health Clinic / Agencia De Atención Médica Con Certificación Federal/Clínica De Salud Rural ...... 138 Primary Care Obstetricians / Obstetras De Atención Primaria ...... 139 Behavioral Health Providers / Proveedores De Salud Mental ...... 142 Behavioral Health Facilities / Servicios De Salud Mental ...... 151 Areas of Expertise Index / Índice de Especialidades ...... 153 Index / Indice ...... 157

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.18.999.01.9.017

26 CSAZ.18.999.01.9.017

National Vendors / Proveedores Nacionales 27

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.18.999.01.9.017

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.18.999.01.9.017

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.18.999.01.9.017

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.18.999.01.9.017

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.18.999.01.9.017

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.18.999.01.9.017

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.18.999.01.9.017Multispecialty Interdisciplinary Clinic / Multi Especialidad Clinica Interdisciplinaria

Multispecialty Interdisciplinary Clinics (MSIC)

A Multispecialty Interdisciplinary Clinic (MSIC) may be chosen as your or your child’s assigned health home. At the MSIC, you and your family can meet face-to-face with your care team to get medical care, behavioral health care services and be a part of your care plan development. Each MSIC is open from 8:00 a.m. to 5:00 p.m. Monday through Friday.

MSICs are at the following locations:

DMG Children’s Rehabilitative Services Children’s Rehabilitative Services 3141 N 3rd Avenue 1200 North Beaver Phoenix, AZ 85013 Flagstaff, AZ 86001 602-914-1520 928-773-2054 1-855-598-1871 1-800-232-1018 www.dmgcrs.org www.flagstaffmedicalcenter.com

Children’s Clinics Children’s Rehabilitative Services Square & Compass Building Tuscany Medical Plaza 2600 North Wyatt Drive 2851 S Avenue B, Bld 25, #2504 Tucson, AZ 85712 Yuma, AZ 85364 520-324-5437 928-336-2777 1-800-231-8261, ext. 45437 1-800-837-7309 www.childrensclinics.org www.yumaregional.org

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Hospitals / Hospitales Utah - Washington

Hospitals / Hospitales St George Regional Hospital Washington California Provider ID: 000453998001

NPI: 1366452880 Riverside Acute Care Hospital / Atención 385 N 350 E Hospitalaria Aguda St George, UT 84790 Acute Care Hospital / Atención These hospitals offer Emergency (435) 251-1000 EB, P, R Hospitalaria Aguda Services & Post Stabilization Web address: intermountainhealthca re.org These hospitals offer Emergency Services

Areas of Expertise: SP05, SP05 Services & Post Stabilization St George Regional Hospital Services Provider ID: 000453998001 Palo Verde Hospital NPI: 1366452880 Provider ID: 000685746001 1380 E Medical Ctr Dr NPI: 1194705202 Saint George, UT 84790 250 N First St (435) 251-1000 EB, P, R Blythe, CA 92225 Web address: intermountainhealthca (760) 922-4115 EB, P, R re.org Web address: www.paloverdehospit Areas of Expertise: SP05, SP05 al.org St George Regional Hospital

Provider ID: 000453998001 Utah NPI: 1366452880 1739 W Sunset Blvd Kane Saint George, UT 84770

(435) 251-1000 EB, P, R Acute Care Hospital / Atención Web address: intermountainhealthca Hospitalaria Aguda re.org Areas of Expertise: SP05, SP05 These hospitals offer Emergency

Services & Post Stabilization St George Regional Hospital Services Provider ID: 000453998001

Kane County Hospital NPI: 1366452880 Provider ID: 000421169001 348 E 600 S NPI: 1740519370 St George, UT 84770 355 N Main (435) 251-1000 EB, P, R Kanab, UT 84741 Web address: intermountainhealthca (435) 644-5811 EB, P, R re.org Web address: kchosp.net Areas of Expertise: SP05, SP05

All providers are proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS Fully Integrated + CRS Partially Integrated only providers. These provider are AHCCCS Complete (Medicaid + CRS Fully Integrated + CRS Partially Integrated only providers. CSAZ.18.999.01.9.017

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

NPI: 1831192913 NPI: 1912967704 Family Nurse Practitioner / 126 E Main St Ste B 806 S Ponderosa St Enfermera De Familia 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: 12-99 (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 Payson, AZ 85541 Provider ID: 003022061024 (928) 596-4500 EB, P, R NPI: 1982776563 Ages: 0-99 117 E Main St Ste A100 Areas of Expertise: DD Payson, AZ 85541 (928) 596-4500 EB, P, R Ages: 0-99

= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior 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 = 24-hour CSAZ.18.999.01.9.017

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila

Campbell, Douglas J, MD, (M), B Charles, Travis B, DO, (M), B Family Practice / Medicina Group Name: Cobre Valley Tonto Group Name: Cobre Valley Tonto Familiar Basin Clinic Basin Clinic Andrade, Oscar E, MD, (M), B Provider ID: 001778189006 Provider ID: 003656425004 Group Name: Medcom Medical NPI: 1720071384 NPI: 1255643136 Provider ID: 001898514001 186 E Stephens Way 5994 S Hospital Dr NPI: 1275685521 Tonto Basin, AZ 85553 Globe, AZ 85501 108 S Broad St (928) 479-2871 EB, P, R (928) 425-7108 EB, P, R, RE, T Globe, AZ 85501 Languages Spoken: Mo-Fr - 7:00 AM - 5:00 PM (928) 425-6592 EB, P, R, RE, T Provider: Croatian, German, Accepting Existing Patients Only Languages Spoken: Romanian, Russian, Serbian Ages: 0-99 Provider: Spanish Ages: 0-99 Hospital Affiliations: Staff: Spanish Hospital Affiliations: Cobre Valley Regional Medical Mo-Th - 7:00 AM - 5:00 PM Cobre Valley Regional Medical Center Ages: 0-99 Center Areas of Expertise: E112, E160 Hospital Affiliations: Yavapai Regional Medical Center Cobre Valley Regional Medical West Cook, Matthew O, DO, (M) Center Group Name: Banner Primary Campbell, Douglas J, MD, (M), B Care Physicians Arizona Brooks, Nathan M, MD, (M), B Group Name: Cobre Valley Tonto Provider ID: 007462381005 Group Name: North Country Basin Clinic NPI: 1114451986 Healthcare Provider ID: 001778189003 117 E Main St Ste A100 Provider ID: 002741426011 NPI: 1720071384 Payson, AZ 85541 NPI: 1093763377 5994 S Hospital Dr (928) 596-4500 EB, P, R 126 E Main St Ste B Globe, AZ 85501 Languages Spoken: Payson, AZ 85541 (928) 425-7108 EB, P, R, RE, T Provider: Spanish (928) 468-8610 P, R, RE, T Languages Spoken: Ages: 0-99 Mo-Th - 7:00 AM - 6:00 PM Provider: Croatian, German, Fr - 7:00 AM - 4:00 PM Romanian, Russian, Serbian Davis, Bethany A, MD, (F), B Ages: 0-99 Ages: 0-99 Group Name: North Country Hospital Affiliations: Hospital Affiliations: Healthcare Flagstaff Medical Center Cobre Valley Regional Medical Provider ID: 006085643007 Banner Gateway Medical Center Center NPI: 1982048856 Yavapai Regional Medical Center 126 E Main St Ste B West 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. These provider are AHCCCS Complete (Medicaid + CRS Fully Integrated + CRS Partially Integrated only providers. CSAZ.18.999.01.9.017

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Fader, Paul F, MD, (M), B Keen, Brent L, MD, (M) Mannino, Anthony, DO, (M), B Group Name: North Country Group Name: Banner Primary Group Name: North Country Healthcare Care Physicians Arizona Healthcare Provider ID: 000882554004 Provider ID: 006883785001 Provider ID: 001141147023 NPI: 1942205620 NPI: 1023404092 NPI: 1700849072 708 Coeur D'alene Ste B 117 E Main St Ste A100 126 E Main St Ste B Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (928) 468-8610 E, EB, IB, P, R (928) 596-4500 EB, P, R (928) 468-8610 P, R, RE, T Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Spanish Flagstaff Medical Center Banner Payson Medical Center Staff: Spanish Areas of Expertise: MAT1 Mo-Th - 7:00 AM - 6:00 PM Lieder, Emily R, MD, (F), B Fr - 7:00 AM - 4:00 PM Finch, Glenn M, NP, (M) Group Name: North Country Ages: 0-99 Group Name: North Country Healthcare Hospital Affiliations: Healthcare Provider ID: 003609594006 Banner Desert Medical Center Provider ID: 005526005009 NPI: 1497070429 Banner Desert Care Center NPI: 1386021400 126 E Main St Ste B Chandler Regional Medical Center 126 E Main St Ste B Payson, AZ 85541 Banner Ironwood Medical Center Payson, AZ 85541 (928) 468-8610 P, R, RE, T (928) 468-8610 P, R, RE, T Ages: 0-99 Melde, Richard A, MD, (M) Ages: 0-99 Hospital Affiliations: Group Name: Medcom Medical Flagstaff Medical Center Provider ID: 001783879045 Holloway, Amanda L, DO, (F) NPI: 1710027438 Group Name: North Country Lorenzo, Alberto P, MD, (M), B 108 S Broad St Healthcare Group Name: North Country Globe, AZ 85501 Provider ID: 007401950007 Healthcare (928) 425-6592 EB, P, R, RE, T NPI: 1447784848 Provider ID: 005117612011 Mo-Th - 7:00 AM - 5:00 PM 126 E Main St Ste B NPI: 1265731624 Fr - 8:00 AM - 4:00 PM Payson, AZ 85541 126 E Main St Ste B Ages: 0-99 (928) 468-8610 P, R, RE, T Payson, AZ 85541 Hospital Affiliations: Mo-Th - 7:00 AM - 6:00 PM (928) 468-8610 P, R, RE, T Wickenburg Community Hospital Fr - 7:00 AM - 4:00 PM Languages Spoken: Jcl Dv Hospital Ages: 0-99 Provider: Tagalog Hospital Affiliations: Ages: 0-99 Flagstaff Medical Center Hospital Affiliations: Bayfront Health Seven Rivers

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Morgosh, Kelsey, MD, (F), B Paul, Edward G, MD, (M), B Rooney, Holly E, MD, (F), B Group Name: North Country Group Name: North Country Group Name: Rooney Holly E Healthcare Healthcare Provider ID: 002029245004 Provider ID: 007720206005 Provider ID: 001561375014 NPI: 1194738674 NPI: 1679079123 NPI: 1619058880 1100 E Monroe St Ste 101 126 E Main St Ste B 126 E Main St Ste B Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 425-3557 E, EB, IB, P, R, T (928) 468-8610 P, R, RE, T (928) 468-8610 P, R, RE, T Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Mugo, Patti W, MD, (F), B Hospital Affiliations: Cobre Valley Regional Medical Group Name: North Country Yuma Regional Medical Center Center Healthcare University Medical Center Provider ID: 005694414002 Banner University Med Ctr Rooney, Holly E, MD, (F), B NPI: 1013272988 Tucson Campus Group Name: Hope Family Care 708 Coeur D'alene Ste B St Josephs Hospital & Med Ctr Ctr Payson, AZ 85541 Provider ID: 002029245008 (928) 468-8610 E, EB, IB, P, R Pineres, Amalia D, MD, (F), B NPI: 1194738674 Languages Spoken: Group Name: Integrated Medical 285 N Broad St Staff: Spanish Services Globe, AZ 85501 Ages: 0-99 Provider ID: 000999872005 (928) 425-8200 E, EB, G, P, R, Hospital Affiliations: NPI: 1750449419 RE, S, T William W Backus Hospital 111 W Cedar Ln Ste A Mo,Tu,Th - 8:00 AM - 8:00 PM Payson, AZ 85541 We,Fr - 8:00 AM - 5:00 PM Neff, Richard K, MD, (M), B (928) 472-4675 EB, IB, P, R, RE, Sa - 9:00 AM - 2:00 PM Group Name: North Country T Cultural Competency: Y Healthcare Languages Spoken: Ages: 0-99 Provider ID: 002321889009 Provider: Spanish Hospital Affiliations: NPI: 1497725675 Cultural Competency: Y Cobre Valley Regional Medical 126 E Main St Ste B Ages: 0-99 Center Payson, AZ 85541 Hospital Affiliations: (928) 468-8610 P, R, RE, T Banner Payson Medical Center Ages: 0-99 Areas of Expertise: THS Hospital Affiliations: M L Hosp Lankenau M L Hosp Paoli M L Hosp Bryn Mawr

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Schraudenbach, Cooper C, MD, Vandruff, John E, MD, (M) (M), B Group Name: Integrated Medical Internal Medicine / Medicina Group Name: North Country Services Interna Healthcare Provider ID: 000284416005 Abbott, Brandon H, DO, (M), B Provider ID: 003444190007 NPI: 1700885563 Group Name: North Country NPI: 1790848299 111 W Cedar Ln Ste A Healthcare 126 E Main St Ste B Payson, AZ 85541 Provider ID: 005455599024 Payson, AZ 85541 (928) 472-4675 EB, IB, P, R, RE, NPI: 1528350139 (928) 468-8610 P, R, RE, T T 126 E Main St Ste B Languages Spoken: Web address: www.paysondoctors.c Payson, AZ 85541 Provider: Spanish om (928) 472-3700 P, R, RE, T Ages: 0-99 Ages: 0-99 Mo-Th - 7:00 AM - 6:00 PM Hospital Affiliations: Fr - 7:00 AM - 4:00 PM Truong, Frank, MD, (M), B Banner Payson Medical Center Ages: 0-18 Group Name: Banner Hospital Ba Areas of Expertise: THS Hospital Affiliations: Phys Az Flagstaff Medical Center Provider ID: 003710769005 Werrell, Bradley H, DO, (M), B NPI: 1649572546 Group Name: Cobre Valley Tonto Adams, Tamerut A, DO, (F), B 807 S Ponderosa St Basin Clinic Group Name: Banner Primary Payson, AZ 85541 Provider ID: 002334827011 Care Physicians Arizona (928) 474-3222 RE, T NPI: 1952363715 Provider ID: 002441784005 Languages Spoken: 5990 S Hospital Dr Bldg D NPI: 1346233921 Provider: German Globe, AZ 85501 117 E Main St Ste A100 Ages: 0-99 (928) 425-8151 EB, P, R Payson, AZ 85541 Hospital Affiliations: Accepting Existing Patients Only (928) 474-1714 EB, P, R Casa Grande Regional Med Ctr Ages: 0-99 Accepting Existing Patients Only Banner Casa Grande Medical Hospital Affiliations: Ages: 18-99 Center Cobre Valley Regional Medical Hospital Affiliations: Banner Payson Medical Center Center St Marys Medical Center Banner Gateway Medical Center Banner Payson Medical Center Truman Med Ctr Hospital Hill Vandruff, James E, DO, (M), B Group Name: Integrated Medical Services Provider ID: 007757509001 NPI: 1710481411 111 W Cedar Ln Ste A Payson, AZ 85541 (928) 472-4675 Ages: 0-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Graham, John S, MD, (M) Melde, Richard A, MD, (M) Raja, Rubina A, MD, (F), B Group Name: Oro Valley Group Name: Medcom Medical Group Name: North Country Medicine Provider ID: 001783879045 Healthcare Provider ID: 001751166010 NPI: 1710027438 Provider ID: 003161436046 NPI: 1336137538 108 S Broad St NPI: 1811124530 5880 S Hospital Dr Globe, AZ 85501 708 Coeur D'alene Ste B Globe, AZ 85501 (928) 425-6592 EB, P, R, RE, T Payson, AZ 85541 (928) 425-3261 E, EB, G, P, PL, Mo-Th - 7:00 AM - 5:00 PM (928) 468-8610 E, EB, IB, P, R R, RE, S, T Fr - 8:00 AM - 4:00 PM Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Hindi, Urdu Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Casa Grande Regional Med Ctr Wickenburg Community Hospital Hospital Affiliations: Banner Casa Grande Medical Jcl Dv Hospital Mountain Vista Medical Ctr Center Grant Medical Center Michels, Alan P, MD, (M) Mercy Hospital Muskegon Group Name: Ponderosa Family Nurse Practitioner / Enfermera Mhp-mercy Campus Care Especialista Northwest Medical Center Provider ID: 002110980001 Allen, April, NP, (F) Green Valley Hospital NPI: 1376512129 Group Name: Cobre Valley 806 S Ponderosa St Regional Medical Center Havard, Lauren L, MD, (F) Payson, AZ 85541 Provider ID: 007264396003 Group Name: Banner Primary (928) 468-8603 EB, P, R, RE, T NPI: 1649743683 Care Physicians Arizona Mo-Th - 8:00 AM - 5:30 PM 5994 S Hospital Dr Provider ID: 007462507007 Fr - 8:00 AM - 12:00 PM Globe, AZ 85501 NPI: 1053844597 Ages: 0-99 (928) 425-7108 EB, P, R, RE, T 117 E Main St Ste A100 Hospital Affiliations: Ages: 12-99 Payson, AZ 85541 North Fl Regional Medical Center Hospital Affiliations: (928) 596-4500 EB, P, R Banner Payson Medical Center Cobre Valley Regional Medical Ages: 0-99 Areas of Expertise: MAT1 Center

Newland, Anne M, MD, (F), B Group Name: North Country Healthcare Provider ID: 002411822014 NPI: 1336178912 126 E Main St Ste B Payson, AZ 85541 (928) 468-8610 P, R, RE, T Ages: 0-99 Hospital Affiliations: Flagstaff Medical Center

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Bancroft, Tammi L, MS, (F) Bishop, Karen, NP, (F) Eisenhart, Candee J, NP, (F) Group Name: Community Group Name: North Country Group Name: Prestige Primary Bridges Healthcare Care Provider ID: 006316045043 Provider ID: 006875462001 Provider ID: 006787270006 NPI: 1396196986 NPI: 1407286156 NPI: 1891233714 803 W Main St 708 Coeur D'alene Ste B 1100 E Monroe St Payson, AZ 85541 Payson, AZ 85541 Globe, AZ 85501 (928) 468-0022 EB, P, R, RE, S, T (928) 468-8610 E, EB, IB, P, R (480) 815-7074 E, EB, G, IB, P, Ages: 18-99 PL, R, RE, S, T Cultural Competency: Y Tu,Th - 7:30 AM - 12:00 PM Ages: 18-99 Carlile, Maranda S, NP, (F) We,Fr - 8:00 AM - 6:00 PM Areas of Expertise: A100, E429, Group Name: Canyonlands Ages: 18-99 MAT1, PLIC, THS Community Health Care Vista Provider ID: 006463914004 Elloway, Arleen, MS, (F) Bartholomew, Patricia, NP, (F) NPI: 1376078196 Group Name: Community Group Name: North Country 5860 S Hospital Dr Ste 102 Bridges Healthcare Globe, AZ 85501 Provider ID: 003655253011 Provider ID: 006678025002 (928) 402-0491 E, EB, G, IB, P, NPI: 1508132820 NPI: 1033463807 PL, R, RE, S, T 5734 Hope Ln Ste 1 708 Coeur D'alene Ste B Ages: 12-99 Globe, AZ 85501 Payson, AZ 85541 Hospital Affiliations: (928) 425-2415 EB, P, R (928) 468-8610 E, EB, IB, P, R University Med Ctr Of Southern Ages: 0-99 Ages: 18-99 Nevada Hospital Affiliations: North Vista Hospital Honorhealth John C Lincoln Bennett, Sara K, NP, (F) St Rose Dominican Hospital Sie Medical Ctr Group Name: Canyonlands Southern Hills Medical Center Jcl Nm Hospital Community Health Care Vista St Rose Dominican Hosp San Areas of Expertise: MAT1, PLIC, Provider ID: 006475828004 Martin Campus THS NPI: 1184162729 Dignity St Rose-blue Diamond 5860 S Hospital Dr Ste 102 Areas of Expertise: DD Globe, AZ 85501 (928) 402-0491 E, EB, G, IB, P, Edwards, Michael G, NP, (M) PL, R, RE, S, T Group Name: North Country Mo-Fr - 7:00 AM - 6:00 PM Healthcare Ages: 12-99 Provider ID: 003816882007 NPI: 1891117214 126 E Main St Ste B Payson, AZ 85541 (928) 468-8610 P, R, RE, T Mo-Th - 7:00 AM - 6:00 PM Fr - 7:00 AM - 4:00 PM Ages: 18-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Elloway, Arleen, MS, (F) Falke, Sharon L, NP, (F) Freeman, Monica, NP, (F) Group Name: Community Group Name: North Country Group Name: North Country Bridges Healthcare Healthcare Provider ID: 003655253018 Provider ID: 002071104005 Provider ID: 006263597003 NPI: 1508132820 NPI: 1578591947 NPI: 1093266470 5734 Hope Ln Ste 2 708 Coeur D'alene Ste B 708 Coeur D'alene Ste B Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 425-2415 EB, P, R, RE, T (928) 468-8610 E, EB, IB, P, R (928) 468-8610 E, EB, IB, P, R Ages: 18-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Tucson Medical Center Cox Medical Center Honorhealth John C Lincoln Carondelet St Marys Hospital Medical Ctr Northwest Medical Center Hemenway, Charolette, NP, (F) Jcl Nm Hospital St Josephs Hsp And Med Ctr Group Name: Community Areas of Expertise: PLIC, THS Areas of Expertise: MAT1 Bridges Provider ID: 003187301008 Elloway, Arleen, MS, (F) Fat-Denatsosie, Brittany J, NP, NPI: 1386955573 Group Name: Community (F) 803 W Main St Bridges Group Name: Canyonlands Payson, AZ 85541 Provider ID: 003655253002 Community Health Care Vista (928) 468-0022 EB, P, R, RE, S, T NPI: 1508132820 Provider ID: 007576467004 803 W Main St NPI: 1508463027 Cultural Competency: Y Payson, AZ 85541 5860 S Hospital Dr Ste 102 Web address: www.communitybrid (928) 468-0022 EB, P, R, RE, S, T Globe, AZ 85501 gesaz.org (928) 402-0491 E, EB, G, IB, P, Ages: 18-99 Ages: 0-99 PL, R, RE, S, T Areas of Expertise: P010, P035, Hospital Affiliations: Ages: 18-99 PLIC, THS Honorhealth John C Lincoln Medical Ctr Finch, Glenn M, NP, (M) Hoadley, Robert, NP, (M) Jcl Nm Hospital Group Name: North Country Group Name: North Country Areas of Expertise: PLIC, THS Healthcare Healthcare Provider ID: 005526005009 Provider ID: 006555423009 NPI: 1386021400 NPI: 1578007480 126 E Main St Ste B 126 E Main St Ste B Payson, AZ 85541 Payson, AZ 85541 (928) 468-8610 P, R, RE, T (928) 468-8610 P, R, RE, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Banner Del E Webb Medical Center

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Holder, Karen V, NP, (F) Lietzow, Rebecca J, FNP, (F) Nelson, Gloriajean, NP, (F) Group Name: North Country Group Name: North Country Group Name: Gloriajean Nelson Healthcare Healthcare Provider ID: 005384866002 Provider ID: 001931343020 Provider ID: 005746668008 NPI: 1043601040 NPI: 1831192913 NPI: 1538450630 1100 E Monroe St Ste 523 126 E Main St Ste B 126 E Main St Ste B Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 302-2220 EB, P, R (928) 468-8610 P, R, RE, T (928) 468-8610 P, R, RE, T Ages: 12-99 Languages Spoken: Ages: 18-99 Areas of Expertise: THS Provider: Spanish Hospital Affiliations: Ages: 0-99 St Croix Regional Medical Center Nichols, Deborah, FNP, (F) Hospital Affiliations: Group Name: Dan Nurse Flagstaff Medical Center Miller, Elizabeth G, NP, (F) Practitioner Services Group Name: North Country Provider ID: 002695560008 Jarrell, Christopher, NP, (M) Healthcare NPI: 1962425389 Group Name: North Country Provider ID: 006362824021 200 W Frontier St Ste M Healthcare NPI: 1154860765 Payson, AZ 85541 Provider ID: 006545604012 126 E Main St Ste B (928) 478-6280 EB, P, R NPI: 1700309697 Payson, AZ 85541 Ages: 12-99 708 S Coeur D Alene Ln Ste B (928) 472-3700 P, R, RE, T Payson, AZ 85541 Ages: 18-99 Salvatore, Theresa, NP, (F) (928) 468-8610 EB, P, R Hospital Affiliations: Group Name: North Country Ages: 18-99 St Johns Medical Center Healthcare Areas of Expertise: MAT1 Provider ID: 006194929021 Miller, Elizabeth G, NP, (F) NPI: 1144682584 Judd, Lois M, NP, (F) Group Name: North Country 126 E Main St Ste B Group Name: Hospitalists Of Healthcare Payson, AZ 85541 Arizona Provider ID: 006362824001 (928) 472-3700 P, R, RE, T Provider ID: 002974822004 NPI: 1154860765 Mo-Th - 7:00 AM - 6:00 PM NPI: 1841218138 708 Coeur D'alene Ste B Fr - 7:00 AM - 4:00 PM 1100 E Monroe St Payson, AZ 85541 Ages: 18-99 Globe, AZ 85501 (928) 468-8610 E, EB, IB, P, R (800) 353-2708 E, EB, G, IB, P, Ages: 18-99 Savage, Colleen M, NP, (F) PL, R, RE, S, T Hospital Affiliations: Group Name: North Country Ages: 0-99 St Johns Medical Center Healthcare Provider ID: 005145610013 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

Scales, Krystal, NP, (F) Turney-Shaw, Jean R, NP, (F) Group Name: Hope Family Care Group Name: Canyonlands Pediatrics / Pediatría Ctr Community Health Care Abbott, Brandon H, DO, (M), B Provider ID: 006669462002 Provider ID: 002391128004 Group Name: North Country NPI: 1518404177 NPI: 1871545905 Healthcare 285 N Broad St 5860 S Hospital Dr Ste 102 Provider ID: 005455599024 Globe, AZ 85501 Globe, AZ 85501 NPI: 1528350139 (928) 425-8200 E, EB, G, P, R, (928) 402-0491 E, EB, G, IB, P, 126 E Main St Ste B RE, S, T PL, R, RE, S, T Payson, AZ 85541 Mo-Th - 7:30 AM - 7:30 PM Languages Spoken: (928) 472-3700 P, R, RE, T Fr - 7:30 AM - 5:00 PM Provider: Spanish Mo-Th - 7:00 AM - 6:00 PM Sa - 9:00 AM - 1:00 PM Mo-Fr - 8:00 AM - 5:30 PM Fr - 7:00 AM - 4:00 PM Ages: 0-99 Web address: canyonlandschc.org Ages: 0-18 Ages: 0-99 Hospital Affiliations: Swain, Suzanne M, NP, (F) Hospital Affiliations: Flagstaff Medical Center Group Name: Desert Pain & Cobre Valley Regional Medical Rehab Specialists Center Broz, Robin L, DO, (F), B Provider ID: 007602411003 Group Name: Cobre Valley NPI: 1790245678 Woods, Kristin A, NP, (F) Surgical Services 2005 Highway 60 Group Name: Northern Arizona Provider ID: 002423010010 Globe, AZ 85501 Pain Svcs NPI: 1053473421 (928) 425-8273 EB, P, R Provider ID: 007349205001 5880 S Hospital Dr Ages: 0-99 NPI: 1417594862 Globe, AZ 85501 Hospital Affiliations: 708 S Coeur D Alene Ln Ste C (928) 425-3247 E, EB, G, P, PL, Cobre Valley Regional Medical Payson, AZ 85541 R, RE, S, T Center (928) 474-9719 EB, P, R, RE, T Languages Spoken: Mo-Fr - 8:00 AM - 4:00 PM Provider: Spanish Trantham, Edward, NP, (M) Ages: 12-99 Mo-Fr - 8:00 AM - 4:30 PM Group Name: North Country Web address: www.goodnightpeds.c Healthcare om Provider ID: 007002023006 Ages: 0-18 NPI: 1043780349 Hospital Affiliations: 126 E Main St Ste B White Mountain Regional Med Payson, AZ 85541 Ctr (928) 472-9700 P, R, RE, T Huron Regional Medical Center Ages: 18-99 Summit Regional Medical Center Verde Valley Medical Cntr Maryvale Hospital Medical Center Abrazo Maryvale Campus Banner Univ Medical Cntr Phoenix Campus Phx Childrens Hospital

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario

Garcia, Matilda C, MD, (F), B Hunt, Judith A, MD, (F), B Group Name: North Country Group Name: Ponderosa Family Physician Assistant / Asistente Healthcare Care Médico Provider ID: 002122853007 Provider ID: 001417174007 Boyer, Michelle S, PA, (F) NPI: 1295775443 NPI: 1023087459 Group Name: North Country 708 S Coeur D Alene Ln Ste B 806 S Ponderosa St Healthcare Payson, AZ 85541 Payson, AZ 85541 Provider ID: 002352146014 (928) 468-8610 EB, P, R (928) 468-8603 EB, P, R, RE, T NPI: 1770519183 Languages Spoken: Mo-Tu - 8:00 AM - 5:00 PM 126 E Main St Ste B Provider: Tagalog We,Th,Fr - 8:00 AM - 7:00 PM Payson, AZ 85541 Ages: 0-18 Ages: 0-18 (928) 468-8610 P, R, RE, T Hospital Affiliations: Hospital Affiliations: Mo-Th - 7:00 AM - 6:00 PM Banner Payson Medical Center Banner Payson Medical Center Fr - 7:00 AM - 4:00 PM Banner Desert Medical Center Banner Univ Medical Cntr Ages: 18-99 St Josephs Hsp And Med Ctr Phoenix Campus Hospital Affiliations: Chandler Regional Medical Center Phx Childrens Hospital Flagstaff Medical Center Areas of Expertise: MAT1 Gomez, Aaron J, MD, (M), B Bradley, Ryan B, PA, (M) Group Name: Banner Primary Jain, Neal, MD, (M), B Group Name: Cobre Valley Tonto Care Physicians Arizona Group Name: San Tan Allergy & Basin Clinic Provider ID: 006212075012 Asthma Provider ID: 005765377001 NPI: 1932442712 Provider ID: 002437343004 NPI: 1790154664 117 E Main St Ste A100 NPI: 1356390512 5880 S Hospital Dr Payson, AZ 85541 708 S Coeur D Alene Ln Ste C Globe, AZ 85501 (928) 596-4500 EB, P, R Payson, AZ 85541 (928) 425-3246 E, EB, G, P, PL, Languages Spoken: (480) 626-6600 EB, P, R, RE, T R, RE, S, T Provider: Spanish Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Accepting Existing Patients Only Provider: Spanish Ages: 0-99 Ages: 0-18 Cultural Competency: Y Hospital Affiliations: Ages: 0-18 Cobre Valley Regional Medical Hospital Affiliations: Center St Marys Hosp Med Ctr Madison Ssm Health St Marys Hospital Madison Valleywise Health Banner Desert Medical Center

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Gila Campbell, Chad, PA, (M) Foulger, Jordan, PA, (M) Klotz, Hayley, PA, (F) Group Name: Hope Family Care Group Name: Cobre Valley Tonto Group Name: Canyonlands Ctr Basin Clinic Community Health Care Vista Provider ID: 002419114005 Provider ID: 007013199002 Provider ID: 007389418005 NPI: 1982763470 NPI: 1417432063 NPI: 1932748233 285 N Broad St 124 N Tewksbury Blvd 5860 S Hospital Dr Ste 102 Globe, AZ 85501 Young, AZ 85554 Globe, AZ 85501 (928) 425-8200 E, EB, G, P, R, (928) 462-3435 EB, P, R, RE, T (928) 402-0491 E, EB, G, IB, P, RE, S, T Ages: 0-99 PL, R, RE, S, T Mo-Fr - 7:30 AM - 8:00 PM Ages: 0-99 Sa - 9:30 AM - 2:00 PM Foulger, Jordan, PA, (M) Ages: 0-99 Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) Basin Clinic Group Name: Cobre Valley Tonto Carlson, Tanner B, PA, (M) Provider ID: 007013199005 Basin Clinic Group Name: Cobre Valley NPI: 1417432063 Provider ID: 006933721002 Regional Medical Center 186 E Stephens Way NPI: 1376028571 Provider ID: 006669445005 Tonto Basin, AZ 85553 124 N Tewksbury Blvd NPI: 1669982740 (928) 479-2871 EB, P, R Young, AZ 85554 5880 S Hospital Dr Ages: 0-99 (928) 462-3435 EB, P, R, RE, T Globe, AZ 85501 Ages: 0-99 (928) 425-3246 E, EB, G, P, PL, Foulger, Jordan, PA, (M) R, RE, S, T Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) Web address: www.cvrmc.org Basin Clinic Group Name: Cobre Valley Tonto Ages: 0-99 Provider ID: 007013199003 Basin Clinic NPI: 1417432063 Provider ID: 006933721005 Demack, Michael K, PA, (M) 5994 S Hospital Dr NPI: 1376028571 Group Name: Ponderosa Family Globe, AZ 85501 186 E Stephens Way Care (928) 425-7108 EB, P, R, RE, T Tonto Basin, AZ 85553 Provider ID: 003497193001 Ages: 0-99 (928) 479-2871 EB, P, R NPI: 1043347313 Ages: 0-99 806 S Ponderosa St Jensen, Blaine S, PA, (M) Payson, AZ 85541 Group Name: Cobre Valley Tonto Mcbride, Zachariah, PA, (M) (928) 468-8603 EB, P, R, RE, T Basin Clinic Group Name: Cobre Valley Tonto Mo-Th - 8:00 AM - 5:00 PM Provider ID: 002703046002 Basin Clinic Fr - 8:00 AM - 12:00 PM NPI: 1023129996 Provider ID: 006933721001 Ages: 0-99 124 N Tewksbury Blvd NPI: 1376028571 Areas of Expertise: DD Young, AZ 85554 5880 S Hospital Dr (928) 462-3435 EB, P, R, RE, T Globe, AZ 85501 Languages Spoken: (928) 425-3246 E, EB, G, P, PL, Provider: Spanish R, RE, S, T We,Th - 9:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99

Arizona - Gila Primary Care Providers / Proveedores De Cuidado Primario Mcbride, Zachariah, PA, (M) Ullal, Himanshu, PA, (M) Wyma, Mark, PA, (M) Group Name: Cobre Valley Tonto Group Name: Cobre Valley Group Name: Cobre Valley Tonto Basin Clinic Regional Medical Center Basin Clinic Provider ID: 006933721003 Provider ID: 007041453004 Provider ID: 007013235001 NPI: 1376028571 NPI: 1851863476 NPI: 1336612852 5994 S Hospital Dr 5880 S Hospital Dr 5880 S Hospital Dr Globe, AZ 85501 Globe, AZ 85501 Globe, AZ 85501 (928) 425-7108 EB, P, R, RE, T (928) 425-3246 E, EB, G, P, PL, (928) 425-3246 E, EB, G, P, PL, Ages: 0-99 R, RE, S, T R, RE, S, T Ages: 0-99 Ages: 0-99 Nichols, Cameron L, PA, (M) Group Name: North Country Ullal, Himanshu, PA, (M) Wyma, Mark, PA, (M) Healthcare Group Name: Cobre Valley Group Name: Cobre Valley Tonto Provider ID: 003136968017 Regional Medical Center Basin Clinic NPI: 1730411455 Provider ID: 007041453009 Provider ID: 007013235003 708 Coeur D'alene Ste B NPI: 1851863476 NPI: 1336612852 Payson, AZ 85541 5990 S Hospital Dr 5994 S Hospital Dr (928) 468-8610 E, EB, IB, P, R Globe, AZ 85501 Globe, AZ 85501 Ages: 0-99 (928) 425-8151 EB, P, R (928) 425-7108 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ullal, Himanshu, PA, (M) Group Name: Cobre Valley Ullal, Himanshu, PA, (M) Pinal Regional Medical Center Group Name: Cobre Valley

Provider ID: 007041453005 Regional Medical Center NPI: 1851863476 Provider ID: 007041453006 Family Nurse Practitioner / 124 N Tewksbury Blvd NPI: 1851863476 Enfermera De Familia Young, AZ 85554 5994 S Hospital Dr Burk, Bessie, FNP , (F) (928) 462-3435 EB, P, R, RE, T Globe, AZ 85501 Group Name: Sun Life Family Ages: 0-99 (928) 425-7108 EB, P, R, RE, T Health Center Ages: 0-99 Provider ID: 002978439012 Ullal, Himanshu, PA, (M) NPI: 1457507733 Group Name: Cobre Valley Watson, Joy M, PA, (F) 23 S Mcnab Pkwy Regional Medical Center Group Name: Medcom Medical San Manuel, AZ 85631 Provider ID: 007041453010 Provider ID: 003124523010 (480) 389-1698 E, EB, G, IB, P, NPI: 1851863476 NPI: 1790958866 PL, R, RE, S, T 186 E Stephens Way 108 S Broad St Ages: 18-99 Tonto Basin, AZ 85553 Globe, AZ 85501 Areas of Expertise: MAT1 (928) 479-2871 EB, P, R (928) 425-6592 EB, P, R, RE, T Ages: 0-99 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) Diaz, Cynthia D, FNP, (F) Monson, Melissa, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007064777017 Provider ID: 007220447002 Provider ID: 006876530015 NPI: 1558838896 NPI: 1679128466 NPI: 1255826806 1040 W American Ave 23 S Mcnab Pkwy 1040 W American Ave Oracle, AZ 85623 San Manuel, AZ 85631 Oracle, AZ 85623 (520) 896-2092 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, (520) 896-2092 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: 18-99

Cannon, Kimberly, FNP, (F) Massaro, Sara, FNP, (F) Monson, Melissa, FNP, (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: 007302355012 Provider ID: 006876530003 NPI: 1558838896 NPI: 1013116110 NPI: 1255826806 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: 0-99 Ages: 18-99

Diaz, Cynthia D, FNP, (F) Massaro, Sara, FNP, (F) Nix, Jessica, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007220447012 Provider ID: 007302355002 Provider ID: 005789738006 NPI: 1679128466 NPI: 1013116110 NPI: 1316316300 1040 W American Ave 23 S Mcnab Pkwy 23 S Mcnab Pkwy Oracle, AZ 85623 San Manuel, AZ 85631 San Manuel, AZ 85631 (520) 896-2092 E, EB, G, IB, P, (520) 835-2234 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: 18-99 Ages: 0-99 Ages: 18-99

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario Packer, Susan, FNP, (F) Salinas, Claudia, FNP, (F) Williams, Pamela N, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007316189013 Provider ID: 007339226003 Provider ID: 006799664005 NPI: 1922644533 NPI: 1417407115 NPI: 1518401876 1040 W American Ave 23 S Mcnab Pkwy 23 S Mcnab Pkwy Oracle, AZ 85623 San Manuel, AZ 85631 San Manuel, AZ 85631 (520) 896-2092 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: 0-99 Ages: 18-99 Ages: 18-99

Packer, Susan, FNP, (F) Seppala, Ruth L, NP, (F) Xie, Bing, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007316189002 Provider ID: 002099586015 Provider ID: 006355306002 NPI: 1922644533 NPI: 1851451694 NPI: 1326585845 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: 0-99 Ages: 18-99 Languages Spoken: Provider: Chinese Pieratt, Paula J, NP, (F) Williams, Pamela N, FNP, (F) Ages: 18-99 Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Provider ID: 006795805008 Provider ID: 006799664014 NPI: 1528576907 NPI: 1518401876 23 S Mcnab Pkwy 1040 W American Ave San Manuel, AZ 85631 Oracle, AZ 85623 (520) 385-2234 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 18-99

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal

Nayyar, Deepak, MD, (M) Burk, Bessie, FNP, (F) Family Practice / Medicina Group Name: Sun Life Family Group Name: Sun Life Family Familiar Health Center Health Center Amaya-Pinto, Francisco J, MD, Provider ID: 003105494011 Provider ID: 002978439012 (M), B NPI: 1790900827 NPI: 1457507733 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: 001824532009 (520) 385-2234 E, EB, G, IB, P, (480) 389-1698 E, EB, G, IB, P, NPI: 1205839388 PL, R, RE, S, T PL, R, RE, S, T 23 S Mcnab Pkwy Ages: 0-99 Ages: 18-99 San Manuel, AZ 85631 Areas of Expertise: MAT1 (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T Internal Medicine / Medicina Cannon, Kimberly, FNP, (F) Languages Spoken: Interna Group Name: Sun Life Family Provider: Spanish Shaikh, Athar A, MD, (M) Health Center Ages: 0-99 Group Name: Pima Heart Provider ID: 007064777017 Hospital Affiliations: Physicians NPI: 1558838896 Casa Grande Regional Med Ctr Provider ID: 002170324028 1040 W American Ave Banner Casa Grande Medical NPI: 1477531713 Oracle, AZ 85623 Center 1040 W American Ave (520) 896-2092 E, EB, G, IB, P, Oracle, AZ 85623 PL, R, RE, S, T Chung Tze Chong, Daniel A, MD, (520) 838-3540 E, EB, G, IB, P, Ages: 18-99 (M), B PL, R, RE, S, T Group Name: Sun Life Family Ages: 18-99 Cannon, Kimberly, FNP, (F) Health Center Hospital Affiliations: Group Name: Sun Life Family Provider ID: 001784779014 Carondelet Holy Cross Hospital Health Center NPI: 1821091984 Tucson Medical Center Provider ID: 007064777002 23 S Mcnab Pkwy NPI: 1558838896 San Manuel, AZ 85631 23 S Mcnab Pkwy (520) 385-2234 E, EB, G, IB, P, Nurse Practitioner / Enfermera San Manuel, AZ 85631 PL, R, RE, S, T Especialista (520) 835-2234 E, EB, G, IB, P, Languages Spoken: Brown, Mitchell G, NP, (M) PL, R, RE, S, T Provider: Chinese, Creole, Group Name: Horizon Health Ages: 18-99 French, Spanish, Turkish And Wellness Ages: 0-99 Provider ID: 007570452003 Hospital Affiliations: NPI: 1407456668 Casa Grande Regional Med Ctr 980 E Mt Lemmon Rd Banner Casa Grande Medical Oracle, AZ 85623 Center (520) 896-6019 EB, P, R Ages: 12-99

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario Dardy, Sandra, FNP, (F) Diaz, Cynthia D, FNP, (F) Mcdevitt, Kyle K, 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: 007139550014 Provider ID: 007220447002 Provider ID: 006299731024 NPI: 1942729413 NPI: 1679128466 NPI: 1902356074 1040 W American Ave 23 S Mcnab Pkwy 1040 W American Ave Oracle, AZ 85623 San Manuel, AZ 85631 Oracle, AZ 85623 (520) 896-2092 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, (520) 896-2092 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: 18-99 Areas of Expertise: MAT1 Hospital Affiliations: Godsey, Jacy K, NP, (F) Palo Alto County Hospital Dardy, Sandra, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Health Center Mcdevitt, Kyle K, NP, (F) Health Center Provider ID: 006988445005 Group Name: Sun Life Family Provider ID: 007139550002 NPI: 1376039057 Health Center NPI: 1942729413 23 S Mcnab Pkwy Provider ID: 006299731017 23 S Mcnab Pkwy San Manuel, AZ 85631 NPI: 1902356074 San Manuel, AZ 85631 (520) 385-2234 E, EB, G, IB, P, 23 S Mcnab Pkwy (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T San Manuel, AZ 85631 PL, R, RE, S, T Ages: 18-99 (520) 385-2234 E, EB, G, IB, P, Ages: 18-99 Hospital Affiliations: PL, R, RE, S, T Areas of Expertise: MAT1 Casa Grande Regional Med Ctr Ages: 18-99 Banner Casa Grande Medical Hospital Affiliations: Diaz, Cynthia D, FNP, (F) Center Palo Alto County Hospital Group Name: Sun Life Family Health Center Gray, Shannon M, NP, (F) Monson, Melissa, FNP, (F) Provider ID: 007220447012 Group Name: Sun Life Family Group Name: Sun Life Family NPI: 1679128466 Health Center Health Center 1040 W American Ave Provider ID: 007552162003 Provider ID: 006876530015 Oracle, AZ 85623 NPI: 1770186538 NPI: 1255826806 (520) 896-2092 E, EB, G, IB, P, 23 S Mcnab Pkwy 1040 W American Ave PL, R, RE, S, T San Manuel, AZ 85631 Oracle, AZ 85623 Ages: 18-99 (520) 385-2234 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 18-99 Hospital Affiliations: Casa Grande Regional Med Ctr Banner Casa Grande Medical Center

Primary Care Providers / Proveedores De Cuidado Primario Arizona - Pinal Monson, Melissa, FNP, (F) Napier, Jessica R, FNP, (F) Quesada, Nikki C, 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: 006876530003 Provider ID: 007583273003 Provider ID: 007205002016 NPI: 1255826806 NPI: 1720674187 NPI: 1114494150 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: 18-99 Ages: 18-99 Languages Spoken: Hospital Affiliations: Provider: Spanish Nair, Lekha M, NP, (F) Casa Grande Regional Med Ctr Ages: 18-99 Group Name: Sun Life Family Banner Casa Grande Medical Health Center Center Salinas, Claudia, FNP, (F) Provider ID: 007429269005 Group Name: Sun Life Family NPI: 1881228567 Nix, Jessica, FNP, (F) Health Center 23 S Mcnab Pkwy Group Name: Sun Life Family Provider ID: 007339226003 San Manuel, AZ 85631 Health Center NPI: 1417407115 (520) 385-2234 E, EB, G, IB, P, Provider ID: 005789738006 23 S Mcnab Pkwy PL, R, RE, S, T NPI: 1316316300 San Manuel, AZ 85631 Ages: 18-99 23 S Mcnab Pkwy (520) 385-2234 E, EB, G, IB, P, Hospital Affiliations: San Manuel, AZ 85631 PL, R, RE, S, T Banner Desert Medical Center (520) 385-2234 E, EB, G, IB, P, Ages: 18-99 Mercy Gilbert Medical Center PL, R, RE, S, T Ages: 18-99 Seppala, Ruth L, NP, (F) Napier, Jessica R, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Philip, Selin, NP, (F) Health Center Health Center Group Name: Sun Life Family Provider ID: 002099586015 Provider ID: 007583273011 Health Center NPI: 1851451694 NPI: 1720674187 Provider ID: 006585113002 23 S Mcnab Pkwy 1040 W American Ave NPI: 1609316546 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) 835-2234 E, EB, G, IB, P, Ages: 18-99 Ages: 18-99 PL, R, RE, S, T Hospital Affiliations: Ages: 18-99 Casa Grande Regional Med Ctr Banner Casa Grande Medical Center

Arizona - Pinal Primary Care Providers / Proveedores De Cuidado Primario

Williams, Pamela N, FNP, (F) Ajluni, Nader R, DO, (M), B Group Name: Sun Life Family Pediatrics / Pediatría Group Name: Sun Life Family Health Center Abad, Maria M, MD , (F), B Health Center Provider ID: 006799664014 Group Name: Sun Life Family Provider ID: 000948351016 NPI: 1518401876 Health Center NPI: 1649273228 1040 W American Ave Provider ID: 001376990016 23 S Mcnab Pkwy Oracle, AZ 85623 NPI: 1295713741 San Manuel, AZ 85631 (520) 896-2092 E, EB, G, IB, P, 23 S Mcnab Pkwy (520) 385-2234 E, EB, G, IB, P, PL, R, RE, S, T San Manuel, AZ 85631 PL, R, RE, S, T Ages: 18-99 (520) 385-2234 E, EB, G, IB, P, Ages: 0-18 PL, R, RE, S, T Hospital Affiliations: Williams, Pamela N, FNP, (F) Ages: 0-18 Mercy Med Ctr-des Moines Group Name: Sun Life Family Hospital Affiliations: Mercyone Des Moines Medical Health Center Casa Grande Regional Med Ctr Center Provider ID: 006799664005 Banner Casa Grande Medical Ia Methodist Medical Center NPI: 1518401876 Center 23 S Mcnab Pkwy Liao, Tina Y, MD, (F) San Manuel, AZ 85631 Ajluni, Nader R, DO, (M), B Group Name: Sun Life Family (520) 385-2234 E, EB, G, IB, P, Group Name: Sun Life Family Health Center PL, R, RE, S, T Health Center Provider ID: 002658872014 Ages: 18-99 Provider ID: 000948351025 NPI: 1063636512 NPI: 1649273228 1040 W American Ave Xie, Bing, FNP, (F) 1040 W American Ave Oracle, AZ 85623 Group Name: Sun Life Family Oracle, AZ 85623 (520) 896-2092 E, EB, G, IB, P, Health Center (520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T Provider ID: 006355306002 PL, R, RE, S, T Ages: 0-18 NPI: 1326585845 Ages: 0-18 Hospital Affiliations: 23 S Mcnab Pkwy Hospital Affiliations: Banner Health Arizona San Manuel, AZ 85631 Mercy Med Ctr-des Moines Phx Childrens Hospital (520) 385-2234 E, EB, G, IB, P, Mercyone Des Moines Medical Banner Gateway Medical Center PL, R, RE, S, T Center Languages Spoken: Ia Methodist Medical Center Provider: Chinese Ages: 18-99

Primary Care Providers / Proveedores De Cuidado Primario Nevada - Clark

Liao, Tina Y, MD, (F) Nichols, Logan R, PA, (M) Group Name: Sun Life Family Group Name: Sun Life Family Nevada Health Center Health Center Clark Provider ID: 002658872010 Provider ID: 006955859009

NPI: 1063636512 NPI: 1871062125 23 S Mcnab Pkwy 23 S Mcnab Pkwy Internal Medicine / Medicina San Manuel, AZ 85631 San Manuel, AZ 85631 Interna (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Gandhi, Zahabia T, MD, (F), B PL, R, RE, S, T PL, R, RE, S, T Group Name: Advanced Pulmon Ages: 0-18 Ages: 0-99 Sleep Disord & Int Med Hospital Affiliations: Provider ID: 002255369002 Banner Health Arizona NPI: 1538125240 California Phx Childrens Hospital 1301 Bertha Howe Ave Ste 10

Banner Gateway Medical Center Mesquite, NV 89027 Riverside (435) 688-7770 E, EB, IB, P, R, T

Languages Spoken: Physician Assistant / Asistente Pediatrics / Pediatría Provider: Guarani, Hindi Médico Tong, Shumei, MD, (F) Ages: 0-99

Carpenter, Derek B, PA, (M) Group Name: Tong Shumei Hospital Affiliations: Group Name: Sun Life Family Provider ID: 001961326001 St George Regional Hospital Health Center NPI: 1568481554 Provider ID: 005237843003 149 W Hobsonway NPI: 1114320959 Blythe, CA 92225 Utah 23 S Mcnab Pkwy (760) 922-7337 EB, P, R, RE, T Kane San Manuel, AZ 85631 Mo-Fr - 8:30 AM - 5:30 PM

(520) 385-2234 E, EB, G, IB, P, Ages: 0-18 PL, R, RE, S, T Hospital Affiliations: Family Practice / Medicina Ages: 0-99 Palo Verde Hospital Familiar Bowman, Jonathan C, MD, (M) Nichols, Logan R, PA, (M) Group Name: Revere Health Group Name: Sun Life Family Provider ID: 002414889004 Health Center NPI: 1619047362 Provider ID: 006955859013 355 N Main St NPI: 1871062125 Kanab, UT 84741 1040 W American Ave (435) 644-4100 E, EB, G, IB, P, Oracle, AZ 85623 PL, R, RE, S, T (520) 896-2092 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 Kane County Hospital

Utah - Washington Primary Care Providers / Proveedores De Cuidado Primario

Hollingshead, Bryson J, DO, (M), Barton, Scott D, MD, (M), B B Internal Medicine / Medicina Group Name: Revere Health Group Name: Revere Health Interna Provider ID: 001903209005 Provider ID: 006140615003 Foster, Christine K, MD, (F), B NPI: 1376690180 NPI: 1124432992 Group Name: Revere Health 736 S 900 E Ste 203 355 N Main St Provider ID: 002541842004 Saint George, UT 84790 Kanab, UT 84741 NPI: 1205875747 (435) 673-6131 EB, P, R (435) 644-4100 E, EB, G, IB, P, 355 N Main St Ages: 0-99 PL, R, RE, S, T Kanab, UT 84741 Hospital Affiliations: Ages: 0-99 (435) 644-4100 E, EB, G, IB, P, St George Regional Hospital Hospital Affiliations: PL, R, RE, S, T Kane County Hospital Ages: 0-99 Chamberlain, Howard L, MD, Hospital Affiliations: (M) Root, Eric J, DO, (M) Utah Valley Hospital Group Name: Revere Health Group Name: Revere Health Mckay Dee Hospital Provider ID: 001374555003 Provider ID: 006859866001 Cpmc Mission Bernal Campus NPI: 1306951504 NPI: 1528445202 California Pacific Med Ctr St 2825 E Mall Dr 355 N Main St Lukes Camp St George, UT 84790 Kanab, UT 84741 St George Regional Hospital (435) 251-2900 EB, P, R, RE, T (801) 354-8225 E, EB, G, IB, P, Timpanogos Regional Hospital Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 St George Regional Hospital Washington Hospital Affiliations:

Kane County Hospital Chamberlain, Howard L, MD, Family Practice / Medicina (M) Familiar Group Name: Revere Health Barton, Scott D, MD , (M), B Provider ID: 001374555001 Group Name: Revere Health NPI: 1306951504 Provider ID: 001903209006 736 S 900 E Ste 203 NPI: 1376690180 Saint George, UT 84790 2825 E Mall Dr (435) 673-6131 EB, P, R St George, UT 84790 Ages: 0-99 (435) 251-2900 EB, P, R, RE, T Hospital Affiliations: Ages: 0-99 St George Regional Hospital Hospital Affiliations: St George Regional Hospital

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington

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

Utah - Washington Primary Care Providers / Proveedores De Cuidado Primario Gandhi, Zahabia T, MD, (F), B Bertelson, Erin N, NP, (F) Parry, Ami, NP, (F), B Group Name: Advanced Pulmon Group Name: Revere Health Group Name: Revere Health Sleep Disord & Int Med Provider ID: 007736131001 Provider ID: 007160533001 Provider ID: 002255369001 NPI: 1134710338 NPI: 1750942637 NPI: 1538125240 2825 E Mall Dr 736 S 900 E Ste 203 640 E 700 S Ste 105 St George, UT 84790 St George, UT 84790 Saint George, UT 84770 (435) 251-2900 EB, P, R, RE, T (801) 354-8225 EB, P, R (435) 688-7770 E, EB, P, R, S Mo-Fr - 9:00 AM - 7:00 PM Mo-Fr - 9:00 AM - 7:00 PM Languages Spoken: Sa - 9:00 AM - 2:00 PM Sa - 9:00 AM - 2:00 PM Provider: Guarani, Hindi Ages: 0-99 Ages: 0-99 Staff: Spanish Hospital Affiliations: Ages: 0-99 Bradbury, Alana J, NP, (F) St George Regional Hospital Hospital Affiliations: Group Name: Revere Health St George Regional Hospital Provider ID: 007555373001 NPI: 1982202446 Pediatrics / Pediatría Staheli, John K, MD, (M), B 736 S 900 E Ste 203 Nilson, Wendell T, MD, (M), B Group Name: Revere Health Saint George, UT 84790 Group Name: Cache Pediatric Provider ID: 001703253003 (801) 354-8225 EB, P, R Clinic NPI: 1275591620 Ages: 0-99 Provider ID: 000808720001 736 S 900 E NPI: 1205883576 Saint George, UT 84790 Parry, Ami, NP, (F), B 1240 E 100 S Ste 14 (435) 673-6131 EB, P, R Group Name: Revere Health Saint George, UT 84790 Ages: 0-99 Provider ID: 007160533002 (435) 634-0055 EB, P, R, RE, Hospital Affiliations: NPI: 1750942637 T Orem Community Hospital 2825 E Mall Dr Mo-Fr - 9:00 AM - 5:00 PM Utah Valley Hospital St George, UT 84790 Ages: 0-21 (435) 251-2900 EB, P, R, RE, T Hospital Affiliations: Ages: 0-99 St George Regional Hospital Nurse Practitioner / Enfermera Hospital Affiliations: Logan Regional Hospital Especialista St George Regional Hospital Ahee, Ann M, NP , (F) Group Name: Revere Health Provider ID: 007488665001 NPI: 1417575564 736 S 900 E Ste 203 Saint George, UT 84790 (801) 354-8225 EB, P, R Ages: 12-99

Primary Care Providers / Proveedores De Cuidado Primario Utah - Washington Twiggs, Jerry D, MD, (M), B Group Name: Dixie Pediatrics Provider ID: 000804905001 NPI: 1972583680 1240 E 100 S Ste 14 St George, UT 84790 (435) 628-8232 EB, P, R, RE, T Languages Spoken: Provider: Spanish Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: St George Regional Hospital Delta Community Hospital

Physician Assistant / Asistente Médico Wright, Jeffrey A, PA, (M) Group Name: Southwest Spine & Pain Care Specialists Provider ID: 003330713004 NPI: 1003898198 2891 E Mall Dr Ste 101 Saint George, UT 84790 (435) 656-2424 EB, P, R Ages: 0-99

Wright, Jeffrey A, PA, (M) Group Name: Southwest Spine & Pain Care Specialists Provider ID: 003330713005 NPI: 1003898198 652 S Medical Center Dr Ste 410 Saint George, UT 84790 (435) 215-0228 EB, P, R Ages: 0-99

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

NPI: 1073587382 NPI: 1285646497 Allergy & Immunology / Alergia 708 S Coeur D Alene Ln Ste C 122 E Main St E Inmunología 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 Cardiology / Cardiología Ages: 0-99 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 Jebaily, Nicholas X, MD, (M), B Group Name: Abdul Memon Md Group Name: Biltmore Provider ID: 007406956003 Cardiology NPI: 1508207689 Provider ID: 003709522002 5882 S Hospital Dr Ste 1 NPI: 1710206909 Globe, AZ 85501 708 S Coeur D Alene Ln Ste 1 (928) 793-3365 E, EB, G, IB, P, Payson, AZ 85541 PL, R, RE, S, T (602) 952-0002 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Chandler Regional Medical Center Hospital Affiliations: Banner Payson Medical Center Banner Univ Medical Cntr Phoenix Campus St Josephs Hsp And Med Ctr

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 Mix, Michelle M, MD, (F) Morales, Ralph E, MD, (M), B Patil, Arun S, MD, (M), B Group Name: Vhs Outpatient Group Name: Abdul Memon Md Group Name: Integrated Medical Clinics Provider ID: 001184594004 Services Provider ID: 003549960008 NPI: 1861575573 Provider ID: 000925056011 NPI: 1831385533 5882 S Hospital Dr Ste 1 NPI: 1093955908 708 S Coeur D Alene Ln Ste A Globe, AZ 85501 111 W Cedar Ln Ste A Payson, AZ 85541 (928) 793-3747 E, EB, G, IB, P, Payson, AZ 85541 (928) 472-7440 EB, P, R, RE, T PL, R, RE, S, T (623) 433-0202 EB, IB, P, R, RE, Ages: 0-99 Languages Spoken: T Hospital Affiliations: Provider: French, Spanish Languages Spoken: Abrazo Arrowhead Campus Staff: Spanish Provider: Spanish Banner Thunderbird Medical Mo-Th - 8:00 AM - 5:00 PM Ages: 17-99 Center Fr - 8:00 AM - 12:00 PM Hospital Affiliations: Jcl Dv Hospital Web address: www.cardioaz.com St Josephs Hsp And Med Ctr Honorhealth John C Lincoln Ages: 18-99 West Valley Hospital Medical Medical Ctr Hospital Affiliations: Center Jcl Nm Hospital Lafayette General Medical Ctr Abrazo West Campus Valleywise Health Ochsner Lafayette General Banner Estrella Medical Center Banner Univ Medical Cntr Medical Center Areas of Expertise: THS Phoenix Campus Cobre Valley Regional Medical Honorhealth Scottsdale Shea Center Medical Ctr Lakeland Community Hospital Watervliet South Haven Community Hospital Abbeville General Hospital Regional Medical Center Of Acadiana Lakeland Hospitals

Arizona - Gila Specialists / Especialistas Sumar, Riyaz A, MD, (M), B Vakil, Hiva, MD, (M), B Jazayeri, Sadra S, MD, (M), B Group Name: Integrated Medical Group Name: Integrated Medical Group Name: Metropolitan Services Services Dermatology Provider ID: 002415048012 Provider ID: 002780020007 Provider ID: 002291806001 NPI: 1144212721 NPI: 1356480172 NPI: 1700893864 111 W Cedar Ln Ste A 111 W Cedar Ln Ste A 313 S Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (623) 433-0202 EB, IB, P, R, RE, (623) 433-0202 EB, IB, P, R, RE, (928) 472-7107 EB, P, R, RE, T T T Languages Spoken: Languages Spoken: Ages: 0-99 Provider: French, Persian Provider: Hindi Hospital Affiliations: Ages: 0-99 Web address: www.imsaz.com Abrazo Central Campus Hospital Affiliations: Ages: 0-99 Abrazo Arrowhead Campus Paradise Valley Hospital Hospital Affiliations: Maryvale Hospital Medical Center Abrazo Scottsdale Campus Maryvale Hospital Medical Center Abrazo Maryvale Campus Banner Del E Webb Medical Abrazo Maryvale Campus Abrazo Scottsdale Campus Center St Josephs Hsp And Med Ctr Jcl Dv Hospital West Valley Hospital Medical Select Specialty Hos-phoenix Meyers, Mark A, MD, (M) Center Banner Thunderbird Medical Group Name: Mark Alan Meyers Abrazo West Campus Center Md Banner Estrella Medical Center Areas of Expertise: THS Provider ID: 000729876006 Arizona General Hospital NPI: 1518928878 Areas of Expertise: THS 715 S Beeline Hwy Ste A Dermatology / Dermatología Payson, AZ 85541 Fisler, Rita E, MD , (F), B (928) 468-6607 EB, P, R, RE, T Group Name: Advanced Languages Spoken: Dermatology Of Arizona Staff: Spanish Provider ID: 002674851006 Ages: 0-99 NPI: 1134192859 Hospital Affiliations: 903 E State Highway 260 Ste 4 Banner Payson Medical Center Payson, AZ 85541 Abrazo Scottsdale Campus (602) 264-9044 EB, P, R Banner Boswell Medical Center Languages Spoken: Provider: French Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Adventhealth Shawnee Mission Shawnee Mission Medical Ctr

Specialists / Especialistas Arizona - Gila

Rooney, John E, MD, (M), B Endocrinology / Endocrinología Family Practice / Medicina Group Name: Banner Hospital Ba Kumar, Swati, MD , (F), B Familiar Phys Az Group Name: Einfectionmd Davis, Bryan M, DO , (M), B Provider ID: 002832328013 Provider ID: 007604302001 Group Name: Community NPI: 1083811285 NPI: 1821478496 Bridges 807 S Ponderosa St 1100 E Monroe St Provider ID: 003260199018 Payson, AZ 85541 Globe, AZ 85501 NPI: 1578790473 (928) 471-1255 RE, T (602) 551-8052 E, EB, G, IB, P, 5734 Hope Ln Languages Spoken: PL, R, RE, S, T Globe, AZ 85501 Provider: Spanish Ages: 16-99 (928) 425-2415 EB, P, R, RE, T Mo,Tu,We,Fr - 8:00 AM - 5:00 PM Hospital Affiliations: Sa - 8:00 AM - 12:00 PM Henry Ford Macomb Hospital Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1, THS Summit Regional Medical Center Family Nurse Practitioner / Kingman Regional Medical Center Enfermera De Familia Davis, Bryan M, DO, (M), B Banner Baywood Medical Center Alexander, Cami L, FNP, (F) Group Name: Community Banner Estrella Medical Center Group Name: Banner Primary Bridges Banner Gateway Medical Center Care Physicians Arizona Provider ID: 003260199017 Banner Ironwood Medical Center Provider ID: 007371990001 NPI: 1578790473 Banner Goldfield Medical Center NPI: 1235763806 5734 Hope Ln Ste 2 117 E Main St Ste A100 Globe, AZ 85501 Payson, AZ 85541 (928) 425-2415 EB, P, R, RE, T (928) 596-4500 EB, P, R Languages Spoken: Cultural Competency: Y Staff: Spanish Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1, THS

Campton, Carley R, NP, (F) Group Name: Vhs Outpatient Clinics Provider ID: 006854557003 NPI: 1457844482 708 S Coeur D Alene Ln Ste A Payson, AZ 85541 (928) 472-7440 EB, P, R, RE, T Ages: 0-99 Hospital Affiliations: Abrazo Arizona Heart Hospital

Arizona - Gila Specialists / Especialistas

Abdo, Joseph G, MD, (M) Gastroenterology / General Practice / Medicina Group Name: Joseph G Abdo Md Gastroenterología General Provider ID: 001189389004 Ramos, Alberto X, MD, (M), B Reicho, Paul R, MD , (M), B NPI: 1821090879 Group Name: Banner Uni Med Group Name: Banner Urgent 285 N Broad St Ctr Phx Campus Liver Dise Care Arizona Globe, AZ 85501 Provider ID: 002832986004 Provider ID: 001899726079 (928) 425-7133 E, EB, G, P, R, NPI: 1487788998 NPI: 1528044120 RE, S, T 117 E Main St Bldg A100 101 E State Highway 260 Ste G Languages Spoken: Payson, AZ 85541 Payson, AZ 85541 Provider: Arabic, French, (602) 839-2606 EB, P, R (928) 478-8905 EB, P, R Lebanese Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish Provider: Spanish Hospital Affiliations: Ages: 0-99 Web address: www.allinahealth.org Cobre Valley Regional Medical Hospital Affiliations: Ages: 0-99 Center Banner University Med Ctr South Banner Baywood Medical Center Campus Chandler Regional Medical Center University Medical Center General Surgery / Cirugía Mercy Gilbert Medical Center Banner University Med Ctr Abdo, Joseph G, MD , (M) Banner Gateway Medical Center Tucson Campus Group Name: Joseph G Abdo Md Arizona Regional Medical Center Banner Univ Medical Cntr Provider ID: 001189389004 Phoenix Campus NPI: 1821090879 1100 E Monroe St Ste 102 Ramos, Alberto X, MD, (M), B Globe, AZ 85501 Group Name: Banner Uni Med (928) 425-7133 EB, P, R Ctr Phx Campus Liver Dise Languages Spoken: Provider ID: 002832986004 Provider: Arabic, French, NPI: 1487788998 Lebanese 708 S Coeur D Alene Ln Ages: 0-99 Payson, AZ 85541 Hospital Affiliations: (602) 239-6324 EB, P, R Cobre Valley Regional Medical Languages Spoken: Center Provider: Spanish Banner Baywood Medical Center Ages: 0-99 Chandler Regional Medical Center Hospital Affiliations: Mercy Gilbert Medical Center Banner University Med Ctr South Banner Gateway Medical Center Campus Arizona Regional Medical Center University Medical Center Banner University Med Ctr Tucson Campus Banner Univ Medical Cntr Phoenix Campus

Specialists / Especialistas Arizona - Gila Gilles, Pierre C, MD, (M), B Sawyer, Steven J, MD, (M), B Wombold, Leroy D, DO, (M), B Group Name: Cobre Valley Group Name: Cobre Valley Tonto Group Name: Banner Physician Regional Medical Center Basin Clinic Specialists Arizona Provider ID: 000634450007 Provider ID: 002081462003 Provider ID: 000465672005 NPI: 1780651737 NPI: 1598713489 NPI: 1841267937 5994 S Hospital Dr 5880 S Hospital Dr 122 E Main St Ste A Globe, AZ 85501 Globe, AZ 85501 Payson, AZ 85541 (928) 425-7108 EB, P, R, RE, T (928) 425-3246 E, EB, G, P, PL, (928) 596-4600 EB, P, R Languages Spoken: R, RE, S, T Ages: 0-99 Provider: French, Spanish Mo-Fr - 7:00 AM - 5:00 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 Banner Payson Medical Center Hospital Affiliations: Hospital Affiliations: Ellett Memorial Hospital Hshs Holy Family Hospital Montrose Memorial Hospital Providence Mt Carmel Hospital Greenville Regional Hospital Cobre Valley Regional Medical Golden Valley Memorial Hospital Maryvale Hospital Medical Center Center Abrazo Maryvale Campus Maryvale Hospital Medical Center Hannibal Regional Hospital Abrazo Maryvale Campus Hand Surgery / Cirugía De La Honorhealth Scottsdale Shea Mano Medical Ctr Sawyer, Steven J, MD, (M), B Amin, Tanay J, MD , (M), B Scottsdale Healthcare Shea Group Name: Cobre Valley Tonto Group Name: Banner Physician Medical Ctr Basin Clinic Specialists Arizona Scttsdle Hlth Shea Provider ID: 002081462003 Provider ID: 005069480001 NPI: 1598713489 NPI: 1013170232 Horne, Susan C, MD, (F), B 5994 S Hospital Dr 126 E Main St Ste D Group Name: Banner Physician Globe, AZ 85501 Payson, AZ 85541 Specialists Arizona (928) 425-7108 EB, P, R, RE, T (928) 596-4800 EB, P, R Provider ID: 002959270001 Ages: 0-99 Ages: 0-99 NPI: 1336343763 Hospital Affiliations: Hospital Affiliations: 122 E Main St Montrose Memorial Hospital Adventist La Grange Memorial Payson, AZ 85541 Cobre Valley Regional Medical Hospital (928) 472-3478 EB, P, R Center Macneal Hospital Ages: 0-99 Maryvale Hospital Medical Center Banner Del E Webb Medical Hospital Affiliations: Abrazo Maryvale Campus Center Banner Payson Medical Center Banner Boswell Medical Center Banner Baywood Medical Center Banner Baywood Heart Hospital Banner Gateway Medical Center

Arizona - Gila Specialists / Especialistas

Paul, David M, MD, (M) Hematology/Oncology / Group Name: Banner Cancer Infectious Disease / Enfermedades Hematología/Oncología Center Specialists Infecciosas Kasper, Lawrence M, MD, (M), B Provider ID: 001287198007 Itkin, David J, MD , (M), B Group Name: Banner Cancer NPI: 1851323547 Group Name: Einfectionmd Center Specialists 122 E Main St Provider ID: 000849068003 Provider ID: 000973292011 Payson, AZ 85541 NPI: 1760476667 NPI: 1083656581 (928) 596-4600 EB, P, R 1100 E Monroe St 122 E Main St Ages: 0-99 Globe, AZ 85501 Payson, AZ 85541 Hospital Affiliations: (602) 551-8052 E, EB, G, IB, P, (928) 596-4600 EB, P, R Banner Payson Medical Center PL, R, RE, S, T Languages Spoken: Good Samaritan Reg Med Center Ages: 0-99 Provider: Spanish Banner Univ Medical Cntr Hospital Affiliations: Ages: 0-99 Phoenix Campus Frisbie Memorial Hospital Hospital Affiliations: Banner Gateway Medical Center Portsmouth Regional Hospital Banner Payson Medical Center Wentworth-douglass Hospital Good Samaritan Reg Med Center Paul, David M, MD, (M) Exeter Hospital Banner Univ Medical Cntr Group Name: Banner Cancer Phoenix Campus Center Specialists St Josephs Hsp And Med Ctr Provider ID: 001287198007 Internal Medicine / Medicina Banner Gateway Medical Center NPI: 1851323547 Interna 807 S Ponderosa St Bheemanathini, Praveen, MD, Kasper, Lawrence M, MD, (M), B Payson, AZ 85541 (M) Group Name: Banner Cancer (928) 471-3222 RE, T Group Name: Banner Hospital Ba Center Specialists Ages: 0-99 Phys Az Provider ID: 000973292011 Hospital Affiliations: Provider ID: 006103086064 NPI: 1083656581 Banner Payson Medical Center NPI: 1669729042 807 S Ponderosa St Good Samaritan Reg Med Center 807 S Ponderosa St Payson, AZ 85541 Banner Univ Medical Cntr Payson, AZ 85541 (928) 471-3222 RE, T Phoenix Campus (928) 474-3222 RE, T Languages Spoken: Banner Gateway Medical Center Languages Spoken: Provider: Spanish Provider: Hindi, Telugu Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Banner Payson Medical Center Casa Grande Regional Med Ctr Good Samaritan Reg Med Center Banner Casa Grande Medical Banner Univ Medical Cntr Center Phoenix Campus Banner Baywood Medical Center St Josephs Hsp And Med Ctr Banner Baywood Heart Hospital Banner Gateway Medical Center Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila Carstens, Sarah J, MD, (F), B Channis, Basel, MD, (M), B Itkin, David J, MD, (M), B Group Name: Banner Univ Hosp Group Name: Banner Univ Hosp Group Name: Einfectionmd Based Phys Based Phys Provider ID: 000849068003 Provider ID: 003191243008 Provider ID: 003496703010 NPI: 1760476667 NPI: 1952506867 NPI: 1982834594 1100 E Monroe St 807 S Ponderosa St 807 S Ponderosa St Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (602) 551-8052 E, EB, G, IB, P, (928) 471-3222 RE, T (928) 471-3222 RE, T PL, R, RE, S, T Ages: 0-99 Web address: www.akdhc.net Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Banner Univ Medical Cntr Hospital Affiliations: Frisbie Memorial Hospital Phoenix Campus Banner Univ Medical Cntr Portsmouth Regional Hospital Phoenix Campus Wentworth-douglass Hospital Challa, Sridevi, MD, (F) Chandler Regional Medical Center Exeter Hospital Group Name: Banner Hospital Ba Banner Estrella Medical Center Phys Az Banner Gateway Medical Center Jimenez Cintron, Jose M, MD, Provider ID: 005580374009 (M), B NPI: 1285981803 Ekpo, Ini E, MD, (M), B Group Name: Banner Hospital Ba 807 S Ponderosa St Group Name: Banner Hospital Ba Phys Az Payson, AZ 85541 Phys Az Provider ID: 003347284016 (928) 474-3222 RE, T Provider ID: 002916971022 NPI: 1902047434 Languages Spoken: NPI: 1720004138 807 S Ponderosa St Provider: Hindi, Telugu 807 S Ponderosa St Payson, AZ 85541 Ages: 0-99 Payson, AZ 85541 (928) 471-3222 RE, T Hospital Affiliations: (928) 474-3222 RE, T Languages Spoken: Banner Baywood Medical Center Ages: 0-99 Provider: Spanish Hospital Affiliations: Ages: 0-99 Casa Grande Regional Med Ctr Hospital Affiliations: Banner Casa Grande Medical Banner Baywood Medical Center Center Banner Baywood Heart Hospital Banner Baywood Medical Center

Arizona - Gila Specialists / Especialistas Kumar, Shantha, MD, (M) Qadri, Muhammad K, MD, (M), Ramos, Alberto X, MD, (M), B Group Name: Goldfield B Group Name: Banner Uni Med Cardiovascular Institute Group Name: Banner Hospital Ba Ctr Phx Campus Liver Dise Provider ID: 001435885006 Phys Az Provider ID: 002832986004 NPI: 1396768958 Provider ID: 001950056017 NPI: 1487788998 5882 S Hospital Dr Ste 3 NPI: 1528068269 708 S Coeur D Alene Ln Globe, AZ 85501 807 S Ponderosa St Payson, AZ 85541 (480) 962-0101 E, EB, G, IB, P, Payson, AZ 85541 (602) 239-6324 EB, P, R R, RE, S, T (928) 474-3222 RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Tamil Provider: Urdu Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Banner University Med Ctr South Hospital Affiliations: St Josephs Hosp-cmc Campus Cobre Valley Regional Medical Casa Grande Regional Med Ctr University Medical Center Center Banner Casa Grande Medical Banner University Med Ctr Kingman Regional Medical Center Center Tucson Campus Maryvale Hospital Medical Center Banner Thunderbird Medical Banner Univ Medical Cntr Abrazo Maryvale Campus Center Phoenix Campus Banner Baywood Medical Center St Josephs Medical Center Banner Estrella Medical Center Banner Baywood Medical Center Razavi, Mir-Muhammad K, MD, Mountain Vista Medical Ctr Arizona Regional Medical Center (M) Banner Gateway Medical Center Group Name: Banner Hospital Ba Ramos, Alberto X, MD, (M), B Phys Az Group Name: Banner Uni Med Provider ID: 007518292001 Ctr Phx Campus Liver Dise NPI: 1720512171 Provider ID: 002832986004 807 S Ponderosa St NPI: 1487788998 Payson, AZ 85541 117 E Main St Bldg A100 (928) 474-3222 RE, T Payson, AZ 85541 Ages: 0-99 (602) 839-2606 EB, P, R Hospital Affiliations: Languages Spoken: Banner Desert Medical Center Provider: Spanish Ages: 0-99 Hospital Affiliations: Banner University Med Ctr South Campus University Medical Center Banner University Med Ctr Tucson Campus Banner Univ Medical Cntr Phoenix Campus

Specialists / Especialistas Arizona - Gila

Sridhara, Srilekha, MD, (F), B Memon, Abdul Q, MD, (M) Group Name: Banner Hospital Ba Interventional Cardiology / Group Name: Abdul Memon Md Phys Az Cardiología Intervencionista Provider ID: 001870839013 Provider ID: 003639673007 Klein, Neal A, MD , (M), B NPI: 1093781346 NPI: 1477866713 Group Name: Vhs Outpatient 5882 S Hospital Dr Ste 1 807 S Ponderosa St Clinics Globe, AZ 85501 Payson, AZ 85541 Provider ID: 000062010021 (928) 793-3365 E, EB, G, IB, P, (928) 474-3222 RE, T NPI: 1639111743 PL, R, RE, S, T Languages Spoken: 708 S Coeur D Alene Ln Ste A Languages Spoken: Provider: Hindi, Telugu Payson, AZ 85541 Provider: Hindi, Spanish, Urdu Ages: 0-99 (928) 472-7440 EB, P, R, RE, T Cultural Competency: Y Hospital Affiliations: Languages Spoken: Ages: 18-99 Banner Baywood Medical Center Provider: Spanish Hospital Affiliations: Banner Ironwood Medical Center Web address: www.bannerhealth.co White Mountain Regional Med m Ctr Taweel, Ibrahim G, MD, (M), B Ages: 0-99 Cobre Valley Regional Medical Group Name: Banner Hospital Ba Hospital Affiliations: Center Phys Az St Lukes Medical Center Providence Sacred Heart Med Ctr Provider ID: 006129286010 Abrazo Arrowhead Campus & Child NPI: 1972944932 Banner Page Hospital Multicare Deaconess Hospital 807 S Ponderosa St Valleywise Health Summit Regional Medical Center Payson, AZ 85541 Abrazo Arizona Heart Hospital Banner Desert Medical Center (928) 474-3222 RE, T Banner Univ Medical Cntr St Josephs Hsp And Med Ctr Languages Spoken: Phoenix Campus Chandler Regional Medical Center Provider: Arabic St Josephs Hsp And Med Ctr Ages: 0-99 Oasis Hospital Hospital Affiliations: Casa Grande Regional Med Ctr Banner Casa Grande Medical Center Banner Baywood Medical Center Banner Gateway Medical Center

Arizona - Gila Specialists / Especialistas Patil, Arun S, MD, (M), B Sumar, Riyaz A, MD, (M) Thibedeau, Jessie, NON, (F) Group Name: Integrated Medical Group Name: Integrated Medical Group Name: North Country Services Services Healthcare Provider ID: 000925056011 Provider ID: 002415048012 Provider ID: 006698524006 NPI: 1093955908 NPI: 1144212721 NPI: 1699282459 111 W Cedar Ln Ste A 111 W Cedar Ln Ste A 126 E Main St Ste B Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (623) 433-0202 EB, IB, P, R, RE, (623) 433-0202 EB, IB, P, R, RE, (928) 468-8610 P, R, RE, T T T Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Spanish Provider: Hindi Flagstaff Medical Center Ages: 17-99 Web address: www.imsaz.com Hospital Affiliations: Ages: 0-99 St Josephs Hsp And Med Ctr Hospital Affiliations: Nephrology / Nefrología West Valley Hospital Medical Maryvale Hospital Medical Center Ahmed, Irfan, MD , (M), B Center Abrazo Maryvale Campus Group Name: Az Kidney Dis & Abrazo West Campus St Josephs Hsp And Med Ctr Hypertension Banner Estrella Medical Center West Valley Hospital Medical Provider ID: 003529598095 Areas of Expertise: THS Center NPI: 1750540498 Abrazo West Campus 1106 N Beeline Hwy Banner Estrella Medical Center Payson, AZ 85541 Arizona General Hospital (480) 857-2381 EB, P, R Areas of Expertise: THS Languages Spoken: Provider: Sindhi, Urdu Mo - 8:00 AM - 4:30 PM Midwifery / Partería Tu,We,Th,Fr - 8:00 AM - 4:00 PM Mcmahan, Therese A, CNM, (F) Web address: www.akdhc.net Group Name: North Country Ages: 0-99 Healthcare Hospital Affiliations: Provider ID: 002485318006 Abington Memorial Hospital NPI: 1760468078 Banner Baywood Medical Center 126 E Main St Ste B Valleywise Health Payson, AZ 85541 Banner Desert Medical Center (928) 468-8610 P, R, RE, T Chandler Regional Medical Center Ages: 12-99 Mercy Gilbert Medical Center Does Not Accept Male Patients Banner Gateway Medical Center Hospital Affiliations: Cambridge Public Health Commission Flagstaff Medical Center Boston Medical Center

Specialists / Especialistas Arizona - Gila Atalla, Jamal, MD, (M), B Bista, Amar B, MD, (M) 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: 002424548002 Provider ID: 002054862001 Provider ID: 001991186001 NPI: 1609861566 NPI: 1740266923 NPI: 1336143759 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: Arabic, Syrian Provider: Bengali, Hindi, Nepali Provider: Filipino, Spanish Web address: www.akdhc.net Mo,We - 8:00 AM - 4:00 PM Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Tu,Th,Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Hospital Affiliations: Web address: www.akdhc.net Ages: 0-99 Abrazo Central Campus Ages: 0-99 Hospital Affiliations: University Med Ctr Of Southern Hospital Affiliations: Abrazo Arrowhead Campus Nevada Abrazo Arrowhead Campus Banner Del E Webb Medical Valley Hospital Medical Center Banner Thunderbird Medical Center Abrazo Arrowhead Campus Center Banner Boswell Medical Center St Rose Dominican Hosp Delima Abrazo Scottsdale Campus West Valley Hospital Medical Campus Jcl Dv Hospital Center Sunrise Hospital & Med Ctr Honorhealth John C Lincoln Abrazo West Campus Desert Springs Hospital Medical Ctr Banner Estrella Medical Center Maryvale Hospital Medical Center Jcl Nm Hospital Abrazo Arizona Heart Hospital

Arizona - Gila Specialists / Especialistas Buxton-Fattohy, Suzan S, MD, (F) Channis, Basel, MD, (M) Chen, Ang, MD, (F), B Group Name: Az Kidney Dis & Group Name: Banner Univ Hosp Group Name: Az Kidney Dis & Hypertension Based Phys Hypertension Provider ID: 003024310002 Provider ID: 003496703010 Provider ID: 002475283002 NPI: 1386861235 NPI: 1982834594 NPI: 1497852404 1106 N Beeline Hwy 807 S Ponderosa St 1106 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (480) 857-2381 EB, P, R (928) 471-3222 RE, T (480) 857-2381 EB, P, R Languages Spoken: Web address: www.akdhc.net Mo-Fr - 8:00 AM - 4:30 PM Provider: Arabic Ages: 0-99 Web address: www.akdhc.net Web address: www.akdhc.net Hospital Affiliations: Ages: 0-99 Ages: 0-99 Banner Univ Medical Cntr Hospital Affiliations: Hospital Affiliations: Phoenix Campus Carondelet St Marys Hospital Abrazo Arrowhead Campus Chandler Regional Medical Center Northwest Medical Center Carondelet St Marys Hospital Banner Estrella Medical Center Flagstaff Medical Center Mosaic Medical Center Albany Banner Gateway Medical Center Northwest Medical Center Chugh, Tarun, MD, (M), B Banner Boswell Medical Center Chaudhary, Asad J, MD, (M) Group Name: Az Kidney Dis & Abrazo Arizona Heart Hospital Group Name: Az Kidney Dis & Hypertension Oro Valley Hospital Hypertension Provider ID: 003591091001 Banner Estrella Medical Center Provider ID: 002919294002 NPI: 1568695203 NPI: 1073786794 1106 N Beeline Hwy Channis, Basel, MD, (M) 1106 N Beeline Hwy Payson, AZ 85541 Group Name: Az Kidney Dis & Payson, AZ 85541 (480) 857-2381 EB, P, R Hypertension (480) 857-2381 EB, P, R Languages Spoken: Provider ID: 003496703014 Languages Spoken: Provider: Punjabi NPI: 1982834594 Provider: Punjabi, Urdu Mo-Fr - 8:00 AM - 4:30 PM 1106 N Beeline Hwy Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Payson, AZ 85541 Web address: www.akdhc.net Ages: 0-99 (480) 857-2381 EB, P, R Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Banner Baywood Heart Hospital Ages: 0-99 Regional One Health Banner Desert Medical Center Hospital Affiliations: Regional Medical Ctr At Memphis Chandler Regional Medical Center Banner Univ Medical Cntr Banner Baywood Medical Center Mercy Gilbert Medical Center Phoenix Campus Banner Desert Medical Center Mountain Vista Medical Ctr Chandler Regional Medical Center Banner Gateway Medical Center Banner Gateway Medical Center Banner Estrella Medical Center Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila Colattur, Shyam N, MD, (M) Cortez, Andrew J, DO, (M), B Dixon, Megan B, MD, (F), B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002030035002 Provider ID: 002592134001 Provider ID: 002921546002 NPI: 1497758015 NPI: 1902882806 NPI: 1689868416 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 Mo-Fr - 8:00 AM - 4:30 PM Provider: Hindi, Tamil Web address: www.akdhc.net Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Web address: www.akdhc.net Hospital Affiliations: Abrazo Central Campus Ages: 0-99 Banner Del E Webb Medical Mercy Hospital Hospital Affiliations: Center United Hospital University Med Ctr Of Southern Banner Boswell Medical Center Mercy Hospital Unity Campus Nevada Valleywise Health North Memorial Health Hospital Abrazo Arrowhead Campus Select Specialty Hos-phoenix Abrazo Arrowhead Campus St Rose Dominican Hosp Delima Scttsdle Hlth Osb Carondelet St Marys Hospital Campus St Josephs Hsp And Med Ctr M Health Fairview St. John's Desert Springs Hospital Banner Estrella Medical Center Hospital Banner Boswell Medical Center Mountainview Hospital Dahl, Katharine C, MD, (F), B Ferraro, James C, DO, (M), B Banner Thunderbird Medical Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Center Hypertension Hypertension Honorhealth Scottsdale Shea Provider ID: 002771544001 Provider ID: 001130577001 Medical Ctr NPI: 1073559621 NPI: 1154324903 1106 N Beeline Hwy 1106 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Provider: Spanish 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 Jcl Dv Hospital Hospital Affiliations: Banner Del E Webb Medical Abrazo Central Campus Center Abrazo Arrowhead Campus Banner Boswell Medical Center Abrazo Arizona Heart Hospital West Valley Hospital Medical Banner Univ Medical Cntr Center Phoenix Campus Abrazo West Campus Phx Childrens Hospital Banner Estrella Medical Center St Josephs Hsp And Med Ctr

Arizona - Gila Specialists / Especialistas Gatchalian, Raul A, MD, (M), B Goswami, Puja, MD, (F), B Hachem, Hassan A, MD, (M), B Group Name: Desert Kidney Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Associates Hypertension Hypertension Provider ID: 002800636001 Provider ID: 003720997003 Provider ID: 002434501001 NPI: 1114029584 NPI: 1912168857 NPI: 1598768020 5860 S Hospital Dr Ste 102 1106 N Beeline Hwy 1106 N Beeline Hwy Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (480) 834-9039 E, EB, G, IB, P, (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R PL, R, RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: French, Spanish Provider: Tagalog Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Web address: www.desertkidney.co Web address: www.akdhc.net Ages: 0-99 m Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Kingman Regional Medical Center Hospital Affiliations: Casa Grande Regional Med Ctr Western Arizona Regional Banner Baywood Medical Center Banner Casa Grande Medical Medical Gila River Healthcare Center Banner Boswell Medical Center Jcl Dv Hospital Banner Baywood Medical Center Gatchalian, Raul A, MD, (M), B Honorhealth John C Lincoln Banner Baywood Heart Hospital Group Name: Desert Kidney Medical Ctr Banner Desert Medical Center Associates Jcl Nm Hospital Banner Desert Care Center Provider ID: 002800636001 Banner Baywood Medical Center Chandler Regional Medical Center NPI: 1114029584 Banner Thunderbird Medical 5860 S Hospital Dr Ste 103 Center Globe, AZ 85501 Ronald Reagan Ucla Medical (480) 834-9039 EB, P, R Center Languages Spoken: Provider: Tagalog Web address: www.desertkidney.co m Ages: 0-99 Hospital Affiliations: Banner Baywood Medical Center Gila River Healthcare

Specialists / Especialistas Arizona - Gila Hanna, Abboud, MD, (M), B Kartoumah, Almutaz B, MD, (M) 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: 003057401007 Provider ID: 002801892001 Provider ID: 000746416004 NPI: 1922237072 NPI: 1376654293 NPI: 1629071303 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 Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Languages Spoken: Web address: www.akdhc.net Provider: Arabic Provider: Spanish Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Web address: www.akdhc.net Ages: 0-99 Baptist Medical Center Ages: 0-99 Hospital Affiliations: Abrazo Central Campus Hospital Affiliations: Abrazo Central Campus St Rose Dominican Hosp Delima Abrazo Arrowhead Campus Abrazo Arrowhead Campus Campus Kingman Regional Medical Center University Medical Center Sunrise Hospital & Med Ctr Western Arizona Regional Banner University Med Ctr Banner Del E Webb Medical Medical Tucson Campus Center Banner Del E Webb Medical Western Arizona Regional Banner Boswell Medical Center Center Medical Select Specialty Hospital Banner Boswell Medical Center Jcl Dv Hospital Banner Estrella Medical Center Banner Baywood Medical Center Banner Boswell Medical Center West Valley Hospital Medical Banner Univ Medical Cntr Hogan, Donn M, MD, (M), B Center Phoenix Campus Group Name: Southwest Kidney Abrazo West Campus 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

Arizona - Gila Specialists / Especialistas Moasser, Amir H, MD, (M), B Mustafa, Esmat M, MD, (M), B Narayanan, Rajnikanth, MD, (M), Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & B Hypertension Hypertension Group Name: Az Kidney Dis & Provider ID: 001424076002 Provider ID: 002897099004 Hypertension NPI: 1932102530 NPI: 1033307574 Provider ID: 002280110014 1106 N Beeline Hwy 1106 N Beeline Hwy NPI: 1780713032 Payson, AZ 85541 Payson, AZ 85541 1106 N Beeline Hwy (480) 857-2381 EB, P, R (480) 857-2381 EB, P, R Payson, AZ 85541 Languages Spoken: Languages Spoken: (480) 857-2381 EB, P, R Provider: Persian Provider: Arabic Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Provider: Hindi Web address: www.akdhc.net Web address: www.akdhc.net Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Abrazo Arrowhead Campus Casa Grande Regional Med Ctr Peacehealth St Joseph Medical Banner Thunderbird Medical Banner Casa Grande Medical Center Center Center Swedish Medical Center Honorhealth Scottsdale Shea Abrazo Arrowhead Campus Evergreenhealth Medical Center Medical Ctr Banner Thunderbird Medical St Francis Community Hospital Scottsdale Healthcare Shea Center Good Samaritan Hospital Medical Ctr Maryvale Hospital Medical Center Banner Boswell Medical Center Scttsdle Hlth Shea Abrazo Maryvale Campus St Clare Hospital Banner Del E Webb Medical Banner Estrella Medical Center Center Honorhealth Scottsdale Shea Medical Ctr

Specialists / Especialistas Arizona - Gila Nimri, Alexander M, MD, (M), B Robey, Jean T, MD, (F), B Rokkam, Vamsi, MD, (M) Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 002957073014 Provider ID: 002752551001 Provider ID: 002808635001 NPI: 1467666123 NPI: 1255377800 NPI: 1174738389 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 Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Languages Spoken: Web address: www.akdhc.net Provider: Vietnamese Provider: Hindi, Spanish Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Web address: www.akdhc.net Web address: www.akdhc.net Providence Portland Medical Ages: 0-99 Ages: 0-99 Center Hospital Affiliations: Hospital Affiliations: Tuality Healthcare Abrazo Arrowhead Campus Abrazo Central Campus Maryvale Hospital Medical Center Banner Del E Webb Medical Abrazo Arrowhead Campus Abrazo Maryvale Campus Center Medical Center At Bowling Green Banner Del E Webb Medical Banner Boswell Medical Center Maryvale Hospital Medical Center Center Abrazo Arizona Heart Hospital Abrazo Maryvale Campus Banner Boswell Medical Center Scttsdle Hlth Osb Abrazo Scottsdale Campus Banner Baywood Medical Center Banner Estrella Medical Center Jcl Dv Hospital Abrazo Arizona Heart Hospital Kindred Hospital Az-northwest Honorhealth John C Lincoln Phoenix Medical Ctr Parekh, Shehzad M, MD, (M), B Group Name: Az Kidney Dis & Santos, Peter W, DO, (M), B Hypertension Group Name: Az Kidney Dis & Provider ID: 002274862001 Hypertension NPI: 1023027307 Provider ID: 002799711002 1106 N Beeline Hwy NPI: 1932249612 Payson, AZ 85541 1106 N Beeline Hwy (480) 857-2381 EB, P, R Payson, AZ 85541 Languages Spoken: (480) 857-2381 EB, P, R Provider: Urdu Languages Spoken: Ages: 0-99 Provider: Tagalog Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM Kingman Regional Medical Center Ages: 0-99 Western Arizona Regional Hospital Affiliations: Medical Abrazo Central Campus Havasu Regional Medical Center Abrazo Arrowhead Campus Valley View Medical Center Abrazo Arizona Heart Hospital Banner Thunderbird Medical Center

Arizona - Gila Specialists / Especialistas Uddin, Muhammad A, MD, (M), Ungar, Scott A, DO, (M), B Zhao, Hui J, MD, (M), B B Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Group Name: Az Kidney Dis & Hypertension Hypertension Hypertension Provider ID: 003338019003 Provider ID: 002827657001 Provider ID: 002195413003 NPI: 1306075924 NPI: 1629125414 NPI: 1396936373 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: Chinese Provider: Hindi, Punjabi, Mo-Fr - 8:00 AM - 4:30 PM Web address: www.akdhc.net Spanish, Urdu Web address: www.akdhc.net Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Web address: www.akdhc.net Hospital Affiliations: Abrazo Arrowhead Campus Ages: 0-99 Abrazo Central Campus Banner Thunderbird Medical Hospital Affiliations: Banner Boswell Medical Center Center Banner Baywood Medical Center Banner Baywood Medical Center Havasu Regional Medical Center Tempe St Lukes Hosp A Campus Banner Baywood Heart Hospital Scttsdle Hlth Osb Of St Lukes Banner Univ Medical Cntr Greenbaum Surgical Speciality Banner Desert Medical Center Phoenix Campus Hospital Chandler Regional Medical Center Banner Desert Care Center Scttsdle Hlth Tpk Mercy Gilbert Medical Center Banner Gateway Medical Center Scottsdale Healthcare Tho Mountain Vista Medical Ctr Arizona Regional Medical Center

Zaw, Yuzana K, MD, (F) Group Name: Az Kidney Dis & Hypertension Provider ID: 006883536001 NPI: 1013313451 1106 N Beeline Hwy Payson, AZ 85541 (480) 857-2381 EB, P, R Languages Spoken: Provider: Burmese, Spanish Web address: www.akdhc.net Ages: 0-99

Specialists / Especialistas Arizona - Gila

Zou, Lixian, MD, (F), B Bartholomew, Patricia, NP, (F) Group Name: Az Kidney Dis & Neurology / Neurología Group Name: North Country Hypertension Lee-Iannotti, Joyce K, MD, (F), B Healthcare Provider ID: 002513853002 Group Name: Banner Univ Phys Provider ID: 006678025002 NPI: 1053359737 Specialists NPI: 1033463807 1106 N Beeline Hwy Provider ID: 003190529009 708 Coeur D'alene Ste B Payson, AZ 85541 NPI: 1518133271 Payson, AZ 85541 (480) 857-2381 EB, P, R 807 S Ponderosa St (928) 468-8610 E, EB, IB, P, R Languages Spoken: Payson, AZ 85541 Ages: 18-99 Provider: Chinese, Spanish (928) 474-3222 RE, T Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Bennett, Sara K, NP, (F) Web address: www.akdhc.net Hospital Affiliations: Group Name: Canyonlands Ages: 0-99 Metrohealth Medical Center Community Health Care Vista Hospital Affiliations: Casa Grande Regional Med Ctr Provider ID: 006475828004 Abrazo Central Campus Banner Casa Grande Medical NPI: 1184162729 Abrazo Arrowhead Campus Center 5860 S Hospital Dr Ste 102 Abrazo Scottsdale Campus Banner Thunderbird Medical Globe, AZ 85501 Honorhealth John C Lincoln Center (928) 402-0491 E, EB, G, IB, P, Medical Ctr Mayo Clinic Hospital PL, R, RE, S, T Jcl Nm Hospital Banner Univ Medical Cntr Mo-Fr - 7:00 AM - 6:00 PM Banner Boswell Medical Center Phoenix Campus Ages: 12-99 Banner Desert Medical Center Areas of Expertise: E020, E070, Donovan, Brenda A, DNP, (F) E112, E160, E165 Group Name: Az Kidney Dis & Hypertension Provider ID: 006881204007 Nurse Practitioner / Enfermera NPI: 1659868776 Especialista 1106 N Beeline Hwy Allen, April, NP, (F) Payson, AZ 85541 Group Name: Cobre Valley (480) 857-2381 EB, P, R Regional Medical Center Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 007264396003 Web address: www.akdhc.net NPI: 1649743683 Ages: 0-99 5994 S Hospital Dr Globe, AZ 85501 (928) 425-7108 EB, P, R, RE, T Ages: 12-99 Hospital Affiliations: Cobre Valley Regional Medical Center

Arizona - Gila Specialists / Especialistas Edstrom, Trent, NP, (M) Espinoza, Hugo A, NP, (M) Hernandez, Priscila E, NP, (F) Group Name: Az Kidney Dis & Group Name: Community Group Name: Az Kidney Dis & Hypertension Bridges Hypertension Provider ID: 007611665001 Provider ID: 005122453017 Provider ID: 007611648001 NPI: 1558957811 NPI: 1417207051 NPI: 1386258473 1106 N Beeline Hwy 803 W Main St 1106 N Beeline Hwy Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (480) 857-2381 EB, P, R (928) 468-0032 EB, P, R, RE, S, T (480) 857-2381 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Languages Spoken: Hospital Affiliations: Banner Univ Medical Cntr Provider: Spanish Banner Univ Medical Cntr Phoenix Campus Mo-Fr - 8:00 AM - 4:00 PM Phoenix Campus Ages: 0-99 Espinoza, Hugo A, NP, (M) Areas of Expertise: E010, E017, Kline, Cheryl J, NP, (F) Group Name: Community E020, E025, E040, E070, E090, Group Name: Desert Kidney Bridges E105, E112, E115, E160, E170, Associates Provider ID: 005122453017 E180, E185, E190, E198, E200, Provider ID: 002775180002 NPI: 1417207051 E205, E220, E376, E385, P010, NPI: 1194823666 5734 Hope Ln Ste 2 P020, P030, PLIC, THS 5860 S Hospital Dr Ste 102 Globe, AZ 85501 Globe, AZ 85501 (928) 425-2415 EB, P, R, RE, T Freeman, Monica, NP, (F) (480) 834-9039 E, EB, G, IB, P, Group Name: North Country PL, R, RE, S, T Languages Spoken: Healthcare Web address: www.desertkidney.co Provider: Spanish Provider ID: 006263597003 m Web address: https://communitybrid NPI: 1093266470 Accepting Existing Patients Only gesaz.org/ 708 Coeur D'alene Ste B Ages: 0-99 Ages: 0-99 Payson, AZ 85541 Areas of Expertise: E010, E017, (928) 468-8610 E, EB, IB, P, R Kuker, Jenni, NP, (F) E020, E025, E040, E070, E090, Ages: 18-99 Group Name: Canyonlands E105, E112, E115, E160, E170, Hospital Affiliations: Community Health Care Vista E180, E185, E190, E198, E200, Cox Medical Center Provider ID: 007307877005 E205, E220, E376, E385, P010, NPI: 1194375758 P020, P030, PLIC, THS 5860 S Hospital Dr Ste 102 Globe, AZ 85501 (928) 402-0491 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

Specialists / Especialistas Arizona - Gila Lietzow, Rebecca J, FNP, (F) Price, Joshua L, NP, (M) Villegas, Joanne E, MA, (F) Group Name: North Country Group Name: Vhs Outpatient Group Name: Canyonlands Healthcare Clinics Community Health Care Provider ID: 005746668008 Provider ID: 007267408004 Provider ID: 005721838002 NPI: 1538450630 NPI: 1386106391 NPI: 1154752483 126 E Main St Ste B 708 S Coeur D Alene Ln Ste A 5860 S Hospital Dr Ste 102 Payson, AZ 85541 Payson, AZ 85541 Globe, AZ 85501 (928) 468-8610 P, R, RE, T (928) 472-7440 EB, P, R, RE, T (928) 402-0491 E, EB, G, IB, P, Ages: 18-99 Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Mo-Fr - 8:00 AM - 6:00 PM St Croix Regional Medical Center Prieto, Roseanne P, NP, (F) Ages: 0-99 Group Name: Az Kidney Dis & Areas of Expertise: A021, A060, Morse, Suzanne, NP, (F) Hypertension DD, E010, E017, E020, E025, Group Name: Northern Arizona Provider ID: 005396266019 E042, E090, E200, MAT1, P010 Pain Svcs NPI: 1780076638 Provider ID: 002748654002 1106 N Beeline Hwy Watkins, Katherine, NP, (F) NPI: 1386750511 Payson, AZ 85541 Group Name: North Country 708 S Coeur D Alene Ln Ste C (480) 857-2381 Healthcare Payson, AZ 85541 Ages: 0-99 Provider ID: 006631663011 (928) 474-9719 EB, P, R, RE, T Hospital Affiliations: NPI: 1255480422 Mo-Fr - 8:00 AM - 4:00 PM Abrazo Arrowhead Campus 708 S Coeur D Alene Ln Ste B Ages: 0-99 Banner Del E Webb Medical Payson, AZ 85541 Center (928) 468-8610 EB, P, R Nyokwoyo, Euphrase M, NP, (M) Banner Boswell Medical Center Ages: 18-99 Group Name: Banner Urgent Banner Thunderbird Medical Care Services Center Provider ID: 006904757051 West Valley Hospital Medical NPI: 1316420631 Center 101 E State Highway 260 Ste G Abrazo West Campus Payson, AZ 85541 Banner Estrella Medical Center (928) 478-8905 Dignity Health Languages Spoken: Provider: Swahili Trantham, Edward, NP, (M) Accepting Existing Patients Only Group Name: North Country Ages: 0-99 Healthcare Provider ID: 007002023006 NPI: 1043780349 126 E Main St Ste B Payson, AZ 85541 (928) 472-9700 P, R, RE, T Ages: 18-99

Arizona - Gila Specialists / Especialistas

Bakall, Benjamin B, MD, (M), B Oncology / Oncología Ophthalmology / Oftalmología Group Name: Associated Retina Bi, Sucai, MD, (M), B Asota, Ijeoma M, MD, (F), B Consultants Group Name: Banner Cancer Group Name: American Vision Provider ID: 003382160004 Center Specialists Partners NPI: 1700085222 Provider ID: 002313000007 Provider ID: 003473042004 302 W Main St NPI: 1659363794 NPI: 1346405321 Payson, AZ 85541 807 S Ponderosa St 520 S Hill St (602) 242-4928 E, EB, G, P, R, Payson, AZ 85541 Globe, AZ 85501 RE, S, T (928) 471-3222 RE, T (928) 425-8989 E, EB, G, IB, P, Languages Spoken: Languages Spoken: R, RE, S, T Provider: Swedish Provider: Chinese Languages Spoken: Ages: 0-99 Web address: www.pvhomed.com Staff: Spanish Hospital Affiliations: Ages: 0-99 Web address: www.goodeyes.com Banner Baywood Medical Center Hospital Affiliations: Ages: 0-99 U Of I Hosps & Clinics Good Samaritan Reg Med Center Hospital Affiliations: U Of Iowa Hosp And Clinic Banner Univ Medical Cntr Genesis Medical Center Dewitt Maricopa Medical Center Phoenix Campus Genesis Medical Center De Witt Banner Desert Medical Center St Josephs Hsp And Med Ctr Genesis Medical Center Banner Estrella Medical Center Banner Gateway Medical Center Trinity Medical Center Banner Gateway Medical Center Advocate Trinity Hospital Areas of Expertise: PLIC, THS Trinity Muscatine Barakat, Mark R, MD, (M), B Group Name: American Vision Partners Provider ID: 002940822006 NPI: 1225214646 520 S Hill St Globe, AZ 85501 (928) 425-8989 E, EB, G, IB, P, R, RE, S, T Languages Spoken: Provider: German, Spanish Staff: German, Spanish Web address: https://www.goodeyes .com/ Ages: 0-99 Hospital Affiliations: Yuma Regional Medical Center Cleveland Clinic Foundation Scttsdle Hlth Osb

Specialists / Especialistas Arizona - Gila Berbos, Zachary J, MD, (M), B Bryan, Joseph S, MD, (M), B Campion, Michael, MD, (M), B Group Name: American Vision Group Name: Associated Retina Group Name: American Vision Partners Consultants Partners Provider ID: 003427078001 Provider ID: 001320935005 Provider ID: 000759736003 NPI: 1497996433 NPI: 1881686558 NPI: 1265404503 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: Provider: Spanish Provider: French, Spanish Staff: Spanish Web address: www.goodeyes.com Ages: 0-99 Web address: www.sweye.com Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Abrazo Central Campus Hospital Affiliations: Select Specialty Hospital Honorhealth John C Lincoln University Med Ctr Of Southern Scttsdle Hlth Osb Medical Ctr Nevada Jcl Nm Hospital Casa Grande Regional Med Ctr Boyer, Phillip D, DO, (M), B Banner Boswell Medical Center Banner Casa Grande Medical Group Name: American Vision Queens Medical Center Center Partners Valleywise Health Sierra Vista Regional Health Ctr Provider ID: 003064416003 Banner Univ Medical Cntr Canyon Vista Medical Center NPI: 1073703757 Phoenix Campus St Rose Dominican Hosp Delima 520 S Hill St Banner Desert Medical Center Campus Globe, AZ 85501 Areas of Expertise: PLIC, THS Desert Springs Hospital (928) 425-8989 E, EB, G, IB, P, Havasu Regional Medical Center R, RE, S, T Languages Spoken: El Gasim, Mahmood M, MD, (M), Provider: French, Spanish B Web address: https://www.goodeyes Group Name: American Vision .com/ Partners Ages: 0-99 Provider ID: 006388203001 Hospital Affiliations: NPI: 1477814739 Mt Graham Regional Medical 520 S Hill St Cente Globe, AZ 85501 Sierra Vista Regional Health Ctr (928) 425-8989 E, EB, G, IB, P, Canyon Vista Medical Center R, RE, S, T Languages Spoken: Provider: Spanish Web address: https://www.goodeyes .com/ Ages: 0-99

Arizona - Gila Specialists / Especialistas Gaitan, Jaime R, MD, (M), B Kwong, Henry M, MD, (M), B Rao, Rushil G, MD, (M), B Group Name: Associated Retina Group Name: Associated Retina Group Name: Associated Retina Consultants Consultants Consultants Provider ID: 002672706003 Provider ID: 002784073006 Provider ID: 005623126004 NPI: 1275580573 NPI: 1033257746 NPI: 1518250398 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: Languages Spoken: Ages: 0-99 Provider: Spanish Provider: French Hospital Affiliations: Ages: 0-99 Staff: Spanish Callahan Eye Foundation Hospital Hospital Affiliations: Ages: 0-99 Jcl Dv Hospital Banner Health Arizona Hospital Affiliations: Valleywise Health Phx Childrens Hospital Abrazo Central Campus Banner Thunderbird Medical St Josephs Hsp And Med Ctr Banner Estrella Medical Center Center Areas of Expertise: PLIC, THS Areas of Expertise: PLIC, THS Banner Univ Medical Cntr Phoenix Campus Gordon, Alan J, MD, (M), B Moore, Grant H, MD, (M), B Banner Desert Medical Center Group Name: Associated Retina Group Name: American Vision Scttsdle Hlth Osb Consultants Partners Honorhealth Scottsdale Shea Provider ID: 001013539010 Provider ID: 006643068003 Medical Ctr NPI: 1518959287 NPI: 1710239751 302 W Main St 520 S Hill St Payson, AZ 85541 Globe, AZ 85501 (602) 242-4928 E, EB, G, P, R, (928) 425-8989 E, EB, G, IB, P, RE, S, T R, RE, S, T Languages Spoken: Web address: www.goodeyes.com Provider: Spanish Ages: 0-99 Ages: 0-99 Hospital Affiliations: Odden, Jamie L, MD, (F) Abrazo Central Campus Group Name: Associated Retina Honorhealth John C Lincoln Consultants Medical Ctr Provider ID: 007729557001 Jcl Nm Hospital NPI: 1427588698 Valleywise Health 302 W Main St Banner Desert Medical Center Payson, AZ 85541 St Josephs Hsp And Med Ctr (602) 242-4928 E, EB, G, P, R, RE, S, T Ages: 0-99

Specialists / Especialistas Arizona - Gila

Reddy, Rahul K, MD, (M), B Sangave, Amit A, MD, (M), B Group Name: Associated Retina Group Name: American Vision Orthopaedic Surgery / Cirugía Consultants Partners Ortopédica Provider ID: 003060704012 Provider ID: 006614024006 Biehn, Jeffrey L, DO, (M) NPI: 1083806863 NPI: 1447516133 Group Name: Banner Physician 302 W Main St 520 S Hill St Specialists Arizona Payson, AZ 85541 Globe, AZ 85501 Provider ID: 003501763001 (602) 242-4928 E, EB, G, P, R, (928) 425-8989 E, EB, G, IB, P, NPI: 1669637062 RE, S, T R, RE, S, T 126 E Main St Ste D Languages Spoken: Languages Spoken: Payson, AZ 85541 Provider: Telugu Provider: Spanish (928) 596-4800 EB, P, R Web address: www.associatedretina Staff: Spanish Ages: 0-99 specialists.com Web address: www.goodeyes.com Hospital Affiliations: Ages: 0-99 Ages: 0-99 Banner Ironwood Medical Center Hospital Affiliations: Hospital Affiliations: Banner Goldfield Medical Center Valleywise Health Banner Thunderbird Medical Vanderbilt University Med Ctr Center Croft, Scott T, MD, (M), B Vanderbilt University Medical Henry Ford Hospital Group Name: Cobre Valley Tonto Center Banner Desert Medical Center Basin Clinic Vanderbilt Childrens Hospital Banner Gateway Medical Center Provider ID: 001342682004 Areas of Expertise: PLIC, THS NPI: 1619934163 Welch, Matthew J, MD, (M), B 124 N Tewksbury Blvd Risser, Christian F, MD, (M), B Group Name: Associated Retina Young, AZ 85554 Group Name: Risser Thomas Eye Consultants (928) 462-3435 EB, P, R, RE, T Clinic Provider ID: 003357151006 Languages Spoken: Provider ID: 000284891001 NPI: 1316100977 Provider: Japanese NPI: 1457482630 302 W Main St Ages: 0-99 302 W Main St Payson, AZ 85541 Hospital Affiliations: Payson, AZ 85541 (602) 242-4928 E, EB, G, P, R, Frances Mahon Deaconess Hosp (928) 474-4126 E, EB, G, P, R, RE, S, T Memorial Hospital Of Carbon RE, S, T Web address: www.associatedretina Cnty Languages Spoken: consultants.com Memorial Hosp Of Converse Cnty Staff: Spanish Ages: 0-99 Cobre Valley Regional Medical Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Center Ages: 0-99 Loyola University Medical Center Abrazo Scottsdale Campus Hospital Affiliations: Maricopa Medical Center Honorhealth John C Lincoln Banner Payson Medical Center Areas of Expertise: PLIC, THS Medical Ctr Honorhealth John C Lincoln Jcl Nm Hospital Medical Ctr Honorhealth Scottsdale Shea Jcl Nm Hospital Medical Ctr

Arizona - Gila Specialists / Especialistas Croft, Scott T, MD, (M), B Kelly, Lawrence J, MD, (M), B Seipel, Peter R, MD, (M), B Group Name: Cobre Valley Tonto Group Name: Banner Physician Group Name: Cobre Valley Tonto Basin Clinic Specialists Arizona Basin Clinic Provider ID: 001342682003 Provider ID: 002036792005 Provider ID: 001819395006 NPI: 1619934163 NPI: 1124014758 NPI: 1710078670 5880 S Hospital Dr 126 E Main St Ste D 5880 S Hospital Dr Globe, AZ 85501 Payson, AZ 85541 Globe, AZ 85501 (928) 425-3246 E, EB, G, P, PL, (928) 596-4800 EB, P, R (928) 425-3246 E, EB, G, P, PL, R, RE, S, T Web address: svos.md R, RE, S, T Languages Spoken: Ages: 0-99 Mo-Fr - 9:00 AM - 4:30 PM Provider: Japanese Hospital Affiliations: Sa,Su - 12:01 AM - 11:59 PM Ages: 0-99 Abrazo Arrowhead Campus Web address: www.medigain.com Hospital Affiliations: Banner Del E Webb Medical Ages: 0-99 Frances Mahon Deaconess Hosp Center Hospital Affiliations: Memorial Hospital Of Carbon Banner Boswell Medical Center Cobre Valley Regional Medical Cnty West Valley Hospital Medical Center Memorial Hosp Of Converse Cnty Center Casa Grande Regional Med Ctr Cobre Valley Regional Medical Abrazo West Campus Banner Casa Grande Medical Center Center Abrazo Scottsdale Campus Neeley, Ryan A, DO, (M) Banner Baywood Medical Center Honorhealth John C Lincoln Group Name: Banner Physician Tempe St Lukes Hosp A Campus Medical Ctr Specialists Arizona Of St Lukes Jcl Nm Hospital Provider ID: 007063505002 St Josephs Hsp And Med Ctr Honorhealth Scottsdale Shea NPI: 1053738229 Chandler Regional Medical Center Medical Ctr 126 E Main St Ste D Mountainview Regional Med Ctr Payson, AZ 85541 (928) 596-4800 EB, P, R Languages Spoken: Provider: Spanish Ages: 0-99 Hospital Affiliations: Casa Grande Regional Med Ctr Banner Casa Grande Medical Center Banner Baywood Medical Center Banner Desert Medical Center Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila

Sepich, Dustin J, MD, (M) Group Name: Banner Physician Pain Management / Tratamiento Pediatric Urology / Urología Specialists Arizona Del Dolor Pediátrica Provider ID: 005548310003 Goodman, Herbert D, MD, (M) Gleason, Philip E, MD, (M), B NPI: 1801109152 Group Name: Desert Pain & Group Name: Banner Physician 126 E Main St Ste D Rehab Specialists Super Spec Arizona Payson, AZ 85541 Provider ID: 000713472002 Provider ID: 001200531004 (928) 596-4800 EB, P, R NPI: 1346258472 NPI: 1871585810 Ages: 0-99 621 S Fifth St 803 S Ponderosa St Ste C Hospital Affiliations: Globe, AZ 85501 Payson, AZ 85541 Desert Springs Hospital (928) 425-8273 E, EB, IB, P, R (928) 596-4550 EB, P, R Banner Del E Webb Medical Languages Spoken: Web address: www.bannerhealth.co Center Provider: French m Banner Boswell Medical Center Staff: Spanish Ages: 0-99 St Rose Dominican Hospital Sie Interpreter: Medical Interp Hospital Affiliations: Spring Valley Hosp Med Ctr Vendor Spectrum Health Hospitals Southern Hills Medical Center Ages: 0-99 Flagstaff Medical Center Centennial Hills Hosp Med Ctr Hospital Affiliations: Banner Thunderbird Medical Maryvale Hospital Medical Center Center Tani, Jason C, MD, (M), B Abrazo Maryvale Campus Banner Univ Medical Cntr Group Name: Banner Physician Phoenix Campus Specialists Arizona Morse, Suzanne, NP, (F) Banner Desert Medical Center Provider ID: 001409477003 Group Name: Northern Arizona Honorhealth Scottsdale Shea NPI: 1104813013 Pain Svcs Medical Ctr 126 E Main St Ste D Provider ID: 002748654002 Scottsdale Healthcare Shea Payson, AZ 85541 NPI: 1386750511 Medical Ctr (928) 596-4800 EB, P, R 708 S Coeur D Alene Ln Ste C Scttsdle Hlth Shea Ages: 0-99 Payson, AZ 85541 Hospital Affiliations: (928) 474-9719 EB, P, R, RE, T Banner Payson Medical Center Mo-Fr - 8:00 AM - 4:00 PM Physician Assistant / Asistente Banner Baywood Medical Center Ages: 0-99 Médico Arizona Spine & Joint Hospital Carlson, Tanner B, PA, (M) Banner Gateway Medical Center Group Name: Cobre Valley Regional Medical Center Provider ID: 006669445005 NPI: 1669982740 5880 S Hospital Dr Globe, AZ 85501 (928) 425-3246 E, EB, G, P, PL, R, RE, S, T Web address: www.cvrmc.org Ages: 0-99

Arizona - Gila Specialists / Especialistas Crandell, Gary D, PA, (M) Jensen, Blaine S, PA, (M) Murphy, Kevin M, PA, (M) Group Name: American Vision Group Name: Cobre Valley Tonto Group Name: Vhs Outpatient Partners Basin Clinic Clinics Provider ID: 002617836010 Provider ID: 002703046002 Provider ID: 002844823005 NPI: 1528087251 NPI: 1023129996 NPI: 1881777613 411 S Beeline Hwy Ste A 124 N Tewksbury Blvd 708 S Coeur D Alene Ln Ste A Payson, AZ 85541 Young, AZ 85554 Payson, AZ 85541 (602) 955-1000 E, EB, G, IB, P, (928) 462-3435 EB, P, R, RE, T (928) 472-7440 EB, P, R, RE, T R, RE, S, T Languages Spoken: Ages: 0-99 Web address: https://www.goodeyes Provider: Spanish Hospital Affiliations: .com/ We,Th - 9:00 AM - 4:30 PM Abrazo Arrowhead Campus Ages: 0-99 Ages: 0-99 Abrazo Arizona Heart Hospital Hospital Affiliations: Phx Childrens Hospital Mt Graham Regional Medical Jensen, Kristen A, PA, (F) Cente Group Name: Vhs Outpatient Ning, Amilee S, PA, (F) Banner Payson Medical Center Clinics Group Name: Vhs Outpatient Provider ID: 007027495002 Clinics Dennis, Lebron, PA, (M) NPI: 1770834798 Provider ID: 002145848003 Group Name: Hospitalists Of 708 S Coeur D Alene Ln Ste A NPI: 1699852053 Arizona Payson, AZ 85541 708 S Coeur D Alene Ln Ste A Provider ID: 007594661001 (928) 472-7440 EB, P, R, RE, T Payson, AZ 85541 NPI: 1174142046 Ages: 0-99 (928) 472-7440 EB, P, R, RE, T 1100 E Monroe St Hospital Affiliations: Ages: 0-99 Globe, AZ 85501 Abrazo Arrowhead Campus Hospital Affiliations: (480) 239-8779 E, EB, G, IB, P, Banner Univ Medical Cntr Abrazo Arrowhead Campus PL, R, RE, S, T Phoenix Campus Banner Univ Medical Cntr Ages: 0-99 St Josephs Hsp And Med Ctr Phoenix Campus

Freeburg, Dominic D, PA, (M) Mills, Lora L, PA, (F) Group Name: Banner Physician Group Name: American Vision Specialists Arizona Partners Provider ID: 006590224002 Provider ID: 003141760005 NPI: 1407211808 NPI: 1649422999 122 E Main St 411 S Beeline Hwy Ste A Payson, AZ 85541 Payson, AZ 85541 (928) 596-4600 EB, P, R (928) 474-3556 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T Hospital Affiliations: Web address: www.goodeyes.com Banner Baywood Medical Center Ages: 0-99 Banner Baywood Heart Hospital Banner Gateway Medical Center

Specialists / Especialistas Arizona - Gila Onan, Kevin A, PA, (M) Rankel, Brian J, PA, (M) Swanson, Jennifer, PA, (F) Group Name: Vhs Outpatient Group Name: American Vision Group Name: Cobre Valley Clinics Partners Regional Medical Center Provider ID: 003183094003 Provider ID: 003375525003 Provider ID: 003576263004 NPI: 1821080821 NPI: 1407181928 NPI: 1366791071 708 S Coeur D Alene Ln Ste A 411 S Beeline Hwy Ste A 5880 S Hospital Dr Payson, AZ 85541 Payson, AZ 85541 Globe, AZ 85501 (928) 472-7440 EB, P, R, RE, T (928) 474-3556 E, EB, G, IB, P, (928) 402-1107 E, EB, G, P, PL, Mo-Fr - 9:00 AM - 5:00 PM R, RE, S, T R, RE, S, T Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Spanish Staff: Spanish, American Sign Abrazo Central Campus Web address: www.goodeyes.com Language Casa Grande Regional Med Ctr Ages: 0-99 Ages: 0-99 Banner Casa Grande Medical Center Strum, Danielle C, PA, (F) Taylor, John D, PA, (M) Abrazo Arrowhead Campus Group Name: Vhs Outpatient Group Name: American Vision University Medical Center Clinics Partners Banner University Med Ctr Provider ID: 003418098011 Provider ID: 003326038004 Tucson Campus NPI: 1164709788 NPI: 1538176409 Banner Baywood Heart Hospital 708 S Coeur D Alene Ln Ste A 411 S Beeline Hwy Ste A Banner Univ Medical Cntr Payson, AZ 85541 Payson, AZ 85541 Phoenix Campus (928) 472-7440 EB, P, R, RE, T (866) 742-6581 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T Pinchera, Stephanie K, PA, (F) Hospital Affiliations: Languages Spoken: Group Name: Vhs Outpatient Abrazo Arrowhead Campus Provider: Spanish Clinics Abrazo Arizona Heart Hospital Web address: https://www.goodeyes Provider ID: 007027259002 St Josephs Hsp And Med Ctr .com/ NPI: 1699962563 Ages: 0-99 708 S Coeur D Alene Ln Ste A Swanson, Jennifer, PA, (F) Payson, AZ 85541 Group Name: Cobre Valley (928) 472-7440 EB, P, R, RE, T Regional Medical Center Ages: 0-99 Provider ID: 003576263002 Hospital Affiliations: NPI: 1366791071 Abrazo Arrowhead Campus 124 N Tewksbury Blvd Abrazo Arizona Heart Hospital Young, AZ 85554 St Josephs Hsp And Med Ctr (928) 462-3435 EB, P, R, RE, T Ages: 0-99

Arizona - Gila Specialists / Especialistas Taylor, John D, PA, (M) Wolfe-Ruiz, Cheryl A, PA, (F) Law, Patrick W, DPM, (M) Group Name: American Vision Group Name: American Vision Group Name: Cobre Valley Partners Partners Regional Medical Center Provider ID: 003326038017 Provider ID: 003554539017 Provider ID: 007467196001 NPI: 1538176409 NPI: 1386709517 NPI: 1790207363 520 S Hill St 520 S Hill St 124 N Tewksbury Blvd Globe, AZ 85501 Globe, AZ 85501 Young, AZ 85554 (602) 425-8989 E, EB, G, IB, P, (928) 425-8989 E, EB, G, IB, P, (928) 462-3435 EB, P, R, RE, T R, RE, S, T R, RE, S, T Ages: 0-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Provider: Spanish Provider: Spanish Cobre Valley Regional Medical Web address: https://www.goodeyes Web address: www.americanvisionp Center .com/ artners.com Ages: 0-99 Ages: 0-99 Law, Patrick W, DPM, (M) Group Name: Cobre Valley Wolfe-Ruiz, Cheryl A, PA, (F) Regional Medical Center Group Name: American Vision Podiatry / Podiatría Provider ID: 007467196001 Partners Evans, Robert T, DPM, (M), B NPI: 1790207363 Provider ID: 003554539004 Group Name: Robert T Evans 186 E Stephens Way NPI: 1386709517 Dpm Tonto Basin, AZ 85553 411 S Beeline Hwy Ste A Provider ID: 002457108002 (928) 479-2871 EB, P, R Payson, AZ 85541 NPI: 1578532248 Ages: 0-99 (928) 474-3556 E, EB, G, IB, P, 200 E Lone Pine Dr Hospital Affiliations: R, RE, S, T Payson, AZ 85541 Cobre Valley Regional Medical Languages Spoken: (928) 474-9242 EB, P, R Center Provider: Spanish Ages: 0-99 Web address: www.americanvisionp Hospital Affiliations: Law, Patrick W, DPM, (M) artners.com Jcl Dv Hospital Group Name: Cobre Valley Ages: 0-99 Honorhealth John C Lincoln Regional Medical Center Medical Ctr Provider ID: 007467196001 Jcl Nm Hospital NPI: 1790207363 5880 S Hospital Dr Globe, AZ 85501 (928) 425-3261 E, EB, G, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Cobre Valley Regional Medical Center

Specialists / Especialistas Arizona - Gila

Law, Patrick W, DPM, (M) Udall, Craig K, DPM, (M) Group Name: Cobre Valley Group Name: Integrated Medical Radiation Oncology / Oncología Regional Medical Center Services De Radiación Provider ID: 007467196001 Provider ID: 006090550002 Nguyen, Tam T, MD , (M), B NPI: 1790207363 NPI: 1396180477 Group Name: Cobre Valley 5990 S Hospital Dr 111 W Cedar Ln Ste A Surgical Services Globe, AZ 85501 Payson, AZ 85541 Provider ID: 001820887003 (928) 425-8151 EB, P, R (623) 882-1292 EB, IB, P, R, RE, NPI: 1437128113 Ages: 0-99 T 5880 S Hospital Dr Hospital Affiliations: Ages: 0-99 Globe, AZ 85501 Cobre Valley Regional Medical Hospital Affiliations: (928) 425-3246 E, EB, G, P, PL, Center St Joseph Hosp Atlanta R, RE, S, T Windy Hill Hospital Ages: 0-99 Law, Patrick W, DPM, (M) St Josephs Hsp And Med Ctr Hospital Affiliations: Group Name: Cobre Valley Chandler Regional Medical Center Valley Hospital Medical Center Regional Medical Center Areas of Expertise: THS Summit Regional Medical Center Provider ID: 007467196001 St Rose Dominican Hosp Delima NPI: 1790207363 Campus 5994 S Hospital Dr Pulmonary Medicine / Medicina Desert Springs Hospital Globe, AZ 85501 Pulmonar Summerlin Hospital Medical Ctr (928) 425-7108 EB, P, R, RE, T Salim, Muhammad M, MD, (M), St Josephs Hsp And Med Ctr Ages: 0-99 B Areas of Expertise: MAT1 Hospital Affiliations: Group Name: Muhammad M Cobre Valley Regional Medical Salim Md Center Provider ID: 000076997001 Vascular Surgery / Cirugía NPI: 1760467419 Vascular Mclaws, Ivan D, DPM, (M), B 5880 S Hospital Dr Balraj, Praveen C, MD, (M), B Group Name: Mclaws Ivan D Globe, AZ 85501 Group Name: Banner Physician Provider ID: 000819060001 (480) 821-0129 E, EB, G, P, PL, Specialists Arizona NPI: 1356428536 R, RE, S, T Provider ID: 005559511002 200 E Lone Pine Dr Ages: 0-99 NPI: 1447562640 Payson, AZ 85541 Hospital Affiliations: 122 E Main St (928) 474-9242 EB, P, R Detar Hospital Navarro Payson, AZ 85541 Languages Spoken: Tempe St Lukes Hosp A Campus (928) 596-4600 EB, P, R Provider: Spanish Of St Lukes Languages Spoken: Ages: 0-99 Banner Baywood Heart Hospital Provider: Tamil, Telugu Hospital Affiliations: Banner Desert Medical Center Ages: 0-99 Banner Payson Medical Center Chandler Regional Medical Center Hospital Affiliations: Banner Baywood Medical Center Banner Baywood Heart Hospital Banner Desert Medical Center Banner Gateway Medical Center

Arizona - Pinal Specialists / Especialistas Li, Xiaoyi, MD, (M) Lancero, Lou L, MD, (M), B Pinal Group Name: Banner Physician Group Name: Pima Heart

Specialists Arizona Physicians Provider ID: 007463611001 Cardiology / Cardiología Provider ID: 000969738005 NPI: 1063754687 Faitelson, Hymie Lionel, MD, NPI: 1740268440 122 E Main St (M), B 1040 W American Ave Payson, AZ 85541 Group Name: Pima Heart Oracle, AZ 85623 (928) 596-4600 EB, P, R Physicians (520) 838-3540 E, EB, G, IB, P, Languages Spoken: Provider ID: 001312162009 PL, R, RE, S, T Provider: Mandarin NPI: 1912962804 Ages: 0-99 Ages: 0-99 1040 W American Ave Hospital Affiliations: Hospital Affiliations: Oracle, AZ 85623 Carondelet Holy Cross Hospital Casa Grande Regional Med Ctr (520) 838-3540 E, EB, G, IB, P, St Joseph's Hospital Banner Casa Grande Medical PL, R, RE, S, T Tucson Medical Center Center Languages Spoken: Mt Graham Regional Medical Banner Baywood Medical Center Provider: Hindi, Telugu Cente Banner Baywood Heart Hospital Ages: 0-99 Carondelet St Marys Hospital Hospital Affiliations: Riesenman, Paul J, MD, (M), B Banner University Med Ctr South Morales, Monty C, MD, (M), B Group Name: Banner Physician Campus Group Name: Pima Heart Specialists Arizona St Joseph's Hospital Physicians Provider ID: 003500083002 Tucson Medical Center Provider ID: 001068534006 NPI: 1831318195 University Medical Center NPI: 1043298656 122 E Main St Banner University Med Ctr 1040 W American Ave Payson, AZ 85541 Tucson Campus Oracle, AZ 85623 (928) 596-4600 EB, P, R (520) 838-3540 E, EB, G, IB, P, Ages: 0-99 Gavlick, Kirk M, DO, (M), B PL, R, RE, S, T Hospital Affiliations: Group Name: Pima Heart Ages: 0-99 Casa Grande Regional Med Ctr Physicians Hospital Affiliations: Banner Casa Grande Medical Provider ID: 002388677011 Tucson Medical Center Center NPI: 1669434619 Carondelet St Marys Hospital University Hospital 1040 W American Ave Northwest Medical Center Banner Baywood Medical Center Oracle, AZ 85623 Oro Valley Hospital Banner Baywood Heart Hospital (520) 838-3540 E, EB, G, IB, P, Banner Gateway Medical Center PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Tucson Medical Center Carondelet St Marys Hospital Northwest Medical Center

Specialists / Especialistas Arizona - Pinal

Myer, James H, MD, (M) Skeif, Basel, MD, (M), B Group Name: Pima Heart Group Name: Pima Heart Cardiovascular Disease / Physicians Physicians Enfermedad Cardiovascular Provider ID: 001873890005 Provider ID: 002930230007 Balderman, Joshua, MD, (M), B NPI: 1679551295 NPI: 1003090390 Group Name: Pima Heart 1040 W American Ave 1040 W American Ave Physicians Oracle, AZ 85623 Oracle, AZ 85623 Provider ID: 006945646002 (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, NPI: 1306285325 PL, R, RE, S, T PL, R, RE, S, T 1040 W American Ave Web address: http://www.pimaheart Languages Spoken: Oracle, AZ 85623 .com Provider: Arabic (520) 838-3540 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Hospital Affiliations: Ages: 0-99 St Joseph's Hospital St Joseph's Hospital Hospital Affiliations: Tucson Medical Center Tucson Medical Center Northwest Medical Center Carondelet St Marys Hospital Bayshore Community Hospital Bayshore Medical Center Berman, Scott S, MD, (M), B Peress, Darren F, MD, (M) Riverview Medical Center Group Name: Pima Heart Group Name: Pima Heart Jersey Shore Univ Med Ctr Physicians Physicians Provider ID: 001159874012 Provider ID: 002010090010 Spooner, Peter H, MD, (M), B NPI: 1811004435 NPI: 1548248057 Group Name: Pima Heart 1040 W American Ave 1040 W American Ave Physicians Oracle, AZ 85623 Oracle, AZ 85623 Provider ID: 002143978004 (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, NPI: 1194727438 PL, R, RE, S, T PL, R, RE, S, T 1040 W American Ave Languages Spoken: Web address: http://www.pimaheart Oracle, AZ 85623 Provider: Spanish .com (520) 838-3540 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Hospital Affiliations: Web address: http://www.pimaheart St Joseph's Hospital St Joseph's Hospital .com Sierra Vista Regional Health Ctr Tucson Medical Center Ages: 0-99 Canyon Vista Medical Center Carondelet St Marys Hospital Hospital Affiliations: Carondelet St Marys Hospital University Medical Center Tucson Medical Center University Medical Center Banner University Med Ctr University Medical Center Banner University Med Ctr Tucson Campus Banner University Med Ctr Tucson Campus Mosaic Medical Center Albany Tucson Campus Northwest Medical Center Northwest Medical Center El Dorado Hospital Oro Valley Hospital Oro Valley Hospital Kindred Hospital Tucson

Arizona - Pinal Specialists / Especialistas Boiangiu, Constantin C, MD, (M), Evans, James L, MD, (M), B Lancero, Lou L, MD, (M), B B Group Name: Pima Heart Group Name: Pima Heart Group Name: Pima Heart Physicians Physicians Physicians Provider ID: 000988194011 Provider ID: 000969738005 Provider ID: 003351264008 NPI: 1497712996 NPI: 1740268440 NPI: 1265645436 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 Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Spanish Hospital Affiliations: Provider: Romanian Ages: 0-99 Carondelet Holy Cross Hospital Cultural Competency: Y Hospital Affiliations: St Joseph's Hospital Ages: 0-99 Tucson Medical Center Tucson Medical Center Hospital Affiliations: El Dorado Hospital Mt Graham Regional Medical St Joseph's Hospital Cente Tucson Medical Center Katariya, Kushagra, MD, (M), B Carondelet St Marys Hospital Oro Valley Hospital Group Name: Pima Heart Physicians Myer, James H, MD, (M), B Dahdal, Samir Y, MD, (M), B Provider ID: 002000440001 Group Name: Pima Heart Group Name: Pima Heart NPI: 1275598062 Physicians Physicians 1040 W American Ave Provider ID: 001873890005 Provider ID: 002437517036 Oracle, AZ 85623 NPI: 1679551295 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 Ages: 0-99 (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, Hospital Affiliations: PL, R, RE, S, T PL, R, RE, S, T St Joseph's Hospital Web address: http://www.pimaheart Ages: 21-99 Pht Jackson Memorial Hospital .com Hospital Affiliations: Ages: 0-99 Tucson Medical Center Hospital Affiliations: Albany Medical Center Hospital St Joseph's Hospital University Medical Center Tucson Medical Center Banner University Med Ctr Carondelet St Marys Hospital Tucson Campus

Specialists / Especialistas Arizona - Pinal

Peress, Darren F, MD, (M), B Thomas, William J, MD, (M), B Group Name: Pima Heart Group Name: Pima Heart Family Nurse Practitioner / Physicians Physicians Enfermera De Familia Provider ID: 002010090010 Provider ID: 001422438008 Arnold, Michael L, FNP, (F) NPI: 1548248057 NPI: 1891773024 Group Name: Pima Heart 1040 W American Ave 1040 W American Ave Physicians Oracle, AZ 85623 Oracle, AZ 85623 Provider ID: 004068071038 (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, NPI: 1699105114 PL, R, RE, S, T PL, R, RE, S, T 1040 W American Ave Web address: http://www.pimaheart Web address: http://www.pimaheart Oracle, AZ 85623 .com .com (520) 838-3540 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Hospital Affiliations: Ages: 0-99 St Joseph's Hospital Carondelet St Marys Hospital Hospital Affiliations: Tucson Medical Center Northwest Medical Center Tucson Medical Center Carondelet St Marys Hospital Oro Valley Hospital University Medical Center Burk, Bessie, FNP, (F) Banner University Med Ctr Tirrito, Salvatore J, MD, (M), B Group Name: Sun Life Family Tucson Campus Group Name: Pima Heart Health Center Mosaic Medical Center Albany Physicians Provider ID: 002978439012 Northwest Medical Center Provider ID: 002333388005 NPI: 1457507733 Oro Valley Hospital NPI: 1487632659 23 S Mcnab Pkwy 1040 W American Ave San Manuel, AZ 85631 Spooner, Peter H, MD, (M), B Oracle, AZ 85623 (480) 389-1698 E, EB, G, IB, P, Group Name: Pima Heart (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Physicians PL, R, RE, S, T Ages: 18-99 Provider ID: 002143978004 Web address: www.pimaheart.com Areas of Expertise: MAT1 NPI: 1194727438 Ages: 0-99 1040 W American Ave Hospital Affiliations: Cannon, Kimberly, FNP, (F) Oracle, AZ 85623 St Joseph's Hospital Group Name: Sun Life Family (520) 838-3540 E, EB, G, IB, P, Tucson Medical Center Health Center PL, R, RE, S, T Carondelet St Marys Hospital Provider ID: 007064777017 Web address: http://www.pimaheart Northwest Medical Center NPI: 1558838896 .com 1040 W American Ave Ages: 0-99 Oracle, AZ 85623 Hospital Affiliations: (520) 896-2092 E, EB, G, IB, P, Tucson Medical Center PL, R, RE, S, T University Medical Center Ages: 18-99 Banner University Med Ctr Tucson Campus El Dorado Hospital Kindred Hospital Tucson

Arizona - Pinal Specialists / Especialistas Cannon, Kimberly, FNP, (F) Monson, Melissa, FNP, (F) Williams, Pamela N, FNP, (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: 006876530015 Provider ID: 006799664014 NPI: 1558838896 NPI: 1255826806 NPI: 1518401876 23 S Mcnab Pkwy 1040 W American Ave 1040 W American Ave San Manuel, AZ 85631 Oracle, AZ 85623 Oracle, AZ 85623 (520) 835-2234 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, (520) 896-2092 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: 18-99

Diaz, Cynthia D, FNP, (F) Monson, Melissa, FNP, (F) Williams, Pamela N, FNP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Group Name: Sun Life Family Health Center Health Center Health Center Provider ID: 007220447012 Provider ID: 006876530003 Provider ID: 006799664005 NPI: 1679128466 NPI: 1255826806 NPI: 1518401876 1040 W American Ave 23 S Mcnab Pkwy 23 S Mcnab Pkwy Oracle, AZ 85623 San Manuel, AZ 85631 San Manuel, AZ 85631 (520) 896-2092 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: 18-99 Ages: 18-99 Ages: 18-99

Diaz, Cynthia D, FNP, (F) Pieratt, Paula J, NP, (F) Group Name: Sun Life Family Group Name: Sun Life Family Internal Medicine / Medicina Health Center Health Center Interna Provider ID: 007220447002 Provider ID: 006795805008 Dahdal, Samir Y, MD, (M), B NPI: 1679128466 NPI: 1528576907 Group Name: Pima Heart 23 S Mcnab Pkwy 23 S Mcnab Pkwy Physicians San Manuel, AZ 85631 San Manuel, AZ 85631 Provider ID: 002437517036 (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, NPI: 1578660015 PL, R, RE, S, T PL, R, RE, S, T 1040 W American Ave Ages: 18-99 Ages: 0-99 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Ages: 21-99 Hospital Affiliations: Tucson Medical Center Albany Medical Center Hospital University Medical Center Banner University Med Ctr Tucson Campus

100

Specialists / Especialistas Arizona - Pinal

Evans, James L, MD, (M), B Morales, Monty C, MD, (M), B Group Name: Pima Heart Interventional Cardiology / Group Name: Pima Heart Physicians Cardiología Intervencionista Physicians Provider ID: 000988194011 Gavlick, Kirk M, DO, (M), B Provider ID: 001068534006 NPI: 1497712996 Group Name: Pima Heart NPI: 1043298656 1040 W American Ave Physicians 1040 W American Ave Oracle, AZ 85623 Provider ID: 002388677011 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, NPI: 1669434619 (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 Tucson Medical Center Hospital Affiliations: Ages: 0-99 Carondelet St Marys Hospital Tucson Medical Center Hospital Affiliations: Northwest Medical Center El Dorado Hospital Tucson Medical Center Oro Valley Hospital Carondelet St Marys Hospital Makki, Nader M, MD, (M), B Northwest Medical Center Myer, James H, MD, (M) Group Name: Pima Heart Group Name: Pima Heart Physicians Makki, Nader M, MD, (M), B Physicians Provider ID: 006817639002 Group Name: Pima Heart Provider ID: 001873890005 NPI: 1306127808 Physicians NPI: 1679551295 1040 W American Ave Provider ID: 006817639002 1040 W American Ave Oracle, AZ 85623 NPI: 1306127808 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, Web address: http://www.pimaheart Provider: Arabic, Farsi PL, R, RE, S, T .com Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Arabic, Farsi Hospital Affiliations: Banner University Med Ctr South Ages: 0-99 St Joseph's Hospital Campus Hospital Affiliations: Tucson Medical Center University Medical Center Banner University Med Ctr South Carondelet St Marys Hospital Banner University Med Ctr Campus Tucson Campus University Medical Center Banner University Med Ctr Tucson Campus

101

Arizona - Pinal Specialists / Especialistas

Cannon, Kimberly, FNP, (F) Diaz, Cynthia D, FNP, (F) Nurse Practitioner / Enfermera Group Name: Sun Life Family Group Name: Sun Life Family Especialista Health Center Health Center Arnold, Michael L, FNP, (F) Provider ID: 007064777002 Provider ID: 007220447002 Group Name: Pima Heart NPI: 1558838896 NPI: 1679128466 Physicians 23 S Mcnab Pkwy 23 S Mcnab Pkwy Provider ID: 004068071038 San Manuel, AZ 85631 San Manuel, AZ 85631 NPI: 1699105114 (520) 835-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, 1040 W American Ave PL, R, RE, S, T PL, R, RE, S, T Oracle, AZ 85623 Ages: 18-99 Ages: 18-99 (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Chan, Sean M, NP, (M) Harris, Jonathan G, NP, (M) Ages: 0-99 Group Name: Pima Heart Group Name: Pima Heart Hospital Affiliations: Physicians Physicians Tucson Medical Center Provider ID: 007463932001 Provider ID: 006477265033 NPI: 1972123743 NPI: 1407381189 Burk, Bessie, FNP, (F) 1040 W American Ave 1040 W American Ave Group Name: Sun Life Family Oracle, AZ 85623 Oracle, AZ 85623 Health Center (520) 838-3540 E, EB, G, IB, P, (520) 838-3540 E, EB, G, IB, P, Provider ID: 002978439012 PL, R, RE, S, T PL, R, RE, S, T NPI: 1457507733 Ages: 0-99 Ages: 0-99 23 S Mcnab Pkwy Hospital Affiliations: San Manuel, AZ 85631 Diaz, Cynthia D, FNP, (F) Tucson Medical Center (480) 389-1698 E, EB, G, IB, P, Group Name: Sun Life Family Santa Cruz Valley Regional PL, R, RE, S, T Health Center Hospital Ages: 18-99 Provider ID: 007220447012 Areas of Expertise: DD, THS Areas of Expertise: MAT1 NPI: 1679128466 1040 W American Ave Marquis, Kellie, NP, (F) Cannon, Kimberly, FNP, (F) Oracle, AZ 85623 Group Name: Pima Heart Group Name: Sun Life Family (520) 896-2092 E, EB, G, IB, P, Physicians Health Center PL, R, RE, S, T Provider ID: 006844855034 Provider ID: 007064777017 Ages: 18-99 NPI: 1730672262 NPI: 1558838896 1040 W American Ave 1040 W American Ave Oracle, AZ 85623 Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, (520) 896-2092 E, EB, G, IB, P, PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 18-99 Hospital Affiliations: Northwest Medical Center Oro Valley Hospital

102

Specialists / Especialistas Arizona - Pinal Monson, Melissa, FNP, (F) Quesada, Nikki C, NP, (F) Williams, Pamela N, FNP, (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: 007205002016 Provider ID: 006799664005 NPI: 1255826806 NPI: 1114494150 NPI: 1518401876 1040 W American Ave 23 S Mcnab Pkwy 23 S Mcnab Pkwy Oracle, AZ 85623 San Manuel, AZ 85631 San Manuel, AZ 85631 (520) 896-2092 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: 18-99 Languages Spoken: Ages: 18-99 Provider: Spanish Monson, Melissa, FNP, (F) Ages: 18-99 Group Name: Sun Life Family Physician Assistant / Asistente Health Center Ruehl, Mary L, NP, (F) Médico Provider ID: 006876530003 Group Name: Pima Heart Carpenter, Derek B, PA, (M) NPI: 1255826806 Physicians Group Name: Sun Life Family 23 S Mcnab Pkwy Provider ID: 002608914032 Health Center San Manuel, AZ 85631 NPI: 1275511503 Provider ID: 005237843003 (520) 385-2234 E, EB, G, IB, P, 1040 W American Ave NPI: 1114320959 PL, R, RE, S, T Oracle, AZ 85623 23 S Mcnab Pkwy Ages: 18-99 (520) 838-3540 E, EB, G, IB, P, San Manuel, AZ 85631 PL, R, RE, S, T (520) 385-2234 E, EB, G, IB, P, Philip, Selin, NP, (F) Ages: 0-99 PL, R, RE, S, T Group Name: Sun Life Family Ages: 0-99 Health Center Williams, Pamela N, FNP, (F) Provider ID: 006585113002 Group Name: Sun Life Family NPI: 1609316546 Health Center Thoracic Cardiovascular Surg / 23 S Mcnab Pkwy Provider ID: 006799664014 Cirugía - Torácica Y San Manuel, AZ 85631 NPI: 1518401876 Cardiovascular (520) 835-2234 E, EB, G, IB, P, 1040 W American Ave Katariya, Kushagra, MD, (M), B PL, R, RE, S, T Oracle, AZ 85623 Group Name: Pima Heart Ages: 18-99 (520) 896-2092 E, EB, G, IB, P, Physicians PL, R, RE, S, T Provider ID: 002000440001 Ages: 18-99 NPI: 1275598062 1040 W American Ave Oracle, AZ 85623 (520) 838-3540 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: St Joseph's Hospital Pht Jackson Memorial Hospital

103

Arizona - Pinal Specialists / Especialistas

Berman, Scott S, MD, (M), B Thoracic Surgery / Cirugía Group Name: Pima Heart California Torácica Physicians San Bernardino Katariya, Kushagra, MD, (M) Provider ID: 001159874012

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

Balderman, Joshua, MD, (M) Northwest Medical Center Regional Medical Center Of San Group Name: Pima Heart Oro Valley Hospital Jose Physicians Western Arizona Regional Provider ID: 006945646002 Pacanowski, John P, MD, (M), B Medical NPI: 1306285325 Group Name: Pima Heart Saint Louise Regional Hospital 1040 W American Ave Physicians O'connor Hospital Oracle, AZ 85623 Provider ID: 002312447001 Inspira Medical Ctr Elmer (520) 838-3540 E, EB, G, IB, P, NPI: 1083606669 Inspira Medical Ctr Vineland PL, R, RE, S, T 1040 W American Ave Ages: 0-99 Oracle, AZ 85623 Hospital Affiliations: (520) 838-3540 E, EB, G, IB, P, Northwest Medical Center PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: St Joseph's Hospital Tucson Medical Center

104

Specialists / Especialistas Nevada - Clark

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

Group Name: Revere Health 330 Falcon Ridge Pkwy Ste 400a Cardiology / Cardiología 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 Hematology/Oncology / Ages: 0-99 Prisma Health Greer Memorial Hematología/Oncología Hospital Affiliations: Hospital

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

105

Nevada - Clark Specialists / Especialistas

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: (702) 346-8040 E, EB, G, IB, P, Ophthalmology / Oftalmología 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 (435) 216-7032 EB, P, R, RE, T Ophthalmology Retina Surgery / 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

106

Specialists / Especialistas Nevada - Clark

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

107

Utah - Kane Specialists / Especialistas

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 St George Regional Hospital Orthopaedic Surgery / Cirugía Kane Ortopédica

Parry, Scott A, MD, (M), B Cardiology / Cardiología Nurse Practitioner / Enfermera Group Name: Revere Health Jones, Jamison C, MD, (M) Especialista Provider ID: 001374575003

Group Name: Revere Health Chapman, Joshua T, NP, (M) NPI: 1285611475 Provider ID: 003042088001 Group Name: Revere Health 355 N Main St NPI: 1205031549 Provider ID: 007653975001 Kanab, UT 84741 355 N Main St NPI: 1790378917 (435) 628-9393 E, EB, G, IB, P, Kanab, UT 84741 355 N Main St PL, R, RE, S, T (435) 251-2900 E, EB, G, IB, P, Kanab, UT 84741 Languages Spoken: PL, R, RE, S, T (801) 354-8225 E, EB, G, IB, P, Provider: French Ages: 0-99 PL, R, RE, S, T Web address: www.reverehealth.co Hospital Affiliations: Ages: 0-99 m Cedar City Hospital Ages: 0-99 St George Regional Hospital Krause, Lonny D, NP, (M) Hospital Affiliations: Group Name: Revere Health Kane County Hospital Provider ID: 007066489001 St George Regional Hospital NPI: 1528523206 Delta Community Hospital 355 N Main St Mesa View Regional Hospital Kanab, UT 84741 (435) 251-2900 E, EB, G, IB, P, PL, R, RE, S, T Ages: 18-99

108

Specialists / Especialistas Utah - Washington

Jones, Jamison C, MD, (M) Washington Cardiovascular Disease / Group Name: Revere Health

Provider ID: 003042088001 Enfermedad Cardiovascular Cardiology / Cardiología NPI: 1205031549 Boorman, David C, MD, (M), B Boorman, David C, MD, (M), B 1380 E Medical Center Dr # 4100 Group Name: Revere Health Group Name: Revere Health Saint George, UT 84790 Provider ID: 000374330004 Provider ID: 000374330004 (435) 251-2900 EB, P, R NPI: 1659344471 NPI: 1659344471 Ages: 0-99 1380 E Medical Center Dr # 4100 1380 E Medical Center Dr # 4100 Hospital Affiliations: Saint George, UT 84790 Saint George, UT 84790 Cedar City Hospital (435) 251-2900 EB, P, R (435) 251-2900 EB, P, R St George Regional Hospital Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Jones, Jamison C, MD, (M) Alta View Hospital Alta View Hospital Group Name: Revere Health Cedar City Hospital Cedar City Hospital Provider ID: 003042088001 St George Regional Hospital St George Regional Hospital NPI: 1205031549 Delta Community Hospital Delta Community Hospital 2825 E Mall Dr St George, UT 84790 Boorman, David C, MD, (M), B Boorman, David C, MD, (M), B (435) 251-2900 EB, P, R, RE, T Group Name: Revere Health Group Name: Revere Health Ages: 0-99 Provider ID: 000374330004 Provider ID: 000374330004 Hospital Affiliations: NPI: 1659344471 NPI: 1659344471 Cedar City Hospital 2825 E Mall Dr 2825 E Mall Dr St George Regional Hospital St George, UT 84790 St George, UT 84790 (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R, RE, T Laffely, Nicholas H, MD, (M) Ages: 0-99 Ages: 0-99 Group Name: Revere Health Hospital Affiliations: Hospital Affiliations: Provider ID: 003050254005 Alta View Hospital Alta View Hospital NPI: 1801981410 Cedar City Hospital Cedar City Hospital 2825 E Mall Dr St George Regional Hospital St George Regional Hospital St George, UT 84790 Delta Community Hospital Delta Community Hospital (435) 251-2900 EB, P, R, RE, T Ages: 0-99 Hospital Affiliations: St George Regional Hospital

109

Utah - Washington Specialists / Especialistas

George, Zachary H, MD, (M), B Jones, Jamison C, MD, (M), B Group Name: Revere Health Group Name: Revere Health Family Practice / Medicina Provider ID: 002544200005 Provider ID: 003042088001 Familiar NPI: 1548215825 NPI: 1205031549 Kirk, Stephen T, MD, (M), B 2825 E Mall Dr 2825 E Mall Dr Group Name: Revere Health St George, UT 84790 St George, UT 84790 Provider ID: 003124316001 (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R, RE, T NPI: 1578737979 Ages: 0-99 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: Hospital Affiliations: St George, UT 84790 Ghs Greer Memorial Hospital Cedar City Hospital (435) 251-2900 Prisma Health Greer Memorial St George Regional Hospital Ages: 0-99 Hospital Hospital Affiliations: St Francis Downtown Garfield Memorial Hospital Ghs Greenville Memorial Medical Family Nurse Practitioner / Salt Lake Regional Med Ctr Ctr Enfermera De Familia

Prisma Health Greenville Mcmahon, Kristina T, NP, (F) Memorial Hosp Group Name: Utah Surgical General Surgery / Cirugía Ghs Greenville Memorial Hosptial Associates Black, Cameron T, MD, (M) Ghs Marshall I Pickens Provider ID: 003329104002 Group Name: Utah Surgical Mesa View Regional Hospital NPI: 1053600171 Associates 1490 E Foremaster Dr Ste 200 Provider ID: 005372430002 Jones, Jamison C, MD, (M), B Saint George, UT 84790 NPI: 1679916225 Group Name: Revere Health (435) 628-1641 EB, P, R, RE, 1490 E Foremaster Dr Ste 200 Provider ID: 003042088001 T Saint George, UT 84790 NPI: 1205031549 Mo-Th - 9:00 AM - 5:00 PM (435) 628-1641 EB, P, R, RE, 1380 E Medical Center Dr # 4100 Fr - 9:00 AM - 12:00 PM T Saint George, UT 84790 Accepting Existing Patients Only Ages: 0-99 (435) 251-2900 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cedar City Hospital Hospital Affiliations: St George Regional Hospital St George Regional Hospital Cedar City Hospital St George Regional Hospital

110

Specialists / Especialistas Utah - Washington Day, Trevor J, DO, (M) Jennings, Cameron S, MD, (M), B Watson, Gregory L, DO, (M), B Group Name: Utah Surgical Group Name: Utah Surgical Group Name: Utah Surgical Associates Associates Associates Provider ID: 006767478001 Provider ID: 006492057001 Provider ID: 002341841003 NPI: 1861732257 NPI: 1790044527 NPI: 1770676793 1490 E Foremaster Dr Ste 200 1380 E Medical Center Dr 1490 E Foremaster Dr Ste 200 Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 (435) 628-1641 EB, P, R, RE, (435) 628-1641 EB, P, R (435) 628-1641 EB, P, R, RE, T Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Mo-Th - 9:00 AM - 5:00 PM Hospital Affiliations: St George Regional Hospital Fr - 9:00 AM - 4:00 PM St George Regional Hospital Ages: 0-99 Jennings, Cameron S, MD, (M), B Hospital Affiliations: Garber, Jason E, MD, (M) Group Name: Utah Surgical Kane County Hospital Group Name: Western Reg Ctr Associates St George Regional Hospital For Brn/Spine Surg Provider ID: 006492057001 Provider ID: 002079516001 NPI: 1790044527 NPI: 1164489480 1490 E Foremaster Dr Ste 200 Hematology/Oncology / 1404 W Sunriver Pkwy Saint George, UT 84790 Hematología/Oncología Saint George, UT 84790 (435) 628-1641 EB, P, R, RE, Te, Joseph D, MD , (M), B (702) 835-0088 EB, P, R T Group Name: Revere Health Ages: 0-99 Ages: 0-99 Provider ID: 001909701002 Hospital Affiliations: Hospital Affiliations: NPI: 1700946423 Froedtert Memorial Lutheran St George Regional Hospital 2019 E Riverside Dr Ste A200 Hosp Saint George, UT 84790 University Med Ctr Of Southern Myers, Brad A, MD, (M), B (435) 628-9298 EB, P, R, RE, Nevada Group Name: Utah Surgical T Valley Hospital Medical Center Associates Ages: 0-99 Desert Springs Hospital Provider ID: 000964008002 Hospital Affiliations: Summerlin Hospital Medical Ctr NPI: 1700986635 St George Regional Hospital Centennial Hills Hosp Med Ctr 1380 E Medical Center Dr Saint George, UT 84790 (435) 628-1641 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: St George Regional Hospital

111

Utah - Washington Specialists / Especialistas

Internal Medicine / Medicina Neurological Surgery / Cirugía Nurse Practitioner / Enfermera Interna Neurológica Especialista Green, Adam S, MD , (M) Garber, Jason E, MD, (M), B Barton, Deborah D, NP, (F) Group Name: Revere Health Group Name: Western Reg Ctr Group Name: Revere Health Provider ID: 003357593001 For Brn/Spine Surg Provider ID: 001777835004 NPI: 1801946975 Provider ID: 002079516001 NPI: 1548234222 1490 E Foremaster Dr Bldg C NPI: 1164489480 1380 E Medical Center Dr # 4100 Saint George, UT 84790 1404 W Sunriver Pkwy Saint George, UT 84790 (801) 812-4624 EB, G, IB, P, PL, Saint George, UT 84790 (435) 251-2900 EB, P, R R, RE, S, T (702) 835-0088 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: St George Regional Hospital Mountain View Hospital Froedtert Memorial Lutheran Hosp Barton, Deborah D, NP, (F) University Med Ctr Of Southern Group Name: Revere Health Interventional Cardiology / Nevada Provider ID: 001777835005 Cardiología Intervencionista Valley Hospital Medical Center NPI: 1548234222 Laffely, Nicholas H, MD, (M), B Desert Springs Hospital 2825 E Mall Dr Group Name: Revere Health Summerlin Hospital Medical Ctr St George, UT 84790 Provider ID: 003050254005 Centennial Hills Hosp Med Ctr (435) 251-2900 EB, P, R, RE, T NPI: 1801981410 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: St George, UT 84790 Neurology / Neurología St George Regional Hospital (435) 251-2900 EB, P, R, RE, T Schlagel, Laura J, MD, (F) Ages: 0-99 Group Name: Red Rock Bunker, Jocelyn, NP, (F) Hospital Affiliations: Neurology Group Name: Revere Health St George Regional Hospital Provider ID: 001587178006 Provider ID: 007555430001 NPI: 1306803226 NPI: 1205448479 2019 E Riverside Dr Ste A101 1380 E Medical Ctr Dr Ste 4100 Saint George, UT 84790 St George, UT 84790 (435) 673-5217 EB, P, R (435) 251-2900 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: St Marys Hospital Bunker, Jocelyn, NP, (F) St George Regional Hospital Group Name: Revere Health Decatur Memorial Hospital Provider ID: 007555430001 NPI: 1205448479 2825 E Mall Dr St George, UT 84790 (435) 251-2900 EB, P, R, RE, T Ages: 0-99

112

Specialists / Especialistas Utah - Washington

Chapman, Joshua T, NP, (M) Krause, Lonny D, NP, (M) Group Name: Revere Health Group Name: Revere Health Ophthalmology / Oftalmología Provider ID: 007653975001 Provider ID: 007066489001 Carlson, Joshua N, MD, (M), B NPI: 1790378917 NPI: 1528523206 Group Name: Retina Assoc Of 2825 E Mall Dr 2825 E Mall Dr Southern Utah St George, UT 84790 St George, UT 84790 Provider ID: 003643894003 (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R, RE, T NPI: 1093943086 Ages: 0-99 Ages: 18-99 230 N 1680 E Bldg F Saint George, UT 84790 Heaton, Rex, NP, (F) Mcmahon, Kristina T, NP, (F) (866) 874-6496 EB, P, R Group Name: Revere Health Group Name: Utah Surgical Languages Spoken: Provider ID: 004271065006 Associates Provider: Spanish NPI: 1477627917 Provider ID: 003329104002 Ages: 0-99 2019 E Riverside Dr Ste A200 NPI: 1053600171 Hospital Affiliations: Saint George, UT 84790 1490 E Foremaster Dr Ste 200 St George Regional Hospital (435) 628-9298 EB, P, R, RE, Saint George, UT 84790 Vanderbilt University Med Ctr T (435) 628-1641 EB, P, R, RE, Vanderbilt University Medical Ages: 0-99 T Center Hospital Affiliations: Mo-Th - 9:00 AM - 5:00 PM Mesa View Regional Hospital St George Regional Hospital Fr - 9:00 AM - 12:00 PM Accepting Existing Patients Only Lord, Ron K, MD, (M), B Hughes, Marissa L, NP, (F) Ages: 0-99 Group Name: Retina Assoc Of Group Name: Revere Health Hospital Affiliations: Southern Utah Provider ID: 007394705001 St George Regional Hospital Provider ID: 002363759001 NPI: 1639704471 NPI: 1790991107 1380 E Medical Ctr Dr Ste 4100 Shoultes, Raschelle D, NP, (F) 230 N 1680 E Bldg F St George, UT 84790 Group Name: Revere Health Saint George, UT 84790 (435) 251-2900 EB, P, R Provider ID: 007298338001 (866) 874-6496 EB, P, R Ages: 0-99 NPI: 1578115044 Web address: www.southernutahreti 1380 E Medical Center Dr Ste 410 na.com Krause, Lonny D, NP, (M) Saint George, UT 84790 Ages: 0-99 Group Name: Revere Health (435) 251-2900 EB, P, R Hospital Affiliations: Provider ID: 007066489001 Ages: 0-99 Truman Lakewood NPI: 1528523206 Hospital Affiliations: Cedar City Hospital 1380 E Medical Center Dr # 4100 Cedar City Hospital Banner Page Hospital Saint George, UT 84790 St George Regional Hospital St George Regional Hospital (435) 251-2900 EB, P, R Sevier Valley Hospital Ages: 18-99 Mesa View Regional Hospital

113

Utah - Washington Specialists / Especialistas

Clark, Randy R, MD, (M), B Parry, Scott A, MD, (M), B Ophthalmology Retina Surgery / Group Name: Revere Health Group Name: Revere Health Cirugía De Retina De Provider ID: 003486543002 Provider ID: 001374575003 Oftalmología NPI: 1679781140 NPI: 1285611475 Lord, Ron K, MD , (M) 736 S 900 E Ste 203 2825 E Mall Dr Group Name: Retina Assoc Of Saint George, UT 84790 St George, UT 84790 Southern Utah (435) 628-9393 EB, P, R (435) 251-2900 EB, P, R, RE, T Provider ID: 002363759001 Languages Spoken: Languages Spoken: NPI: 1790991107 Provider: Spanish Provider: French 230 N 1680 E Bldg F Ages: 0-99 Web address: www.reverehealth.co Saint George, UT 84790 Hospital Affiliations: m (866) 874-6496 EB, P, R Los Robles Regional Med Ctr Ages: 0-99 Web address: www.southernutahreti St George Regional Hospital Hospital Affiliations: na.com Valley Presbyterian Hospital Kane County Hospital Ages: 0-99 St George Regional Hospital Hospital Affiliations: O'brien, Aaron M, MD, (M), B Delta Community Hospital Truman Lakewood Group Name: Revere Health Mesa View Regional Hospital Cedar City Hospital Provider ID: 005184266003 Banner Page Hospital NPI: 1114155074 Parry, Todd R, MD, (M), B St George Regional Hospital 2825 E Mall Dr Group Name: Revere Health Sevier Valley Hospital St George, UT 84790 Provider ID: 002096544002 Mesa View Regional Hospital (435) 251-2900 EB, P, R, RE, T NPI: 1114905932 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: St George, UT 84790 Orthopaedic Surgery / Cirugía Cleveland Clinic Foundation (435) 251-2900 EB, P, R, RE, T Ortopédica St George Regional Hospital Ages: 0-99 Clark, Randy R, MD , (M), B Hospital Affiliations: Group Name: Revere Health St George Regional Hospital Provider ID: 003486543002 Delta Community Hospital NPI: 1679781140 Christus Good Shepherd Medical 2825 E Mall Dr Center St George, UT 84790 Mesa View Regional Hospital (435) 251-2900 EB, P, R, RE, T Languages Spoken: Provider: Spanish Ages: 0-99 Hospital Affiliations: Los Robles Regional Med Ctr St George Regional Hospital Valley Presbyterian Hospital

114

Specialists / Especialistas Utah - Washington

Sutak, Alan K, MD, (M) Gardner, Kent E, MD, (M), B Group Name: Revere Health Group Name: Southern Utah Ear Pain Management / Tratamiento Provider ID: 005161088002 Nose Throat Del Dolor NPI: 1679915847 Provider ID: 001873930003 Christensen, Bryt A, MD, (M), B 2825 E Mall Dr NPI: 1881702355 Group Name: Southwest Spine & St George, UT 84790 617 E Riverside Dr Ste 201 Pain Care Specialists (435) 251-2900 EB, P, R, RE, T Saint George, UT 84790 Provider ID: 005564439001 Languages Spoken: (435) 628-3334 EB, G, P, PL, R, NPI: 1710203047 Provider: Russian RE, S, T 2891 E Mall Dr Ste 101 Ages: 0-99 Mo-Fr - 8:30 AM - 5:00 PM Saint George, UT 84790 Hospital Affiliations: Ages: 0-99 (435) 656-2424 Duke Regional Hospital Hospital Affiliations: Languages Spoken: St George Regional Hospital St George Regional Hospital Provider: Russian Ages: 0-99 Jacob, Joseph R, MD, (M), B Hospital Affiliations: Otolaryngology / Otolaringología Group Name: Southern Utah Ear St George Regional Hospital Doxey, G P, MD, (M), B Nose Throat Group Name: Southern Utah Ear Provider ID: 005484734002 Christensen, Bryt A, MD, (M), B Nose Throat NPI: 1134446891 Group Name: Southwest Spine & Provider ID: 000066097003 617 E Riverside Dr Ste 201 Pain Care Specialists NPI: 1245298959 Saint George, UT 84790 Provider ID: 005564439001 617 E Riverside Dr Ste 201 (435) 628-3334 EB, G, P, PL, R, NPI: 1710203047 Saint George, UT 84790 RE, S, T 301 N 200 E Ste 2a (435) 628-3334 EB, G, P, PL, R, Ages: 0-99 St George, UT 84770 RE, S, T Hospital Affiliations: (435) 688-7246 E, EB, IB, P, Languages Spoken: St George Regional Hospital R Provider: Italian, Spanish Languages Spoken: Ages: 0-99 Vaughan, Andrew H, MD, (M), B Provider: Russian Hospital Affiliations: Group Name: Southern Utah Ear Mo-Th - 8:30 AM - 4:30 PM Cedar City Hospital Nose Throat Ages: 0-99 St George Regional Hospital Provider ID: 003070655002 Hospital Affiliations: NPI: 1164684643 St George Regional Hospital 617 E Riverside Dr Ste 201 Saint George, UT 84790 (435) 628-3334 EB, G, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: St George Regional Hospital

115

Utah - Washington Specialists / Especialistas Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Frieden, Derek L, 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: 002460730004 NPI: 1710203047 NPI: 1710203047 NPI: 1528059201 652 S Medical Center Dr Ste 110 652 S Medical Center Dr Ste 410 301 N 200 E Ste 2a Saint George, UT 84790 Saint George, UT 84790 St George, UT 84770 (435) 656-2424 EB, P, R (435) 215-0228 (435) 688-7246 Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Russian Provider: Russian Hospital Affiliations: Ages: 0-99 Ages: 0-99 St George Regional Hospital Hospital Affiliations: Hospital Affiliations: Sevier Valley Hospital St George Regional Hospital St George Regional Hospital Areas of Expertise: E112, E160

Christensen, Bryt A, MD, (M), B Frieden, Derek L, MD, (M), B Frieden, Derek L, 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: 002460730001 Provider ID: 002460730004 NPI: 1710203047 NPI: 1528059201 NPI: 1528059201 652 S Medical Center Dr Ste 400 2051 E Red Hills Pkwy Ste 7 652 S Medical Center Dr # 410 Saint George, UT 84790 Saint George, UT 84770 Saint George, UT 84790 (435) 656-2424 (435) 656-2424 EB, P, R (435) 656-3242 Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Russian Hospital Affiliations: Hospital Affiliations: Mo-Th - 8:30 AM - 5:00 PM St George Regional Hospital St George Regional Hospital Fr - 8:30 AM - 3:00 PM Sevier Valley Hospital Sevier Valley Hospital Ages: 0-99 Areas of Expertise: E112, E160 Areas of Expertise: E112, E160 Hospital Affiliations: St George Regional Hospital Frieden, Derek L, MD, (M), B Group Name: Southwest Spine & Pain Care Specialists Provider ID: 002460730004 NPI: 1528059201 2891 E Mall Dr Ste 101 Saint George, UT 84790 (435) 656-2424 Ages: 0-99 Hospital Affiliations: St George Regional Hospital Sevier Valley Hospital Areas of Expertise: E112, E160

116

Specialists / Especialistas Utah - Washington Frieden, Derek L, MD, (M), B Frieden, Derek L, MD, (M), B Hillstead, Alan P, MD, (M) Group Name: Southwest Spine & Group Name: Southwest Spine & Group Name: Southwest Spine & Pain Care Specialists Pain Care Specialists Pain Care Specialists Provider ID: 002460730001 Provider ID: 002460730004 Provider ID: 003641599005 NPI: 1528059201 NPI: 1528059201 NPI: 1144431958 652 S Medical Center Dr Ste 110 652 S Medical Center Dr Ste 410 652 S Medical Center Dr Ste 110 Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 (435) 215-0228 EB, P, R (435) 215-0228 (435) 656-2424 EB, P, R Languages Spoken: Ages: 0-99 Web address: www.southwestspinea Staff: Spanish Hospital Affiliations: ndpain.com Mo-Th - 8:00 AM - 5:00 PM St George Regional Hospital Ages: 0-99 Fr - 8:00 AM - 1:00 PM Sevier Valley Hospital Hospital Affiliations: Web address: www.southwestspinea Areas of Expertise: E112, E160 Cedar City Hospital ndpain.com St George Regional Hospital Ages: 0-99 Hillstead, Alan P, MD, (M) Sevier Valley Hospital Hospital Affiliations: Group Name: Southwest Spine & St George Regional Hospital Pain Care Specialists Sevier Valley Hospital Provider ID: 003641599008 Physical Medicine And Areas of Expertise: E112, E160 NPI: 1144431958 Rehabilitation / Physiatry / 2051 E Red Hills Pkwy Ste 7 Medicina Física Y De Frieden, Derek L, MD, (M), B Saint George, UT 84770 Rehabilitación/Fisiatría Group Name: Southwest Spine & (435) 656-2424 EB, P, R Christensen, Bryt A, MD, (M), B Pain Care Specialists Web address: www.southwestspinea Group Name: Southwest Spine & Provider ID: 002460730004 ndpain.com Pain Care Specialists NPI: 1528059201 Ages: 0-99 Provider ID: 005564439001 652 S Medical Center Dr Ste 400 Hospital Affiliations: NPI: 1710203047 Saint George, UT 84790 Cedar City Hospital 2891 E Mall Dr Ste 101 (435) 656-2424 St George Regional Hospital Saint George, UT 84790 Ages: 0-99 Sevier Valley Hospital (435) 656-2424 Hospital Affiliations: Languages Spoken: St George Regional Hospital Provider: Russian Sevier Valley Hospital Ages: 0-99 Areas of Expertise: E112, E160 Hospital Affiliations: St George Regional Hospital

117

Utah - Washington Specialists / Especialistas Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Root, Bradley D, DO, (M) Group Name: Southwest Spine & Group Name: Southwest Spine & Group Name: Revere Health Pain Care Specialists Pain Care Specialists Provider ID: 001732894002 Provider ID: 005564439001 Provider ID: 005564439001 NPI: 1154312197 NPI: 1710203047 NPI: 1710203047 1424 E Foremaster Dr Ste 120 301 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) 656-8800 EB, P, R (435) 688-7246 E, EB, IB, P, (435) 656-2424 Languages Spoken: R Languages Spoken: Provider: Dutch Languages Spoken: Provider: Russian Mo-Fr - 7:00 AM - 5:00 PM Provider: Russian Mo-Th - 8:30 AM - 5:00 PM Ages: 0-99 Mo-Th - 8:30 AM - 4:30 PM Fr - 8:30 AM - 3:00 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 St George Regional Hospital Hospital Affiliations: Hospital Affiliations: Areas of Expertise: MAT1 St George Regional Hospital St George Regional Hospital Root, Bradley D, DO, (M) Christensen, Bryt A, MD, (M), B Christensen, Bryt A, MD, (M), B Group Name: Revere Health Group Name: Southwest Spine & Group Name: Southwest Spine & Provider ID: 001732894002 Pain Care Specialists Pain Care Specialists NPI: 1154312197 Provider ID: 005564439001 Provider ID: 005564439001 2825 E Mall Dr NPI: 1710203047 NPI: 1710203047 St George, UT 84790 652 S Medical Center Dr Ste 110 652 S Medical Center Dr Ste 410 (435) 251-2900 EB, P, R, RE, T Saint George, UT 84790 Saint George, UT 84790 Languages Spoken: (435) 656-2424 EB, P, R (435) 215-0228 Provider: Dutch Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Russian Provider: Russian Hospital Affiliations: Ages: 0-99 Ages: 0-99 St George Regional Hospital Hospital Affiliations: Hospital Affiliations: Areas of Expertise: MAT1 St George Regional Hospital St George Regional Hospital

118

Specialists / Especialistas Utah - Washington Root, Max R, MD, (M) Bowler, Brent, PA, (M) Green, Jared A, PA, (M) Group Name: Revere Health Group Name: Revere Health Group Name: Revere Health Provider ID: 000058093002 Provider ID: 007613588001 Provider ID: 002828240003 NPI: 1295725380 NPI: 1326388323 NPI: 1134198419 1424 E Foremaster Dr Ste 120 2825 E Mall Dr 2825 E Mall Dr Saint George, UT 84790 St George, UT 84790 St George, UT 84790 (435) 656-8800 EB, P, R (435) 251-2900 EB, P, R, RE, T (435) 251-2900 EB, P, R, RE, T Languages Spoken: Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Provider: Dutch Ages: 0-99 Hospital Affiliations: Ages: 0-99 St George Regional Hospital Hospital Affiliations: Cox, Brandon R, PA, (M) Cedar City Hospital Group Name: Revere Health Johnson, Dayne A, PA, (M) St George Regional Hospital Provider ID: 005302318008 Group Name: Southwest Spine & Areas of Expertise: MAT1 NPI: 1508275868 Pain Care Specialists 2825 E Mall Dr Provider ID: 003311419001 Root, Max R, MD, (M) St George, UT 84790 NPI: 1669505178 Group Name: Revere Health (435) 251-2900 EB, P, R, RE, T 652 S Medical Center Dr Ste 110 Provider ID: 000058093002 Ages: 0-99 Saint George, UT 84790 NPI: 1295725380 Hospital Affiliations: (435) 656-2424 EB, P, R 2825 E Mall Dr St George Regional Hospital Ages: 0-99 St George, UT 84790 Hospital Affiliations: (435) 251-2900 EB, P, R, RE, T Dickson, Alysha N, PA, (F) St George Regional Hospital Languages Spoken: Group Name: Revere Health Provider: Dutch Provider ID: 006569969001 Kaonohi, Leighton K, PA, (M) Ages: 0-99 NPI: 1275081358 Group Name: Revere Health Hospital Affiliations: 2825 E Mall Dr Provider ID: 003711007002 Cedar City Hospital St George, UT 84790 NPI: 1548518343 St George Regional Hospital (435) 251-2900 EB, P, R, RE, T 2825 E Mall Dr Areas of Expertise: MAT1 Ages: 0-99 St George, UT 84790 Hospital Affiliations: (435) 251-2900 EB, P, R, RE, T St George Regional Hospital Ages: 0-99 Physician Assistant / Asistente Hospital Affiliations: Médico Green, Jared A, PA, (M) St George Regional Hospital Aston, Nathan W, PA, (M) Group Name: Revere Health Group Name: Revere Health Provider ID: 002828240003 Mcpherson, Bruce A, PA, (M) Provider ID: 003361194002 NPI: 1134198419 Group Name: Revere Health NPI: 1568754364 1380 E Medical Center Dr # 4100 Provider ID: 002321601001 2825 E Mall Dr Saint George, UT 84790 NPI: 1265419451 St George, UT 84790 (435) 251-2900 EB, P, R 2825 E Mall Dr (435) 251-2900 EB, P, R, RE, T Ages: 0-99 St George, UT 84790 Ages: 0-99 Hospital Affiliations: (435) 251-2900 EB, P, R, RE, T St George Regional Hospital Ages: 0-99

119

Utah - Washington Specialists / Especialistas Petersen, Colby B, PA, (M) Stucki, Sean J, PA, (M) Reber, Keith R, DPM, (M), B Group Name: Revere Health Group Name: Revere Health Group Name: Foot & Ankle Provider ID: 002743045001 Provider ID: 006450938001 Institute NPI: 1740229913 NPI: 1245296383 Provider ID: 000404218001 1380 E Medical Center Dr # 4100 1424 E Foremaster Dr Ste 120 NPI: 1669479358 Saint George, UT 84790 Saint George, UT 84790 754 S Main St Ste 3 (435) 251-2900 EB, P, R (435) 656-8800 EB, P, R Saint George, UT 84770 Ages: 0-99 Mo-Fr - 7:00 AM - 5:00 PM (435) 628-2671 EB, P, PL, R, RE, Ages: 0-99 T Petersen, Colby B, PA, (M) Mo-Th - 8:00 AM - 1:00 PM Group Name: Revere Health Stucki, Sean J, PA, (M) Fr - 8:00 AM - 5:00 PM Provider ID: 002743045001 Group Name: Revere Health Web address: www.feetnet.com NPI: 1740229913 Provider ID: 006450938001 Ages: 0-99 2825 E Mall Dr NPI: 1245296383 Hospital Affiliations: St George, UT 84790 2825 E Mall Dr St George Regional Hospital (435) 251-2900 EB, P, R, RE, T St George, UT 84790 Ages: 0-99 (435) 251-2900 EB, P, R, RE, T Van Gils, Carl C, DPM, (M), B Ages: 0-99 Group Name: Foot & Ankle Sefcovic, Ashley H, PA, (F) Institute Group Name: Revere Health Provider ID: 001891628002 Provider ID: 007535555001 Podiatry / Podiatría NPI: 1518964212 NPI: 1598317844 Powell, Andrew B, DPM, (M), B 754 S Main St Ste 3 1490 E Foremaster Dr Bldg C Group Name: Foot & Ankle Saint George, UT 84770 Saint George, UT 84790 Institute (435) 628-2671 EB, P, PL, R, RE, (435) 628-9393 EB, G, IB, P, PL, Provider ID: 002094172003 T R, RE, S, T NPI: 1861499568 Languages Spoken: Ages: 0-99 754 S Main St Ste 3 Staff: Spanish Saint George, UT 84770 Mo,Th - 1:00 PM - 5:00 PM Sefcovic, Ashley H, PA, (F) (435) 628-2671 EB, P, PL, R, RE, Tu,Fr - 9:00 AM - 5:00 PM Group Name: Revere Health T We - 8:00 AM - 5:00 PM Provider ID: 007535555001 Web address: www.feetnet.com Web address: www.feetnet.com NPI: 1598317844 Ages: 0-99 Ages: 0-99 2825 E Mall Dr Hospital Affiliations: Hospital Affiliations: St George, UT 84790 St George Regional Hospital St George Regional Hospital (435) 251-2900 EB, P, R, RE, T Delta Community Hospital Ages: 0-99

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Specialists / Especialistas Utah - Washington

Pulmonary Medicine / Medicina Radiation Oncology / Oncología Pulmonar De Radiación Saifee, Mustufa T, MD, (M), B Richards, Ray S, MD, (M), B Group Name: Advanced Pulmon Group Name: Gamma West Sleep Disord & Int Med Brachytherapy Provider ID: 002207312001 Provider ID: 000828200002 NPI: 1568428357 NPI: 1063551695 1380 E Medical Center Dr 1490 E Foremaster Dr Bldg C Saint George, UT 84790 Saint George, UT 84790 (435) 251-2600 E, EB, G, IB, P, (435) 767-9104 EB, G, IB, P, PL, PL, R, RE, S, T R, RE, S, T Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Japanese St George Regional Hospital Web address: www.gammawest.co m Saifee, Mustufa T, MD, (M), B Ages: 0-99 Group Name: Advanced Pulmon Hospital Affiliations: Sleep Disord & Int Med St George Regional Hospital Provider ID: 002207312001 Delta Community Hospital NPI: 1568428357 Salt Lake Regional Med Ctr 640 E 700 S Ste 105 Timpanogos Regional Hospital Saint George, UT 84770 Ogden Regional Medical Center (435) 688-7770 E, EB, P, R, S Ages: 0-99 Hospital Affiliations: St George Regional Hospital

121

Arizona - Gila Dental Providers / Proveedores De Servicios Dentales

Dental Providers / Proveedores De Servicios Dentales King, Shellese A, DDS, (F) Nguyen, Lan B, DDS, (F) Arizona Provider ID: 000025430200 Provider ID: 001209919500 NPI: 1790740512 NPI: 1447339064 Gila 410 S Sixth St 410 S Sixth St

Globe, AZ 85501 Globe, AZ 85501 Dentistry / Odontología (928) 425-0972 (928) 425-0972 Barney, Christopher R, DMD, Languages Spoken: Languages Spoken: (M) Provider: Arabic, English, Hindi, Provider: Arabic, English, Hindi, Provider ID: 000020331700 Spanish Spanish NPI: 1396700993 Mo-Th - 7:00 AM - 5:00 PM Mo-Th - 7:00 AM - 5:00 PM 410 S Sixth St Fr - 7:00 AM - 4:00 PM Fr - 7:00 AM - 4:00 PM Globe, AZ 85501 Sa - 8:00 AM - 2:00 PM Sa - 8:00 AM - 2:00 PM (928) 425-0972 Ages: 0-99 Ages: 0-99 Languages Spoken: Provider: Arabic, English, Hindi, Mandap, Marissa P, DMD, (F) Orthodontics / Ortodoncia Spanish Provider ID: 000070473700

Mo-Th - 7:00 AM - 5:00 PM NPI: 1104018886 Mcdowell, Benjamin D, DDS, (M) Fr - 7:00 AM - 4:00 PM 410 S Sixth St Provider ID: 001021553700 Sa - 8:00 AM - 2:00 PM Globe, AZ 85501 NPI: 1831327238 Ages: 0-99 (928) 425-0972 902 S Beeline Hwy Ste A Languages Spoken: Payson, AZ 85541 Hamblin, John S, DDS, (M) Provider: Arabic, English, Hindi, (928) 472-7223 Provider ID: 000110623400 Spanish Languages Spoken: NPI: 1912009960 Mo-Th - 7:00 AM - 5:00 PM Provider: English, Spanish 410 S Sixth St Fr - 7:00 AM - 4:00 PM Mo-We - 8:00 AM - 5:00 PM Globe, AZ 85501 Sa - 8:00 AM - 2:00 PM Th - 8:00 AM - 9:00 PM (928) 425-0972 Ages: 0-99 Fr - 8:00 AM - 3:00 PM Languages Spoken: Ages: 0-99 Provider: Arabic, English, Hindi, Maneely, Matthew H, DDS, (M) Spanish Provider ID: 000172353800 Mo-Th - 7:00 AM - 5:00 PM NPI: 1669496824 Fr - 7:00 AM - 4:00 PM 410 S Sixth St Sa - 8:00 AM - 2:00 PM Globe, AZ 85501 Ages: 0-99 (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

Dental Providers / Proveedores De Servicios Dentales Arizona - Gila

Pediatric Dentistry / Odontología Pediátrica Chinn, Lisa E, DDS , (F) Provider ID: 000045049200 NPI: 1255530952 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

Pinal

Dentistry / Odontología Kaiser, Bradley O, DDS, (M) Provider ID: 001203727800 NPI: 1255627162 1700 W American Ave Oracle, AZ 85623 (520) 896-3631 E, P, R, IB, EB Languages Spoken: Provider: English Ages: 0-99

123

Nationwide Vision Providers / Proveedores De Nationwide Arizona - Pinal Vision

Nationwide Vision Providers / Proveedores De Nationwide Vision Walker, Bradley, OD, (M) Arizona Provider ID: 831200001530 NPI: 1003889460 Gila 371 West Central

Coolidge, AZ 85218 Optometry / Optometría (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

124

Pharmacy / Farmacia Arizona - Gila

Pharmacy / Farmacia Cobre Valley Pharmacy Genoa Healthcare, LLC Arizona Provider ID: 0322583 Provider ID: 0357055 NPI: 1639384233 NPI: 1255630661 Gila 5880 S Hospital Drive 404 W. Aero Dr

Pharmacy Dept Payson, AZ 85547 Pharmacy / Farmacia Globe, AZ 85501 (928) 238-3024 Bashas (928) 402-1192 Languages Spoken: Provider ID: 0352409 Languages Spoken: Provider: English NPI: 1972684181 Provider: English, Spanish Mo-Fr - 8:30 AM - 5:00 PM 142 E Highway 260 Ages: 0-99 Ages: 0-99 Payson, AZ 85541 (928) 474-7039 X N Cvs Pharmacy #11144 Kearny Pharmacy Languages Spoken: Provider ID: 0305955 Provider ID: 0363692 Provider: English, French, NPI: 1659371854 NPI: 1487297842 Spanish 100 N Broad St 100 S Tilbury Dr Mo-Fr - 8:00 AM - 8:00 PM Globe, AZ 85501 Globe, AZ 85501 Sa - 9:00 AM - 6:00 PM (928) 425-5777 X N (928) 402-2875 X N Su - 10:00 AM - 5:00 PM Languages Spoken: Languages Spoken: Ages: 0-99 Provider: English, Spanish Provider: English, Spanish Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-99 Beeline & Hwy 260 Sa - 9:00 AM - 6:00 PM Provider ID: 0364808 Su - 10:00 AM - 6:00 PM Safeway Pharmacy #1536 NPI: 1487275681 Ages: 0-99 Provider ID: 0322292 101 E State Highway 260 Ste G NPI: 1700815750 # G Frys Food And Drug 401 E Hwy 260 Payson, AZ 85541 Provider ID: 0318798 Payson, AZ 85541 (928) 596-4570 NPI: 1801838420 (928) 472-8242 EB, IB, P, R, S Languages Spoken: 2115 Us Highway 60 Suite 200 X N Provider: English Miami, AZ 85539 Languages Spoken: Mo-Su - 8:00 AM - 8:00 PM (928) 425-8165 X N Provider: English Ages: 0-99 Languages Spoken: Mo-Fr - 8:00 AM - 8:00 PM Provider: English Sa - 9:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 4:00 PM Ages: 0-99

All providers are proficient in English unless otherwise noted. These provider are AHCCCS Complete (Medicaid + CRS Fully Integrated + CRS Partially Integrated only providers. CSAZ.18.999.01.9.017

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Arizona - Gila Pharmacy / Farmacia Walgreens #6533 Pinal Provider ID: 0315463

NPI: 1033124375 100 S Beeline Hwy Pharmacy / Farmacia Payson, AZ 85541 Sun Life Family Health Center (928) 474-1599 X N Provider ID: 0324070 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 X N 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 X N 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 X N 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

= Wheelchair = 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 H = Home Infusion Pharmacy X = Retail Pharmacy N = 90 day Supply L = LTC Pharmacy = 24-hour Pharmacy CSAZ.18.999.01.9.017

126

Ancillary Providers / Proveedores Auxiliares Arizona - Gila

Ancillary Providers / Proveedores Auxiliares

Hospice Compassus Arizona Durable Medical Equipment / Provider ID: 003689467001 Equipo Médico Duradero NPI: 1023048857 Gila Preferred Homecare 511 S Mud Springs Rd

Provider ID: 001957929001 Payson, AZ 85541 Critical Care / Cuidado Crítico NPI: 1619918000 (928) 238-3211 EB, P, R Salim, Muhammad M 119 W Aero Dr Web address: www.compassus.com Provider ID: 000076997001 Payson, AZ 85541 NPI: 1760467419 (928) 474-6293 EB, P, R Laboratory / Laboratorio 5880 S Hospital Dr Web address: preferredhomecare.co

Globe, AZ 85501 m Labcorp (480) 821-0129 E, EB, G, P, PL, Provider ID: 21364 R, RE, S, T NPI: 1740262880 Home Health Agency / Agencia Hospital Affiliations: 5880 S Hospital Dr De Cuidado De La Salud A Detar Hospital Navarro Globe, AZ 85501 Domicilio Tempe St Lukes Hosp A Campus (928) 402-1270 R, EB, IB, P, E

Of St Lukes Banner Home Care Arizona Mo-Fr - 7:00 AM - 5:00 PM Banner Baywood Heart Hospital Provider ID: 006874088001 Web address: www.labcorp.com Banner Desert Medical Center NPI: 1023051927 Chandler Regional Medical Center 708 E State Highway 260 Ste A1 Occupational Therapy / Terapia Payson, AZ 85541 Ocupacional (928) 596-4777 EB, P, R Dialysis Center / Centro De Web address: www.bannerhealth.co Aitken, Jane A Diálisis m Provider ID: 006772914001 Renal Care Group - Globe NPI: 1386144772 Provider ID: 002768418001 Copper State Home Health 126 E Main St Ste C NPI: 1306958111 Provider ID: 006591755003 Payson, AZ 85541 2250 E Highway 60 Ste O-2 NPI: 1972999100 (928) 471-3445 EB, P, R Miami, AZ 85539 966 N Broad St Ste 7 (928) 425-2624 EB, P, R Globe, AZ 85501 Betts, Amy (928) 200-9708 EB, P, R Provider ID: 006839706001 NPI: 1699099333 405 W Main St Ste D Hospice / Centro De Cuidados Payson, AZ 85541 Paliativos (928) 474-0429 EB, IB, P, R Aviant Hospice Gila Provider ID: 006258610001 Bond, Sarah E NPI: 1952578957 Provider ID: 007127547001 136 S Broad St NPI: 1548828288 Globe, AZ 85501 126 E Main St Ste C (928) 425-5400 EB, P, R Payson, AZ 85541 (928) 468-8907 EB, P, R

127

Arizona - Gila Ancillary Providers / Proveedores Auxiliares Collier, Kelly S Kenny, Tiffany D Pierce, Marianne K Provider ID: 004987779002 Provider ID: 006929476001 Provider ID: 006803366001 NPI: 1396935664 NPI: 1225255656 NPI: 1811495864 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) 471-3445 EB, P, R (928) 471-3445 EB, P, R (928) 468-8907 EB, P, R

Cooper, Kelli King, Sarah M Prock, Angela D Provider ID: 003182376003 Provider ID: 003444773001 Provider ID: 006803397001 NPI: 1639361124 NPI: 1619243177 NPI: 1144729286 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) 471-3445 EB, P, R (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R

Fischer, Lisa A Liu, Stephanie M Riley, Thomas Provider ID: 007309902001 Provider ID: 003462939005 Provider ID: 006803432001 NPI: 1609419399 NPI: 1659646859 NPI: 1598263550 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 Languages Spoken: Fortunato-Tamayo, Nicholetta Provider: Spanish Siravo, Judith R Provider ID: 007037344001 Provider ID: 001808111002 NPI: 1831655331 Mcqueary, Elizabeth S NPI: 1033107123 126 E Main St Ste C Provider ID: 003623381003 126 E Main St Ste C Payson, AZ 85541 NPI: 1568702728 Payson, AZ 85541 (928) 468-8907 EB, P, R 126 E Main St Ste C (928) 468-8907 EB, P, R Payson, AZ 85541 Hall, Nancy M (928) 471-3445 EB, P, R Suma, Pamela Provider ID: 005516282003 Provider ID: 006709354001 NPI: 1417395237 Monaccio, Annette M NPI: 1003019688 126 E Main St Ste C Provider ID: 002110147011 126 E Main St Ste C Payson, AZ 85541 NPI: 1548277247 Payson, AZ 85541 (928) 471-3445 EB, P, R 126 E Main St (928) 468-8907 EB, P, R Payson, AZ 85541 Ideal Therapies (601) 610-6866 EB, P, R Tavera, Holly C Provider ID: 005394143001 Provider ID: 007088745001 NPI: 1245629237 NPI: 1417414673 603 N Double Tree Cir 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 (928) 301-4397 EB, P, R (928) 471-3445 EB, P, R

128

Ancillary Providers / Proveedores Auxiliares Arizona - Gila

Thomas, Anna R Bade, Sarah Provider ID: 006804533001 Physical Therapy / Fisioterapia Provider ID: 006780330001 NPI: 1184132391 Albers, Victoria L NPI: 1821596875 126 E Main St Ste C Provider ID: 005241450002 126 E Main St Ste C Payson, AZ 85541 NPI: 1770982233 Payson, AZ 85541 (928) 468-8907 EB, P, R 126 E Main St Ste C (928) 471-3445 EB, P, R Payson, AZ 85541 Williams, Brittany R (928) 468-8907 EB, P, R Ballard, Amy Provider ID: 007282239001 Provider ID: 007100643001 NPI: 1669025508 Altenbernd, Mary NPI: 1548751191 126 E Main St Ste C Provider ID: 006995346001 126 E Main St Ste C Payson, AZ 85541 NPI: 1457592016 Payson, AZ 85541 (928) 468-8907 EB, P, R 126 E Main St Ste C (928) 468-8907 EB, P, R Languages Spoken: Payson, AZ 85541 Provider: Spanish, American (928) 471-3445 EB, P, R Banner Physical Therapy And Sign Language Rehab Andersen, Janice I Provider ID: 006772902001 Wolf, Lori K Provider ID: 002431254001 NPI: 1235654237 Provider ID: 006797586001 NPI: 1265598619 126 E Main St NPI: 1760990972 126 E Main St Ste C Payson, AZ 85541 126 E Main St Ste C Payson, AZ 85541 (601) 610-6866 EB, P, R Payson, AZ 85541 (928) 471-3445 EB, P, R (928) 471-3445 EB, P, R Banner Physical Therapy And Angier, Matthew Rehab Zaykoski, Samantha Provider ID: 003734493014 Provider ID: 006772902001 Provider ID: 007216419001 NPI: 1093149445 NPI: 1235654237 NPI: 1437552999 126 E Main St Ste C 126 E Main St Ste A 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (928) 471-3445 EB, P, R (800) 721-8202 EB, P, R (928) 468-8907 EB, P, R Asiala, Chelsey A Banner Physical Therapy And Provider ID: 006090332004 Rehab Orthotics/Prosthetics / NPI: 1831543586 Provider ID: 006772902001 Ortesis/Prótesis 126 E Main St Ste C NPI: 1235654237 Hanger Prosthetics & Orthotics Payson, AZ 85541 126 E Main St Ste C West (928) 471-3445 EB, P, R Payson, AZ 85541 Provider ID: 006376259001 (928) 471-3445 EB, P, R NPI: 1962576850 1106 N Beeline Hwy Payson, AZ 85541 (928) 537-5119 EB, P, R

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Arizona - Gila Ancillary Providers / Proveedores Auxiliares Beaumont, Carrie L Carrillo, Diane E Cruz, Amy B Provider ID: 003661944006 Provider ID: 003679045002 Provider ID: 003711553001 NPI: 1326486093 NPI: 1356492193 NPI: 1174953673 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) 471-3445 EB, P, R (928) 468-8907 EB, P, R (928) 471-3445 EB, P, R Hospital Affiliations: Bouley, Patrick J Sharp Memorial Hospital Danzer, Mark Provider ID: 002135685001 Provider ID: 006804428001 NPI: 1649293481 Cawley, Graham D NPI: 1710228465 126 E Main St Ste C Provider ID: 005634844002 126 E Main St Ste C Payson, AZ 85541 NPI: 1801262738 Payson, AZ 85541 (928) 471-3445 EB, P, R 126 E Main St Ste C (928) 468-8907 EB, P, R Hospital Affiliations: Payson, AZ 85541 University Medical Center (928) 471-3445 EB, P, R Desjardins, Marissa L Banner University Med Ctr Provider ID: 006795730001 Tucson Campus Coohey, Barbara A NPI: 1083112106 Provider ID: 006795621001 126 E Main St Ste C Bourquin, Todd L NPI: 1841798733 Payson, AZ 85541 Provider ID: 001867065005 126 E Main St Ste C (928) 471-3445 EB, P, R NPI: 1225036809 Payson, AZ 85541 126 E Main St Ste C (928) 468-8907 EB, P, R Diaz, Mario Payson, AZ 85541 Provider ID: 007164669001 (928) 471-3445 EB, P, R Cooper, Kelli NPI: 1932761228 Languages Spoken: Provider ID: 003182376003 126 E Main St Ste C Provider: Japanese, Spanish NPI: 1639361124 Payson, AZ 85541 Mo-Fr - 9:00 AM - 5:00 PM 126 E Main St Ste C (928) 468-8907 EB, P, R Payson, AZ 85541 Brisco, Kimberly A (928) 471-3445 EB, P, R Dickman, Erica Provider ID: 002618304005 Provider ID: 006797516001 NPI: 1124102785 Copley, John NPI: 1598264665 126 E Main St Ste C Provider ID: 007093954001 126 E Main St Ste C Payson, AZ 85541 NPI: 1487907507 Payson, AZ 85541 (928) 471-3445 EB, P, R 126 E Main St Ste C (928) 471-3445 EB, P, R Payson, AZ 85541 Buckingham, Jocelyn (928) 471-3445 EB, P, R Dickman, Trevor P Provider ID: 007093883001 Provider ID: 006795760001 NPI: 1881172039 NPI: 1144729211 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) 471-3445 EB, P, R

130

Ancillary Providers / Proveedores Auxiliares Arizona - Gila Downing, Kyle A Files, Laura B Gallego, Denise A Provider ID: 006871413004 Provider ID: 007108867001 Provider ID: 007247530001 NPI: 1821434762 NPI: 1912467341 NPI: 1245884972 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) 471-3445 EB, P, R (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R

Dusek, Kevin J Finley, Courtney Geer, Crystal M Provider ID: 006923517001 Provider ID: 003165993001 Provider ID: 006508489002 NPI: 1154809317 NPI: 1609020668 NPI: 1356870562 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

Eastman, Ryan J Fontecha, Percival G George, Sunil S Provider ID: 005165467005 Provider ID: 005486406002 Provider ID: 002872219003 NPI: 1841699642 NPI: 1457746224 NPI: 1245411610 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) 468-8907 EB, P, R (928) 468-8907 EB, P, R

Facelo, Jason F Foote, Stacey J Gibbs, Rebekah Provider ID: 002974054004 Provider ID: 003475301001 Provider ID: 003587728010 NPI: 1174770994 NPI: 1598063547 NPI: 1295070076 126 E Main St Ste C 405 W Main St Ste D 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (928) 468-8907 EB, P, R (928) 474-0429 EB, IB, P, R (928) 468-8907 EB, P, R Web address: www.selectphysicalth erapy.com Frank, Cheryl A Gipe, David J Provider ID: 002428761006 Provider ID: 006947292001 Fierro, Kenneth A NPI: 1336410877 NPI: 1447738349 Provider ID: 006379422002 126 E Main St Ste C 126 E Main St Ste C NPI: 1538606884 Payson, AZ 85541 Payson, AZ 85541 126 E Main St Ste C (928) 468-5448 EB, P, R (928) 468-8907 EB, P, R Payson, AZ 85541 Hospital Affiliations: (928) 471-3445 EB, P, R Gaffney, Lisa E University Medical Center Languages Spoken: Provider ID: 007164927001 Banner University Med Ctr Provider: Spanish NPI: 1326609793 Tucson Campus 126 E Main St Ste C Payson, AZ 85541 (928) 468-8907 EB, P, R

131

Arizona - Gila Ancillary Providers / Proveedores Auxiliares Glasgow, Jennifer M Haglund, Kevin M Hoekstra, Elis R Provider ID: 003711400004 Provider ID: 004742789003 Provider ID: 003391413005 NPI: 1861827180 NPI: 1609297183 NPI: 1700166154 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 Web address: www.selectphysicalth erapy.com Hansen, Ethan Hogan, Jasmine C Provider ID: 007437542001 Provider ID: 002592657005 Goodman, Steven M NPI: 1518198860 NPI: 1619052339 Provider ID: 003159887014 126 E Main St Ste B 126 E Main St Ste C NPI: 1588878003 Payson, AZ 85541 Payson, AZ 85541 126 E Main St Ste C (928) 468-8610 P, R, RE, T (928) 468-8907 EB, P, R Payson, AZ 85541 (928) 468-8907 EB, P, R Hardcastle, Lacey A Jacewicz, Rebecca A Web address: www.selectphysicalth Provider ID: 003287785002 Provider ID: 002528825004 erapy.com NPI: 1750692109 NPI: 1619085750 126 E Main St Ste C 126 E Main St Ste C Graham, Patricia A Payson, AZ 85541 Payson, AZ 85541 Provider ID: 006799648001 (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R NPI: 1114001344 126 E Main St Ste C Hart, Brenna B Jean Philippe, Alethea D Payson, AZ 85541 Provider ID: 007216348001 Provider ID: 005922843003 (928) 468-8907 EB, P, R NPI: 1679120232 NPI: 1912382284 126 E Main St Ste C 126 E Main St Ste C Greenfield, Danielle R Payson, AZ 85541 Payson, AZ 85541 Provider ID: 007180740001 (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R NPI: 1801441209 Hospital Affiliations: 126 E Main St Ste C Hayes, Joshua F Banner Univ Medical Cntr Payson, AZ 85541 Provider ID: 002866391007 Phoenix Campus (928) 468-8907 EB, P, R NPI: 1215903927 126 E Main St Ste C Johnson, Emily G Hagerdon, Kelsey A Payson, AZ 85541 Provider ID: 007233455001 Provider ID: 007318318001 (928) 468-8904 EB, P, R NPI: 1942841051 NPI: 1619513520 126 E Main St Ste C 126 E Main St Ste C Herzberg, David A Payson, AZ 85541 Payson, AZ 85541 Provider ID: 002410690003 (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R NPI: 1013074210 126 E Main St Ste C Payson, AZ 85541 (928) 468-8907 EB, P, R

132

Ancillary Providers / Proveedores Auxiliares Arizona - Gila Kempton, James P Lahr, Chad M Massingale, Michelle L Provider ID: 006468068001 Provider ID: 007217709001 Provider ID: 003623600004 NPI: 1508395492 NPI: 1215587134 NPI: 1033458765 1100 N Broad St Ste A 126 E Main St Ste C 126 E Main St Ste C Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (480) 807-9000 P, R, RE, T (928) 468-8907 EB, P, R (928) 471-3445 EB, P, R Mo-Th - 8:00 AM - 5:00 PM Fr - 8:00 AM - 12:00 PM Larson, Nicole Mc Murty, Brent W Web address: kemptonpt.com Provider ID: 006870655001 Provider ID: 006924456001 NPI: 1376021675 NPI: 1326529124 Kozupa, Paulina 126 E Main St Ste C 126 E Main St Ste C Provider ID: 007231682001 Payson, AZ 85541 Payson, AZ 85541 NPI: 1265088181 (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R 126 E Main St Ste C Hospital Affiliations: Payson, AZ 85541 Lasseter, Amanda E Phx Childrens Hospital (928) 468-8907 EB, P, R Provider ID: 002961263004 NPI: 1366604852 Merrick, Liana Kredit, Adair N 126 E Main St Ste C Provider ID: 007339106002 Provider ID: 002636910001 Payson, AZ 85541 NPI: 1457801029 NPI: 1306944434 (928) 468-8907 EB, P, R 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Laukonen, Sabrina R (928) 468-8907 EB, P, R (928) 471-3445 EB, P, R Provider ID: 006129131002 NPI: 1497109086 Meyer, Eric S Kruchowsky, Mary S 126 E Main St Ste C Provider ID: 007357016001 Provider ID: 006802010001 Payson, AZ 85541 NPI: 1770130882 NPI: 1043698376 (928) 471-3445 EB, P, R 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Lipschultz, Naomi (928) 471-3445 EB, P, R (928) 471-3445 EB, P, R Provider ID: 007320658001 NPI: 1124669692 Mills, Joyce A Kyger, Mark 126 E Main St Ste C Provider ID: 002422733002 Provider ID: 003182517012 Payson, AZ 85541 NPI: 1467437988 NPI: 1164595005 (928) 468-8907 EB, P, R 126 E Main St Ste C 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Macalisang, Rex E (928) 471-3445 EB, P, R (928) 468-8907 EB, P, R Provider ID: 006803226001 Web address: www.comstockpt.com NPI: 1518165604 126 E Main St Ste C Payson, AZ 85541 (928) 471-3445 EB, P, R

133

Arizona - Gila Ancillary Providers / Proveedores Auxiliares Mosley, Anna M Nossek, Scott J Reeg, Mackenzi L Provider ID: 003471201005 Provider ID: 002662597001 Provider ID: 007210191001 NPI: 1104184647 NPI: 1861495210 NPI: 1356996144 126 E Main St Ste C 405 W Main St Ste D 126 E Main St Ste C Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (928) 471-3445 EB, P, R (928) 474-0429 EB, IB, P, R (928) 468-8907 EB, P, R Mo-Fr - 7:30 AM - 5:00 PM Mozart, Michelle L Web address: www.paysonphysicalt Sahd, Dana N Provider ID: 006803308001 herapy.com Provider ID: 005670858002 NPI: 1518475722 NPI: 1508233479 126 E Main St Ste C Orton, Lindsay 126 E Main St Ste C Payson, AZ 85541 Provider ID: 005781442003 Payson, AZ 85541 (928) 471-3445 EB, P, R NPI: 1801200308 (928) 468-8907 EB, P, R 126 E Main St Ste C Nguyen, Andy T Payson, AZ 85541 Salik, Kathleen R Provider ID: 006995993001 (928) 471-3445 EB, P, R Provider ID: 006778667001 NPI: 1750406427 Languages Spoken: NPI: 1063910032 126 E Main St Ste C Provider: Spanish 126 E Main St Ste C Payson, AZ 85541 Mo-Fr - 7:00 AM - 7:00 PM Payson, AZ 85541 (928) 468-8907 EB, P, R (928) 471-3445 EB, P, R Payson Physical Therapy Niedzielko, Ryan Provider ID: 000788655001 Schaffer, Jordan A Provider ID: 006064001002 NPI: 1194943423 Provider ID: 006202301002 NPI: 1073961140 405 W Main St Ste D NPI: 1639528094 126 E Main St Ste C Payson, AZ 85541 126 E Main St Ste C Payson, AZ 85541 (928) 474-0429 EB, IB, P, R Payson, AZ 85541 (928) 468-8907 EB, P, R Languages Spoken: (928) 471-3445 EB, P, R Provider: Spanish Noel, Erica R Mo-Fr - 7:30 AM - 5:00 PM Schild, Annie Provider ID: 003182112004 Provider ID: 006987235001 NPI: 1285842591 Pinder, James C NPI: 1851866370 126 E Main St Ste C Provider ID: 002371372011 126 E Main St Ste C Payson, AZ 85541 NPI: 1275643777 Payson, AZ 85541 (928) 468-8907 EB, P, R 126 E Main St Ste C (928) 468-8907 EB, P, R Payson, AZ 85541 Norman, William C (928) 468-8907 EB, P, R Schmaltz, Anastasia E Provider ID: 006656735001 Provider ID: 005737992010 NPI: 1619494325 NPI: 1003283631 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

134

Ancillary Providers / Proveedores Auxiliares Arizona - Gila Schuhardt, Maure Steward, Kimberly Y Taylor, Brenda L Provider ID: 003563602003 Provider ID: 006804422001 Provider ID: 003882931002 NPI: 1710234091 NPI: 1558879783 NPI: 1285661850 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) 468-8907 EB, P, R (928) 468-8907 EB, P, R

Sherrill, Christine C Steward, Warner L Tenney, Jared K Provider ID: 000945044006 Provider ID: 006804463001 Provider ID: 002662532001 NPI: 1659552370 NPI: 1740798974 NPI: 1255334694 126 E Main St Ste C 126 E Main St Ste C 405 W Main St Ste D Payson, AZ 85541 Payson, AZ 85541 Payson, AZ 85541 (928) 468-8907 EB, P, R (928) 468-8907 EB, P, R (928) 474-0429 EB, IB, P, R Mo-Fr - 7:30 AM - 5:00 PM Slaminski, Michael R Sunkarapalli, Vinitha Provider ID: 003624057003 Provider ID: 007073260001 Thode, Mary A NPI: 1154583375 NPI: 1457812760 Provider ID: 006924491001 126 E Main St Ste C 126 E Main St Ste C NPI: 1992871982 Payson, AZ 85541 Payson, AZ 85541 126 E Main St Ste C (928) 471-3445 EB, P, R (928) 468-8907 EB, P, R Payson, AZ 85541 Hospital Affiliations: Languages Spoken: (928) 468-8907 EB, P, R Ascension Se Wisconsin Hospital Provider: Hindi, Telugu Aspirus Medford Hospital Tomnitz, Lisa M Marshfield Medical Center - Eau Suski, Michelle A Provider ID: 002843907009 Claire Provider ID: 002492797002 NPI: 1922017227 NPI: 1073623567 126 E Main St Ste C Smith, Sydney A 126 E Main St Ste C Payson, AZ 85541 Provider ID: 007233278001 Payson, AZ 85541 (928) 471-3445 EB, P, R NPI: 1699323592 (928) 468-8907 EB, P, R Languages Spoken: 126 E Main St Ste C Provider: Spanish Payson, AZ 85541 Tampow, Alexandria J (928) 468-8907 EB, P, R Provider ID: 007164761001 Vannucci, Brianne C NPI: 1508275595 Provider ID: 007266509002 Stadler, Ashley D 126 E Main St Ste C NPI: 1225547904 Provider ID: 003226027003 Payson, AZ 85541 126 E Main St Ste C NPI: 1760796924 (928) 468-8907 EB, P, R Payson, AZ 85541 126 E Main St Ste C (928) 471-3445 EB, P, R Payson, AZ 85541 (928) 468-8907 EB, P, R Web address: www.selectphysicalth erapy.com

135

Arizona - Pinal Ancillary Providers / Proveedores Auxiliares Vlach, Andrea J Heritage Health Care Center Pinal Provider ID: 003556491008 Provider ID: 001441622002

NPI: 1962735019 NPI: 1154368132 126 E Main St Ste C 1300 E South St Dialysis Center / Centro De Payson, AZ 85541 Globe, AZ 85501 Diálisis (928) 468-8907 EB, P, R (928) 425-3118 EB, P, R Rcg Mammoth Provider ID: 002768419001 Walden, Daniel H Payson Care Center NPI: 1104928373 Provider ID: 006049347002 Provider ID: 000792432001 14786 S Hwy 77 NPI: 1881066819 NPI: 1033177308 Mammoth, AZ 85618 708 S Coeur D Alene Ln Ste B 107 E Lone Pine Dr (520) 487-0150 EB, P, R Payson, AZ 85541 Payson, AZ 85541

(928) 468-8610 EB, P, R (928) 474-6896 EB, P, R Languages Spoken: Laboratory / Laboratorio Provider: Dutch, Spanish Rim Country Hlth & Retirement Labcorp Community Provider ID: 21332 Webster, Brittany Provider ID: 000284378001 NPI: 1740262880 Provider ID: 007133076001 NPI: 1578568267 1800 E Florence Blvd NPI: 1114587037 807 W Longhorn Rd Casa Grande, AZ 85222 126 E Main St Ste C Payson, AZ 85541 (520) 426-6300 R, EB, IB, P, E Payson, AZ 85541 (928) 474-1120 EB, P, R Mo-Fr - 6:00 AM - 6:30 AM (928) 468-8907 EB, P, R Web address: www.labcorp.com

Speech Pathology / Patología Del Willoughby, Bruce H Labcorp Habla Provider ID: 002181546003 Provider ID: 21358

NPI: 1619092665 Cockfield, Ann D NPI: 1740262880 126 E Main St Ste C Provider ID: 006794574001 2080 W Southern Ave Payson, AZ 85541 NPI: 1851809065 Apache Junction, AZ 85220 (928) 468-8907 EB, P, R 126 E Main St Ste C (480) 985-0172 R, EB, IB, P, E Payson, AZ 85541 Mo-Fr - 8:00 AM - 6:00 PM (928) 471-3445 EB, P, R Web address: www.labcorp.com Skilled Nursing Facility / Centro

De Enfermería Especializada Labcorp

Haven Of Globe Provider ID: 26150 Provider ID: 002126592001 NPI: 1740262880 NPI: 1467868075 453 E Cottonwood Ln Ste 3 1100 E Monroe St Casa Grande, AZ 85222 Globe, AZ 85501 (520) 876-1864 IB, EB, R, P, E (928) 425-5721 E, EB, G, IB, P, Mo-Fr - 7:00 AM - 3:00 PM PL, R, RE, S, T Web address: www.labcorp.com Languages Spoken: Staff: Apache, Spanish

136

Ancillary Providers / Proveedores Auxiliares Utah - Washington

Physical Therapy / Fisioterapia Nevada Utah Desert Palms Physical Therapy

Clark Kane Catalina

Provider ID: 003061804001 NPI: 1134308596 Physical Therapy / Fisioterapia Home Health Agency / Agencia 23 S Mcnab Pkwy Harward, Aaron A De Cuidado De La Salud A San Manuel, AZ 85631 Provider ID: 005302116001 Domicilio (520) 385-4066 E, EB, G, IB, P, NPI: 1194121350 Zions Way Home Health & PL, R, RE, S, T 340 Falcon Ridge Pkwy Ste 500 Hospice Languages Spoken: Mesquite, NV 89027 Provider ID: 003612988002 Provider: Spanish (702) 346-3105 E, EB, G, P, R, NPI: 1588930705 Interpreter: Spanish RE, S, T 217 E 300 S Ste 204 Mo,Tu,Th - 8:00 AM - 5:00 PM Languages Spoken: Kanab, UT 84741 We,Fr - 8:30 AM - 4:30 PM Provider: American Sign (435) 688-0648 EB, P, R Language Eggers, Kevin Staff: Spanish Washington Provider ID: 001827837002 Mo,We,Fr - 7:00 AM - 5:00 PM

NPI: 1386677276 Tu,Th - 9:00 AM - 5:00 PM 23 S Mcnab Pkwy Ambulatory Surgery Center / San Manuel, AZ 85631 Wakefield, Travis L Centro De Cirugía Ambulatoria (520) 385-4066 E, EB, G, IB, P, Provider ID: 003023907001 Coral Desert Surgery Center PL, R, RE, S, T NPI: 1013006469 Provider ID: 002389460001 Languages Spoken: 1301 Bertha Howe Ave Ste 7 NPI: 1346205176 Provider: Spanish Mesquite, NV 89027 1490 E Foremaster Dr Bldg C Staff: Spanish (702) 346-1899 EB, P, R Saint George, UT 84790 Interpreter: Spanish Languages Spoken: (435) 674-5230 EB, G, IB, P, PL, Staff: Spanish R, RE, S, T Web address: www.coraldesertsurge ry.com

South Main Surgery Center Provider ID: 001236542002 NPI: 1972528537 754 S Main St Ste 3 Saint George, UT 84770 (435) 628-2671 EB, P, PL, R, RE, T

137

Utah - Washington Ancillary Providers / Proveedores Auxiliares

Harward, Aaron A Dialysis Center / Centro De Physical Therapy / Fisioterapia Provider ID: 005302116001 Diálisis Blatter, Grant L NPI: 1194121350 Liberty Dialysis St George Provider ID: 003566493001 1532 E 1450 S Provider ID: 002975646002 NPI: 1558377309 Saint George, UT 84790 NPI: 1861671422 1424 E Foremaster Dr Ste 120 (435) 359-9200 E, EB, IB, P, R, 624 S 1000 E Ste 101 Saint George, UT 84790 S, T Saint George, UT 84790 (435) 656-8800 EB, P, R Languages Spoken: (435) 656-4596 EB, P, R Hospital Affiliations: Provider: American Sign Cedar City Hospital Language Mo,We,Fr - 7:00 AM - 5:00 PM Home Health Agency / Agencia Blatter, Grant L Tu,Th - 9:00 AM - 5:00 PM De Cuidado De La Salud A Provider ID: 003566493001 Domicilio NPI: 1558377309 Johnson, Richard J Zions Way Home Health & 1449 N 1400 W Ste 21 Provider ID: 001266136001 Hospice Saint George, UT 84770 NPI: 1508844069 Provider ID: 003612988002 (435) 656-8800 EB, P, R 1490 E Foremaster Dr Ste 110 NPI: 1588930705 Hospital Affiliations: Saint George, UT 84790 1173 S 250 W Ste 401 Cedar City Hospital (435) 652-4455 EB, P, R Saint George, UT 84770 Languages Spoken: (435) 688-0648 EB, P, R Blatter, Grant L Staff: Spanish Web address: zionsway.com Provider ID: 003566493001 NPI: 1558377309 Tomlinson, Stephen J 2825 E Mall Dr Provider ID: 002444333001 Orthotics/Prosthetics / St George, UT 84790 NPI: 1043325715 Ortesis/Prótesis (435) 251-2900 EB, P, R, RE, T 1424 E Foremaster Dr Ste 120 Hanger Prosthetics & Orthotics Hospital Affiliations: Saint George, UT 84790 Provider ID: 006374534001 Cedar City Hospital (435) 656-8800 EB, P, R NPI: 1881768778 923 S River Rd Ste 100 Harward, Aaron A Tomlinson, Stephen J Saint George, UT 84790 Provider ID: 005302116001 Provider ID: 002444333001 (435) 673-6449 EB, P, R NPI: 1194121350 NPI: 1043325715 1490 E Foremaster Dr Ste 110 1449 N 1400 W Ste 21 Saint George, UT 84790 Saint George, UT 84770 (435) 652-4455 EB, P, R (435) 656-8800 EB, P, R Languages Spoken: Provider: American Sign Tomlinson, Stephen J Language Provider ID: 002444333001 Staff: Spanish NPI: 1043325715 Interpreter: American Sign 2825 E Mall Dr Language St George, UT 84790 (435) 251-2900 EB, P, R, RE, T

138 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

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

139

Primary Care Obstetricians / Obstetras De Atención Arizona - Gila Primaria

Primary Care Obstetricians / Obstetras De Atención Primaria Glaser, Katherine, MD, (F), B Onibokun, Adedayo O, MD, (M) Arizona Group Name: North Country Group Name: Banner Physician Healthcare Specialists Arizona Gila Provider ID: 003591803013 Provider ID: 002161724034

NPI: 1134385156 NPI: 1912941360 Obstetrics & Gynecology / 126 E Main St Ste B 120 E Main St Ste A Obstetricia Y Ginecología Payson, AZ 85541 Payson, AZ 85541 Bryan, Michael C, MD, (M), B (928) 468-8610 P, R, RE, T (928) 596-4700 EB, P, R Group Name: Cobre Valley Tonto Languages Spoken: Accepting Existing Patients Only Basin Clinic Provider: Spanish Ages: 12-99 Provider ID: 003057119007 Cultural Competency: Y Does Not Accept Male Patients NPI: 1720278666 Ages: 12-99 Hospital Affiliations: 5880 S Hospital Dr Does Not Accept Male Patients Casa Grande Regional Med Ctr Globe, AZ 85501 Hospital Affiliations: Banner Casa Grande Medical (928) 425-3247 E, EB, G, P, PL, Uc Davis Medical Center Center R, RE, S, T Tuba City Regional Health Care Valleywise Health Languages Spoken: Banner Desert Medical Center Provider: Spanish Murphy, Kevin G, MD, (M) Ages: 0-99 Group Name: Banner Physician Patel, Natasha, MD, (F) Does Not Accept Male Patients Specialists Arizona Group Name: Cobre Valley Hospital Affiliations: Provider ID: 007497206001 Regional Medical Center Cobre Valley Regional Medical NPI: 1669828232 Provider ID: 006302876005 Center 120 E Main St Ste A NPI: 1841557121 Banner Del E Webb Medical Payson, AZ 85541 5880 S Hospital Dr Center (928) 596-4700 EB, P, R Globe, AZ 85501 Banner Boswell Medical Center Ages: 0-99 (928) 425-3246 E, EB, G, P, PL, Hospital Affiliations: R, RE, S, T Davis, Bethany A, MD, (F) Banner Payson Medical Center Ages: 12-99 Group Name: North Country Does Not Accept Male Patients Healthcare Hospital Affiliations: Provider ID: 006085643007 Winona Health Services NPI: 1982048856 Capital Region Medical Center 126 E Main St Ste B Payson, AZ 85541 (928) 468-8610 P, R, RE, T Ages: 0-99 Hospital Affiliations: Flagstaff Medical Center

140

Primary Care Obstetricians / Obstetras De Atención Primaria Arizona - Pinal Whitehair, Jennifer J, MD, (F), B Petkov, Pavel S, MD, (M), B Smith, Bianca H, DO, (F) Group Name: North Country Group Name: Sun Life Family Group Name: Sun Life Family Healthcare Health Center Health Center Provider ID: 005532549002 Provider ID: 003046934030 Provider ID: 005541178004 NPI: 1134236607 NPI: 1194910570 NPI: 1326339623 708 S Coeur D Alene Ln Ste B 23 S Mcnab Pkwy 23 S Mcnab Pkwy Payson, AZ 85541 San Manuel, AZ 85631 San Manuel, AZ 85631 (928) 468-8610 EB, P, R (520) 385-2234 E, EB, G, IB, P, (520) 385-2234 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T PL, R, RE, S, T Does Not Accept Male Patients Languages Spoken: Languages Spoken: Provider: Bulgarian, Russian Provider: French Ages: 12-99 Ages: 12-99 Pinal Does Not Accept Male Patients Does Not Accept Male Patients

Hospital Affiliations: Hospital Affiliations: Obstetrics & Gynecology / Ascension St Michaels Hospital Casa Grande Regional Med Ctr Obstetricia Y Ginecología Banner Desert Medical Center Banner Casa Grande Medical Estrada, Eddie, MD , (M) Chandler Regional Medical Center Center Group Name: Sun Life Family Chandler Regional Medical Center Health Center Savala, Virginia A, DO, (F), B Provider ID: 000901597012 Group Name: Sun Life Family Stein, Susan R, MD, (F), B NPI: 1386782472 Health Center Group Name: Sun Life Family 23 S Mcnab Pkwy Provider ID: 003602368014 Health Center San Manuel, AZ 85631 NPI: 1992935894 Provider ID: 002659996014 (520) 385-2234 E, EB, G, IB, P, 23 S Mcnab Pkwy NPI: 1629007703 PL, R, RE, S, T San Manuel, AZ 85631 23 S Mcnab Pkwy Languages Spoken: (520) 385-2234 E, EB, G, IB, P, San Manuel, AZ 85631 Provider: Spanish PL, R, RE, S, T (520) 385-2234 E, EB, G, IB, P, Ages: 12-99 Languages Spoken: PL, R, RE, S, T Does Not Accept Male Patients Provider: Spanish Ages: 12-99 Hospital Affiliations: Ages: 12-99 Does Not Accept Male Patients Casa Grande Regional Med Ctr Does Not Accept Male Patients Hospital Affiliations: Banner Casa Grande Medical Hospital Affiliations: Banner Baywood Medical Center Center Casa Grande Regional Med Ctr Mercy Tiffin Hospital Banner Casa Grande Medical Bellevue Hospital Center Chandler Health Care Center

141

Primary Care Obstetricians / Obstetras De Atención Primaria

Walter, Logan C, DO, (M) Brown, Coby T, MD, (M) Group Name: Sun Life Family Utah Group Name: Valley Obstetrics & Health Center Gynecology Washington Provider ID: 007424754003 Provider ID: 005356471003

NPI: 1750760187 NPI: 1083907059 23 S Mcnab Pkwy Obstetrics & Gynecology / 295 S 1470 E Ste 200 San Manuel, AZ 85631 Obstetricia Y Ginecología Saint George, UT 84790 (520) 385-2234 E, EB, G, IB, P, Astle, Craig D, MD , (M), B (435) 628-1662 E, EB, G, IB, P, PL, R, RE, S, T Group Name: Valley Obstetrics & R, RE, S, T Ages: 12-99 Gynecology Ages: 12-99 Does Not Accept Male Patients Provider ID: 000806079003 Does Not Accept Male Patients Hospital Affiliations: NPI: 1033119862 Hospital Affiliations: Casa Grande Regional Med Ctr 295 S 1470 E Ste 200 St George Regional Hospital Banner Casa Grande Medical Saint George, UT 84790 Center (435) 628-1662 E, EB, G, IB, P, Winward, Tracy W, MD, (F), B Chandler Regional Medical Center R, RE, S, T Group Name: Valley Obstetrics & Web address: suwhc.com Gynecology Willms, Jonathan R, DO, (M) Ages: 12-99 Provider ID: 001250728003 Group Name: Sun Life Family Does Not Accept Male Patients NPI: 1922008846 Health Center Hospital Affiliations: 295 S 1470 E Ste 200 Provider ID: 004068158012 St George Regional Hospital Saint George, UT 84790 NPI: 1891010658 (435) 628-1662 E, EB, G, IB, P, 23 S Mcnab Pkwy Benham, Brady N, MD, (M), B R, RE, S, T San Manuel, AZ 85631 Group Name: Valley Obstetrics & Web address: suwhc.com (520) 385-2234 E, EB, G, IB, P, Gynecology Ages: 12-99 PL, R, RE, S, T Provider ID: 002520448005 Does Not Accept Male Patients Languages Spoken: NPI: 1952380685 Hospital Affiliations: Provider: Spanish 295 S 1470 E # 200 St George Regional Hospital Ages: 12-99 Saint George, UT 84790 Delta Community Hospital Does Not Accept Male Patients (435) 628-1662 EB, P, R, RE, Hospital Affiliations: T Chandler Regional Medical Center Languages Spoken: Provider: Spanish Ages: 12-99 Does Not Accept Male Patients Hospital Affiliations: St George Regional Hospital

142

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

Behavioral Health Providers / Proveedores De Salud Mental Elloway, Arleen, MS, (F) Elloway, Arleen, MS, (F) Arizona Group Name: Community Group Name: Community Bridges Bridges Gila Provider ID: 003655253011 Provider ID: 003655253002

NPI: 1508132820 NPI: 1508132820 Advanced Practice Registered 5734 Hope Ln Ste 1 803 W Main St Psychiatric Nurse Practitioner / Globe, AZ 85501 Payson, AZ 85541 Enfermera Psiquiátrica Titulada (928) 425-2415 EB, P, R (928) 468-0022 EB, P, R, RE, S, T En Práctica Avanzada Ages: 0-99 Bancroft, Tammi L, MS, (F) Hospital Affiliations: Ages: 0-99 Group Name: Community Honorhealth John C Lincoln Hospital Affiliations: Bridges Medical Ctr Honorhealth John C Lincoln Provider ID: 006316045043 Jcl Nm Hospital Medical Ctr NPI: 1396196986 Areas of Expertise: MAT1, PLIC, Jcl Nm Hospital 803 W Main St THS Areas of Expertise: PLIC, THS Payson, AZ 85541 (928) 468-0022 EB, P, R, RE, S, T Elloway, Arleen, MS, (F) Fargas Rodriguez, Arnaldo, MA, Group Name: Community (M) Cultural Competency: Y Bridges Group Name: Southwest Ages: 18-99 Provider ID: 003655253018 Behavioral Health Services Inc Areas of Expertise: A100, E429, NPI: 1508132820 Provider ID: 003624150001 MAT1, PLIC, THS 5734 Hope Ln Ste 2 NPI: 1689831794 Globe, AZ 85501 404 W Aero Dr Ekman, John K, FNP, (M) (928) 425-2415 EB, P, R, RE, T Payson, AZ 85541 Group Name: Southeastern (928) 474-3303 EB, P, R, RE, T Arizona Behavioral Health S Ages: 0-99 Provider ID: 002455301001 Hospital Affiliations: Languages Spoken: NPI: 1194722256 Honorhealth John C Lincoln Provider: Spanish 996 N Broad St Ste 10 Medical Ctr Ages: 0-99 Globe, AZ 85501 Jcl Nm Hospital Areas of Expertise: A060, E020, (928) 425-2185 EB, P, R Areas of Expertise: PLIC, THS E025, E042, E070, E160, P010, Ages: 0-99 THS Hospital Affiliations: Mt Graham Regional Medical Cente Areas of Expertise: A060, A101, E020, E025, E062, E070, E112, E155, E160, E165, E170, E180, E185, E200, E210, E377, E381, P010, THS

143

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental Hemenway, Charolette, NP, (F) Mccarvell, Kathleen A, NP, (F) Rankovic, Alecia, MSN, (F) Group Name: Community Group Name: Horizon Health Group Name: Community Bridges And Wellness Bridges Provider ID: 003187301008 Provider ID: 003179911003 Provider ID: 003360055001 NPI: 1386955573 NPI: 1154500981 NPI: 1205129384 803 W Main St 415 W Baseline Spur 803 W Main St Payson, AZ 85541 Globe, AZ 85501 Payson, AZ 85541 (928) 468-0022 EB, P, R, RE, S, T (928) 402-9297 EB, P, R, RE, T (928) 468-0022 EB, P, R, RE, S, T

Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Web address: www.communitybrid Ages: 0-99 Areas of Expertise: MAT1, PLIC, gesaz.org Hospital Affiliations: THS Ages: 18-99 Tacoma General Allenmore Areas of Expertise: P010, P035, Areas of Expertise: A060, E010, Sexton, Alicia A, MS, (F) PLIC, THS E017, E020, E025, E062, E070, Group Name: Pine Creek Mental E160, E165, E185, E198, E200, Health Clinic Kazaka, Katharine A, MS, (F) E210, E220, E240, E377, MAT1, Provider ID: 006592681002 Group Name: Community P010, P035, P080, THS NPI: 1932627395 Bridges 200 W Frontier St Ste 5 Provider ID: 003226614001 Rankovic, Alecia, MSN, (F) Payson, AZ 85541 NPI: 1386889517 Group Name: Community (480) 735-8334 5734 E Hope Lane Bridges Mo-Fr - 8:00 AM - 4:00 PM Globe, AZ 85501 Provider ID: 003360055001 Ages: 0-99 (928) 425-2415 NPI: 1205129384 Areas of Expertise: A101, E020, Ages: 0-99 5734 E Hope Lane E377, P010, P080 Areas of Expertise: PLIC, THS Globe, AZ 85501 (928) 425-2415 Sexton, Alicia A, MS, (F) Ages: 0-99 Group Name: Southwest Areas of Expertise: MAT1, PLIC, Behavioral Health Services Inc THS Provider ID: 006592681001 NPI: 1932627395 404 W Aero Dr Payson, AZ 85541 (928) 474-3303 EB, P, R, RE, T

Ages: 0-99 Areas of Expertise: A101, E020, E377, P010, P080, THS

144

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila Villegas, Joanne E, MA, (F) Colburn, Mary B, MA, (F) Fargas Rodriguez, Arnaldo, MA, Group Name: Canyonlands Group Name: Southwest (M) Community Health Care Behavioral Health Services Inc Group Name: Southwest Provider ID: 005721838002 Provider ID: 005524400001 Behavioral Health Services Inc NPI: 1154752483 NPI: 1558740183 Provider ID: 003624150001 5860 S Hospital Dr Ste 102 404 W Aero Dr NPI: 1689831794 Globe, AZ 85501 Payson, AZ 85541 404 W Aero Dr (928) 402-0491 E, EB, G, IB, P, (928) 474-3303 EB, P, R, RE, T Payson, AZ 85541 PL, R, RE, S, T (928) 474-3303 EB, P, R, RE, T Mo-Fr - 8:00 AM - 6:00 PM Ages: 0-99 Ages: 0-99 Areas of Expertise: THS Languages Spoken: Areas of Expertise: A021, A060, Provider: Spanish DD, E010, E017, E020, E025, Davenport, Lori L, MA, (F) Ages: 0-99 E042, E090, E200, MAT1, P010 Group Name: Southwest Areas of Expertise: A060, E020, Behavioral Health Services Inc E025, E042, E070, E160, P010, Provider ID: 006797188001 THS Professional Counselor / NPI: 1689171654 Consejero Profesional 404 W Aero Dr Martorana, Diana, MA, (F) Appleby Kittle, Carrie L, MA, (F) Payson, AZ 85541 Group Name: Community Group Name: Community (928) 474-3303 EB, P, R, RE, T Bridges Bridges Provider ID: 006527441001 Provider ID: 007132860001 Mo-Fr - 9:00 AM - 5:00 PM NPI: 1629516786 NPI: 1871867085 Cultural Competency: Y 5734 Hope Ln 803 W Main St Ages: 0-99 Globe, AZ 85501 Payson, AZ 85541 Areas of Expertise: A101, E017, (928) 425-2415 EB, P, R, RE, T (928) 468-0022 EB, P, R, RE, S, T E020, E055, E070, E080, E090, E105, E165, E170, E185, E190, Cultural Competency: Y Cultural Competency: Y E200, E215, E235, E374, E377, Ages: 0-99 Ages: 0-99 P010, P020, THS Areas of Expertise: PLIC, THS Areas of Expertise: PLIC, THS

Benitez, Jose, LPC, (M) Group Name: North Country Healthcare Provider ID: 007160389001 NPI: 1619233624 126 E Main St Ste B Payson, AZ 85541 (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

145

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental

Martorana, Diana, MA, (F) Park, Lori A, MA, (F) Group Name: Community Group Name: Horizon Health Psychiatry / Psiquiatría Bridges And Wellness Capampangan, Dan, MD, (M), B Provider ID: 006527441001 Provider ID: 003285325002 Group Name: Banner Univ Phys NPI: 1629516786 NPI: 1053561431 Specialists 803 W Main St 415 W Baseline Spur Provider ID: 003343813007 Payson, AZ 85541 Globe, AZ 85501 NPI: 1114956273 (928) 468-0022 EB, P, R, RE, S, T (520) 836-1688 EB, P, R, RE, T 807 S Ponderosa St Payson, AZ 85541 Cultural Competency: Y Ages: 0-99 (928) 474-3222 RE, T Web address: www.communitybrid Areas of Expertise: THS Languages Spoken: gesaz.org Provider: Tagalog Ages: 0-99 Simmons, Joseph, MA, (M) Ages: 0-99 Areas of Expertise: P010, P035, Group Name: Community Hospital Affiliations: PLIC, THS Bridges Banner University Med Ctr South Provider ID: 007574124001 Campus Mcnabb, Marilyn C, MS, (F) NPI: 1801429824 Cobre Valley Regional Medical Group Name: North Country 5734 Hope Ln Ste 1 Center Healthcare Globe, AZ 85501 Casa Grande Regional Med Ctr Provider ID: 001880797003 (928) 425-2415 EB, P, R Banner Casa Grande Medical NPI: 1023020161 Cultural Competency: Y Center 126 E Main St Ste B Web address: www.communitybrid Banner Page Hospital Payson, AZ 85541 gesaz.org Mayo Clinic Hospital (928) 468-8610 P, R, RE, T Ages: 0-99 Banner Univ Medical Cntr Ages: 0-99 Areas of Expertise: P010, P035 Phoenix Campus Banner Desert Medical Center Millien, Roxanne L, MA, (F) Simmons, Joseph, MA, (M) Areas of Expertise: E020, E070, Group Name: Pathways Of Az Group Name: Community E112, E160, E165 Provider ID: 006575885002 Bridges NPI: 1700219318 Provider ID: 007574124001 Davis, Bryan M, DO, (M) Foster Care Only Provider NPI: 1801429824 Group Name: Community Payson, AZ 85541 5734 Hope Ln Ste 2 Bridges (540) 710-6085 Globe, AZ 85501 Provider ID: 003260199018 Ages: 0-99 (928) 425-2415 EB, P, R, RE, T NPI: 1578790473 Cultural Competency: Y 5734 Hope Ln Web address: www.communitybrid Globe, AZ 85501 gesaz.org (928) 425-2415 EB, P, R, RE, T Ages: 0-99 Areas of Expertise: P010, P035 Cultural Competency: Y Ages: 0-99 Areas of Expertise: MAT1, THS

146

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila Davis, Bryan M, DO, (M) Banner Physician Specialists Banner Physician Specialists Group Name: Community Arizona Arizona Bridges Provider ID: 003392759015 Provider ID: 003392759015 Provider ID: 003260199017 NPI: 1316228802 NPI: 1316228802 NPI: 1578790473 117 E Main St Bldg A100 122 E Main St Ste A 5734 Hope Ln Ste 2 Payson, AZ 85541 Payson, AZ 85541 Globe, AZ 85501 (928) 474-1714 EB, P, R (928) 596-4600 EB, P, R (928) 425-2415 EB, P, R, RE, T Ages: 0-99 Ages: 0-99

Cultural Competency: Y Banner Physician Specialists Banner Physician Specialists Ages: 0-99 Arizona Arizona Areas of Expertise: MAT1, THS Provider ID: 003392759007 Provider ID: 003392759007 NPI: 1316228802 NPI: 1316228802 Mccall, Scott C, MD, (M), B 117 E Main St Ste A100 126 E Main St Ste D Group Name: Southwest Payson, AZ 85541 Payson, AZ 85541 Behavioral Health Services Inc (928) 474-1714 EB, P, R (928) 474-9744 EB, P, R Provider ID: 000418611002 Ages: 0-99 Ages: 0-99 NPI: 1083625883 404 W Aero Dr Banner Physician Specialists Banner Physician Specialists Payson, AZ 85541 Arizona Arizona (928) 474-3303 EB, P, R, RE, T Provider ID: 003392759007 Provider ID: 003392759015 NPI: 1316228802 NPI: 1316228802 Languages Spoken: 120 E Main St Ste A 6152 Hardscrabble Rd Provider: Spanish Payson, AZ 85541 Pine, AZ 85544 Web address: www.sbhservices.org (928) 474-9744 EB, P, R (929) 476-9901 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E070, E160, MAT1, P010, THS Banner Physician Specialists Banner Physician Specialists Arizona Arizona Provider ID: 003392759007 Provider ID: 003392759015 Psychiatry Group / Grupo De NPI: 1316228802 NPI: 1316228802 Psiquiatría 122 E Main St 803 S Ponderosa St Ste C Banner Hospital Ba Phys Az Payson, AZ 85541 Payson, AZ 85541 Provider ID: 002831785001 (928) 472-3478 EB, P, R (928) 472-1222 EB, P, R NPI: 1124374822 Ages: 0-99 Ages: 0-99 807 S Ponderosa St Payson, AZ 85541 (928) 474-3222 RE, T Ages: 0-99

147

Arizona - Gila Behavioral Health Providers / Proveedores De Salud Mental Banner Physician Specialists Community Bridges Community Bridges Arizona Provider ID: 006193503001 Provider ID: 006193503001 Provider ID: 003392759015 NPI: 1508124488 NPI: 1508124488 NPI: 1316228802 5734 Hope Ln 803 W Main St 807 S Ponderosa St Globe, AZ 85501 Payson, AZ 85541 Payson, AZ 85541 (928) 425-2415 EB, P, R, RE, T (928) 468-0032 EB, P, R, RE, S, T (928) 474-3222 RE, T Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish Provider: Spanish Staff: Spanish Staff: Spanish Banner Physician Super Spec Mo-Fr - 8:00 AM - 4:00 PM Web address: https://communitybrid Arizona Web address: www.communitybrid gesaz.org/ Provider ID: 003398737005 gesaz.org Ages: 0-99 NPI: 1578125738 Ages: 0-99 Areas of Expertise: A101, E010, 803 S Ponderosa St Ste C Areas of Expertise: A101, E010, E021, E042, E055, E075, E098, Payson, AZ 85541 E021, E042, E055, E075, E098, E130, E180, E374, P035 (928) 596-4550 EB, P, R E130, E180, E374, P035 Ages: 0-99 Community Bridges Community Bridges Provider ID: 006193503001 Community Bridges Provider ID: 006193503001 NPI: 1508124488 Provider ID: 006193503001 NPI: 1508124488 803 W Main St Ste C NPI: 1508124488 5734 Hope Ln Ste 1 Payson, AZ 85541 5734 E Hope Lane Globe, AZ 85501 (928) 468-0032 EB, P, R, RE, S, Globe, AZ 85501 (928) 425-2415 EB, P, R T (928) 425-2415 Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Provider: Spanish Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A101, E010, Areas of Expertise: A101, E010, Areas of Expertise: A101, E010, E021, E042, E055, E075, E098, E021, E042, E055, E075, E098, E021, E042, E055, E075, E098, E130, E180, E374, P035 E130, E180, E374, P035 E130, E180, E374, P035 Community Bridges District Medical Group Provider ID: 006193503001 Provider ID: 003164329031 NPI: 1508124488 NPI: 1407106719 5734 Hope Ln Ste 2 5515 S Apache Ave Ste 100 Globe, AZ 85501 Globe, AZ 85501 (928) 425-2415 EB, P, R, RE, T (928) 425-3189 EB, P, R Languages Spoken: Ages: 0-99 Provider: Spanish Ages: 0-99 Areas of Expertise: A101, E010, E021, E042, E055, E075, E098, E130, E180, E374, P035

148

Behavioral Health Providers / Proveedores De Salud Mental Arizona - Gila

Horizon Health And Wellness Pathways Of Az Provider ID: 005839333001 Provider ID: 005663721007 Social Worker - Licensed / NPI: 1659308989 NPI: 1407195274 Trabajador Social - Licenciada 2250 Hwy 60 Ste I Foster Care Only Provider Kittell, Gwen, MA , (F) Globe, AZ 85501 Payson, AZ 85541 Group Name: Community (928) 402-8032 EB, P, R (540) 710-6085 Bridges Ages: 0-99 Ages: 0-99 Provider ID: 007601211001 Areas of Expertise: E010, E017, NPI: 1053914630 E025, E043, E050, E055, E060, Psychology Specialists 803 W Main St E062, E080, E085, E090, E100, Provider ID: 002265487001 Payson, AZ 85541 E105, E115, E147, E155, E160, NPI: 1053368605 (928) 468-0022 EB, P, R, RE, S, T E166, E170, E177, E185, E186, 621 S Fifth St Cultural Competency: Y E187, E190, E198, E200, E210, Globe, AZ 85501 Ages: 0-99 E212, E218, E230, E235, E240, (309) 706-3190 E, EB, IB, P, R Areas of Expertise: A101, P010 E285, E365, E374, E377, E379, Ages: 0-99 E381, E396, E397, P010, P020, Nwokorie, Angela C, CSW, (F) P030 University Physician Specialists Group Name: Canyonlands LLC Community Health Care Horizon Health And Wellness Provider ID: 005942438001 Provider ID: 007418545001 Provider ID: 005839333001 NPI: 1437529245 NPI: 1124434857 NPI: 1659308989 807 S Ponderosa St 5860 S Hospital Dr Ste 102 415 W Baseline Spur Payson, AZ 85541 Globe, AZ 85501 Globe, AZ 85501 (928) 474-3222 RE, T (928) 402-0941 E, EB, G, IB, P, (928) 402-9297 EB, P, R, RE, T Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Areas of Expertise: E010, E017, Victoria L Woods Lcsw LLC E025, E043, E050, E055, E060, Provider ID: 003728067002 Park, Lori A, MA, (F) E062, E080, E085, E090, E100, 814 N Beeline Hwy Ste E Group Name: Horizon Health E105, E115, E147, E155, E160, Payson, AZ 85541 And Wellness E166, E170, E177, E185, E186, (602) 679-5273 EB, P, R, RE, S, Provider ID: 003285325002 E187, E190, E198, E200, E210, T NPI: 1053561431 E212, E218, E230, E235, E240, Ages: 0-99 415 W Baseline Spur E285, E365, E374, E377, E379, Globe, AZ 85501 E381, E396, E397, P010, P020, Victoria L Woods Lcsw LLC (520) 836-1688 EB, P, R, RE, T P030 Provider ID: 003728067002 814 N Beeline Hwy Ste Ie Ages: 0-99 Payson, AZ 85541 Areas of Expertise: THS (602) 679-5273 Ages: 0-99

149

Arizona - Pinal Behavioral Health Providers / Proveedores De Salud Mental

Horizon Health And Wellness Pinal Professional Counselor / Provider ID: 005839333001

Consejero Profesional NPI: 1659308989 Advanced Practice Registered Park, Lori A, MA , (F) 980 E Mt Lemmon Rd Psychiatric Nurse Practitioner / Group Name: Horizon Health Oracle, AZ 85623 Enfermera Psiquiátrica Titulada And Wellness (520) 896-6019 EB, P, R En Práctica Avanzada Provider ID: 003285325002 Ages: 0-99 Mccarvell, Kathleen A, NP, (F) NPI: 1053561431 Areas of Expertise: E010, E017, Group Name: Horizon Health 980 E Mt Lemmon Road E025, E043, E050, E055, E060, And Wellness Oracle, AZ 85623 E062, E080, E085, E090, E100, Provider ID: 003179911003 (520) 896-9240 EB, P, R E105, E115, E147, E155, E160, NPI: 1154500981 Ages: 0-99 E166, E170, E177, E185, E186, 980 E Mt Lemmon Road Areas of Expertise: THS E187, E190, E198, E200, E210, Oracle, AZ 85623 E212, E218, E230, E235, E240, (520) 896-6019 EB, P, R Sorensen, Maria, MA, (F) E285, E365, E374, E377, E379, Cultural Competency: Y Group Name: Horizon Health E381, E396, E397, P010, P020, Ages: 0-99 And Wellness P030 Hospital Affiliations: Provider ID: 006438429002 Tacoma General Allenmore NPI: 1407191067 Horizon Health And Wellness Areas of Expertise: A060, E010, 980 E Mt Lemmon Road Provider ID: 005839333001 E017, E020, E025, E062, E070, Oracle, AZ 85623 NPI: 1659308989 E160, E165, E185, E198, E200, (520) 896-6019 EB, P, R 980 E Mt Lemmon Road E210, E220, E240, E377, MAT1, Ages: 0-99 Oracle, AZ 85623 P010, P035, P080, THS Areas of Expertise: E112, THS (520) 896-6019 EB, P, R Ages: 0-99

Areas of Expertise: E010, E017, Physician Assistant-Behavioral / Psychiatry Group / Grupo De E025, E043, E050, E055, E060, Comportamiento Del Asistente Psiquiatría E062, E080, E085, E090, E100, Médico Banner University Medical Group E105, E115, E147, E155, E160, Madsen, Roman K, PA, (M) Provider ID: 000118542004 E166, E170, E177, E185, E186, Group Name: Mountain Health NPI: 1508809427 E187, E190, E198, E200, E210, And Wellness 23 S Mcnab Pkwy E212, E218, E230, E235, E240, Provider ID: 005903304001 San Manuel, AZ 85631 E285, E365, E374, E377, E379, NPI: 1750784617 (520) 385-2234 E, EB, G, IB, P, E381, E396, E397, P010, P020, 980 E Mt Lemmon Road PL, R, RE, S, T P030 Oracle, AZ 85623 Ages: 0-99 (520) 896-9240 EB, P, R Areas of Expertise: THS Ages: 0-99 Areas of Expertise: MAT1, THS

150

Behavioral Health Providers / Proveedores De Salud Mental Utah - Washington

Robison, Cecelia M, MS, (F) Social Worker - Licensed / Group Name: Sun Life Family Psychiatry Group / Grupo De Trabajador Social - Licenciada Health Center Psiquiatría Horn, Rebecca J, MS, (F) Provider ID: 005202743001 Crimson Counseling Group Name: Sun Life Family NPI: 1275938540 Provider ID: 006871774001 Health Center 23 S Mcnab Pkwy NPI: 1457863771 Provider ID: 003514294001 San Manuel, AZ 85631 249 E Tabernacle St Ste 100 NPI: 1295087740 (520) 385-2234 E, EB, IB, P, R, Saint George, UT 84770 1870 W American Way S, T (435) 705-7574 EB, P, R Oracle, AZ 85623 Sa - 8:00 AM - 12:00 PM Ages: 0-99 (520) 896-2092 E, EB, IB, P, R, Cultural Competency: Y RE, S, T Web address: www.sunlife.org Cultural Competency: Y Ages: 0-99 Social Worker - Licensed / Ages: 0-99 Trabajador Social - Licenciada

Ruud, Ryan, MA, (M) Horn, Rebecca J, MS, (F) Utah Group Name: Crimson

Group Name: Sun Life Family Counseling Washington Health Center Provider ID: 006872999001

Provider ID: 003514294001 NPI: 1972911881 NPI: 1295087740 Autism Behavorial Analyst / 249 E Tabernacle St Ste 100 23 S Mcnab Pkwy Analista Conductual De Autismo Saint George, UT 84770 San Manuel, AZ 85631 Koontz, Ashley, MA , (F) (435) 705-7574 EB, P, R (520) 385-2234 E, EB, IB, P, R, Group Name: Crimson Ages: 0-99 RE, S, T Counseling Areas of Expertise: E017, E025, Cultural Competency: Y Provider ID: 007471219001 E042, E055, E060, E070, E085, Ages: 0-99 NPI: 1851800932 E115, E147, E165, E170, E180, 249 E Tabernacle St Ste 100 E185, E187, E190, E200, E218, Park, Lori A, MA, (F) Saint George, UT 84770 E373, E390, E394, P010, P013, Group Name: Horizon Health (435) 705-7574 EB, P, R P030, P035, P080 And Wellness Mo-Fr - 8:00 AM - 4:00 PM Provider ID: 003285325002 Ages: 0-99 NPI: 1053561431 Areas of Expertise: A017, A070, 980 E Mt Lemmon Road E390, P010, P013, P080 Oracle, AZ 85623 (520) 896-9240 EB, P, R Ages: 0-99 Areas of Expertise: THS

151

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

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

Payson Outpatient Service Provider ID: 007041477001 NPI: 1548709173 803 W Main St Payson, AZ 85541 (480) 631-7566 EB, P, R, RE, S, T

Areas of Expertise: THS

Psychology Specialists Provider ID: 007038429001 NPI: 1053368605 621 S 5th St Globe, AZ 85501 (480) 524-0990 EB, P, R

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

ABUSE / ABUSO (E010) APPLIED BEHAVIOR ANALYSIS CHILD CARE (6-12 YEARS) / Community Bridges...... 147 (ABA) / ANÁLISIS CONDUCTUAL CUIDADO DE NIÑOS (6-12 AÑOS) Espinoza, Hugo A, NP...... 83 APLICADO (ABA) (A017) (P013) Horizon Health And Wellness .... 148, 149 Koontz, Ashley, MA...... 150 Koontz, Ashley, MA...... 150 Mccarvell, Kathleen A, NP...... 143, 149 ASSERTIVE COMMUNITY Ruud, Ryan, MA...... 150 Villegas, Joanne E, MA ...... 84, 144 TREATMENT (ACT) / CHRISTIAN COUNSELING / ADOLESCENT CARE (13-18 YEARS) / TRATAMIENTO ASERTIVO ASESORAMIENTO CRISTIANO CUIDADO DE ADOLESCENTES COMUNITARIO (ACT) (E021) (E050) (13-18 AÑOS) (P080) Community Bridges...... 147 Horizon Health And Wellness .... 148, 149 Koontz, Ashley, MA...... 150 ATTENTION DEFICIT DISORDERS CO-OCCURRING DISORDERS Mccarvell, Kathleen A, NP...... 143, 149 (ADHD) / TRASTORNOS POR (MENTAL AND SUBSTANCE) / Ruud, Ryan, MA...... 150 DÉFICIT DE ATENCIÓN (ADHD) TRASTORNOS CONCOMITANTES Sexton, Alicia A, MS...... 143 (E025) (MENTALES Y POR CONSUMO DE ADOLESCENT CARE (13-18 YEARS) / Ekman, John K, FNP ...... 142 SUSTANCIAS) (E062) CUIDADO DE ADOLESCENTES Espinoza, Hugo A, NP...... 83 Ekman, John K, FNP ...... 142 (13-18 AÑOS) (SP05) Fargas Rodriguez, Arnaldo, MA. 142, 144 Horizon Health And Wellness .... 148, 149 St George Regional Hospital ...... 36 Horizon Health And Wellness .... 148, 149 Mccarvell, Kathleen A, NP...... 143, 149 ADULT CARE (18 + YEARS) / Mccarvell, Kathleen A, NP...... 143, 149 COGNITIVE BEHAVIORAL CUIDADO DE ADULTOS (MAYORES Ruud, Ryan, MA...... 150 THERAPY / TERAPIA DE 18 AÑOS) (P010) Villegas, Joanne E, MA ...... 84, 144 COGNITIVO-CONDUCTUAL (E055) Davenport, Lori L, MA...... 144 AUTISM / AUTISMO (E098) Community Bridges...... 147 Ekman, John K, FNP ...... 142 Community Bridges...... 147 Davenport, Lori L, MA...... 144 Espinoza, Hugo A, NP...... 83 AUTISM / AUTISMO (E147) Horizon Health And Wellness .... 148, 149 Fargas Rodriguez, Arnaldo, MA. 142, 144 Ruud, Ryan, MA...... 150 Horizon Health And Wellness .... 148, 149 Hemenway, Charolette, NP...... 44, 143 COMPULSIVE GAMBLING / JUEGO Horizon Health And Wellness .... 148, 149 Ruud, Ryan, MA...... 150 COMPULSIVO (LUDOPATÍA) (E060) Kittell, Gwen, MA ...... 148 AUTISM / AUTISMO (E187) Koontz, Ashley, MA...... 150 Horizon Health And Wellness .... 148, 149 Horizon Health And Wellness .... 148, 149 Ruud, Ryan, MA...... 150 Martorana, Diana, MA...... 144, 145 Ruud, Ryan, MA...... 150 Mccall, Scott C, MD ...... 146 DAY HABILITATION / AUTISM / AUTISMO (E379) Mccarvell, Kathleen A, NP...... 143, 149 HABILITACIÓN DIURNA (E429) Ruud, Ryan, MA...... 150 Horizon Health And Wellness .... 148, 149 Bancroft, Tammi L, MS...... 42, 43, 142 Sexton, Alicia A, MS...... 143 AUTISM SPECTRUM DISORDERS / DEPRESSION / DEPRESIÓN (E070) Simmons, Joseph, MA ...... 145 TRASTORNOS DEL ESPECTRO Villegas, Joanne E, MA ...... 84, 144 AUTISTA (E390) Capampangan, Dan, MD...... 145 ANGER / IRA (E017) Davenport, Lori L, MA...... 144 Koontz, Ashley, MA...... 150 Ekman, John K, FNP ...... 142 Davenport, Lori L, MA...... 144 Ruud, Ryan, MA...... 150 Espinoza, Hugo A, NP...... 83 Espinoza, Hugo A, NP...... 83 BIOFEEDBACK / Fargas Rodriguez, Arnaldo, MA. 142, 144 Horizon Health And Wellness .... 148, 149 BIORRETROALIMENTACIÓN (E040) Lee-Iannotti, Joyce K, MD ...... 82 Mccarvell, Kathleen A, NP...... 143, 149 Mccall, Scott C, MD ...... 146 Ruud, Ryan, MA...... 150 Espinoza, Hugo A, NP...... 83 Mccarvell, Kathleen A, NP...... 143, 149 Villegas, Joanne E, MA ...... 84, 144 BIPOLAR DISORDER / TRASTORNO Ruud, Ryan, MA...... 150 ANXIETY / ANSIEDAD (E020) BIPOLAR (E042) DEPRESSION / DEPRESIÓN (E198) Capampangan, Dan, MD...... 145 Community Bridges...... 147 Espinoza, Hugo A, NP...... 83 Davenport, Lori L, MA...... 144 Fargas Rodriguez, Arnaldo, MA. 142, 144 Horizon Health And Wellness .... 148, 149 Ekman, John K, FNP ...... 142 Ruud, Ryan, MA...... 150 Mccarvell, Kathleen A, NP...... 143, 149 Espinoza, Hugo A, NP...... 83 Villegas, Joanne E, MA ...... 84, 144 Fargas Rodriguez, Arnaldo, MA. 142, 144 CASE MANAGEMENT / DEVELOPMENTALLY DISABLED / Lee-Iannotti, Joyce K, MD ...... 82 ADMINISTRACIÓN DE CASOS (E043) CON DISCAPACIDAD DEL DESARROLLO (DD) Mccarvell, Kathleen A, NP...... 143, 149 Horizon Health And Wellness .... 148, 149 Sexton, Alicia A, MS...... 143 Carlile, Maranda S, NP ...... 43 Villegas, Joanne E, MA ...... 84, 144 Demack, Michael K, PA ...... 48 Harris, Jonathan G, NP ...... 101 CSAZ.18.999.01.9.017

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

Hoffman, Donna L, FNP...... 37 GERIATRIC CARE (65+ YEARS) / MEDICATION ASSISTED Vigil, Lynne A, FNP...... 37 CUIDADO GERIÁTRICO (MAYORES TREATMENT (MAT) / Villegas, Joanne E, MA ...... 84, 144 DE 65 AÑOS) (SP50) TRATAMIENTO ASISTIDO CON DEVELOPMENTALLY DISABLED / Southwest Behavioral Health Services 151 MEDICAMENTOS (MAT) (A100) CON DISCAPACIDAD DEL Bancroft, Tammi L, MS...... 42, 43, 142 DESARROLLO (E075) GRIEF / DUELO (E115) MEDICATION ASSISTED Community Bridges...... 147 Espinoza, Hugo A, NP...... 83 Horizon Health And Wellness .... 148, 149 TREATMENT (MAT) / DIALECTICAL BEHAVIORAL Ruud, Ryan, MA...... 150 TRATAMIENTO ASISTIDO CON THERAPY / TERAPIA DIALÉCTICA MEDICAMENTOS (MAT) (E365) CONDUCTUAL (E080) IN-HOME CARE/HOME VISITS / VISITAS A DOMICILIO/CUIDADO A Horizon Health And Wellness .... 148, 149 Davenport, Lori L, MA...... 144 DOMICILIO (E130) MEDICATION ASSISTED Horizon Health And Wellness .... 148, 149 Community Bridges...... 147 TREATMENT (MAT) - DOMESTIC VIOLENCE / VIOLENCIA BUPRENORPHINE / TRATAMIENTO LEARNING DISABILITIES / INTRAFAMILIAR (E090) ASISTIDO CON MEDICAMENTOS DISCAPACIDADES DEL (MAT) (MAT1) Davenport, Lori L, MA...... 144 APRENDIZAJE (E218) Espinoza, Hugo A, NP...... 83 Bancroft, Tammi L, MS...... 42, 43, 142 Horizon Health And Wellness .... 148, 149 Horizon Health And Wellness .... 148, 149 Bennett, Richard W, MD ...... 58 Ruud, Ryan, MA...... 150 Villegas, Joanne E, MA ...... 84, 144 Burk, Bessie, FNP...... 49, 52, 98, 101 FAMILY THERAPY / TERAPIA LESBIAN, GAY, BISEXUAL, Dardy, Sandra, FNP ...... 53 FAMILIAR (P030) TRANSGENDER, & QUEER (LGBTQ) Davis, Bryan M, DO ...... 66, 145, 146 CARE / CUIDADO DE PERSONAS Elloway, Arleen, MS...... 43, 142 Espinoza, Hugo A, NP...... 83 LESBIANAS, GAYS, BISEXUALES, Fader, Paul F, MD...... 39 Horizon Health And Wellness .... 148, 149 TRANSGÉNERO Y HOMOSEXUALES Falke, Sharon L, NP...... 44 Ruud, Ryan, MA...... 150 (LGBTQ) (E105) Hunt, Judith A, MD ...... 47 FETAL ALCOHOL SYNDROME / Davenport, Lori L, MA...... 144 Jarrell, Christopher, NP...... 45 SÍNDROME ALCOHÓLICO FETAL Espinoza, Hugo A, NP...... 83 Madsen, Roman K, PA ...... 149 (E394) Horizon Health And Wellness .... 148, 149 Mccall, Scott C, MD ...... 146 Ruud, Ryan, MA...... 150 Mccarvell, Kathleen A, NP...... 143, 149 LESBIAN, GAY, BISEXUAL, Michels, Alan P, MD ...... 42 FUNCTIONAL FAMILY THERAPY TRANSGENDER, & QUEER (LGBTQ) Nguyen, Tam T, MD...... 94 (FFT) / TERAPIA FAMILIAR CARE / CUIDADO DE PERSONAS Rankovic, Alecia, MSN ...... 143 FUNCIONAL (FFT) (E396) LESBIANAS, GAYS, BISEXUALES, Root, Bradley D, DO ...... 117 Horizon Health And Wellness .... 148, 149 TRANSGÉNERO Y HOMOSEXUALES Root, Max R, MD ...... 117, 118 (LGBTQ) (E385) GENERAL THERAPY / TERAPIA Villegas, Joanne E, MA ...... 84, 144 GENERAL (E112) Espinoza, Hugo A, NP...... 83 MEDICATION MANAGEMENT / Capampangan, Dan, MD...... 145 LONG-ACTING ANTIPSYCHOTIC ADMINISTRACIÓN DE Charles, Travis B, DO...... 38 INJECTIONS / ANTIPSICÓTICOS MEDICAMENTOS (E160) Ekman, John K, FNP ...... 142 INYECTABLES DE ACCIÓN Capampangan, Dan, MD...... 145 Espinoza, Hugo A, NP...... 83 PROLONGADA (E381) Charles, Travis B, DO...... 38 Frieden, Derek L, MD...... 115, 116 Ekman, John K, FNP ...... 142 Ekman, John K, FNP ...... 142 Lee-Iannotti, Joyce K, MD ...... 82 Horizon Health And Wellness .... 148, 149 Espinoza, Hugo A, NP...... 83 Sorensen, Maria, MA...... 149 Fargas Rodriguez, Arnaldo, MA. 142, 144 MARRIAGE & COUPLE'S THERAPY Frieden, Derek L, MD...... 115, 116 GERIATRIC CARE (65+ YEARS) / / TERAPIA MATRIMONIAL Y DE Horizon Health And Wellness .... 148, 149 CUIDADO GERIÁTRICO (MAYORES PAREJA (P020) DE 65 AÑOS) (P035) Lee-Iannotti, Joyce K, MD ...... 82 Davenport, Lori L, MA...... 144 Mccall, Scott C, MD ...... 146 Community Bridges...... 147 Espinoza, Hugo A, NP...... 83 Mccarvell, Kathleen A, NP...... 143, 149 Hemenway, Charolette, NP...... 44, 143 Horizon Health And Wellness .... 148, 149 Martorana, Diana, MA...... 144, 145 MENTAL HEALTH FORENSICS FOR Mccarvell, Kathleen A, NP...... 143, 149 MEDICAL ILLNESS & DISEASE AT RISK OFFENDERS / MEDICINA Ruud, Ryan, MA...... 150 MANAGEMENT / MANEJO DE FORENSE DE SALUD MENTAL Simmons, Joseph, MA ...... 145 ENFERMEDADES Y AFECCIONES PARA AGRESORES EN RIESGO MÉDICAS (E155) (E100) Ekman, John K, FNP ...... 142 Horizon Health And Wellness .... 148, 149 Horizon Health And Wellness .... 148, 149 CSAZ.18.999.01.9.017

155

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

MENTAL HEALTH RESIDENTIAL Davenport, Lori L, MA...... 144 Bakall, Benjamin B, MD ...... 85 SERVICE / SERVICIO RESIDENCIAL Ekman, John K, FNP ...... 142 Bancroft, Tammi L, MS...... 42, 43, 142 PARA LA SALUD MENTAL (SP60) Espinoza, Hugo A, NP...... 83 Bryan, Joseph S, MD ...... 86 Horizon Health And Wellness .... 148, 149 Elloway, Arleen, MS...... 43, 44, 142 Southwest Behavioral Health Services 151 Mccarvell, Kathleen A, NP...... 143, 149 Espinoza, Hugo A, NP...... 83 MOOD DISORDERS / TRASTORNOS Ruud, Ryan, MA...... 150 Gaitan, Jaime R, MD ...... 87 DEL ESTADO DE ÁNIMO (E165) PERSONALIZED RECOVERY Hemenway, Charolette, NP...... 44, 143 Capampangan, Dan, MD...... 145 ORIENTED SERVICES (PROS) / Kazaka, Katharine A, MS ...... 143 Davenport, Lori L, MA...... 144 SERVICIOS PERSONALIZADOS Kwong, Henry M, MD...... 87 Ekman, John K, FNP ...... 142 ORIENTADOS A LA Martorana, Diana, MA...... 144, 145 Lee-Iannotti, Joyce K, MD ...... 82 RECUPERACIÓN (PROS) (E186) Rankovic, Alecia, MSN ...... 143 Reddy, Rahul K, MD ...... 87, 88 Mccarvell, Kathleen A, NP...... 143, 149 Horizon Health And Wellness .... 148, 149 Ruud, Ryan, MA...... 150 Welch, Matthew J, MD...... 88 PHOBIAS / FOBIAS (E190) MULTI-SYSTEMIC THERAPY (MST) PSYCHOLOGICAL TESTING / / TERAPIA MULTISISTÉMICA (MST) Davenport, Lori L, MA...... 144 PRUEBAS PSICOLÓGICAS (E205) (E166) Espinoza, Hugo A, NP...... 83 Espinoza, Hugo A, NP...... 83 Horizon Health And Wellness .... 148, 149 Horizon Health And Wellness .... 148, 149 Ruud, Ryan, MA...... 150 RESIDENTIAL TREATMENT & RECOVERY OF SUBSTANCE USE / MULTIDIMENSIONAL FAMILY PHYSICAL & MENTAL THERAPY (MDFT) / TERAPIA TRATAMIENTO RESIDENCIAL Y DISABILITIES / DISCAPACIDADES RECUPERACIÓN DEL CONSUMO DE FAMILIAR MULTIDIMENSIONAL FÍSICAS Y MENTALES (E373) (MDFT) (E397) SUSTANCIAS (SP80) Ruud, Ryan, MA...... 150 Horizon Health And Wellness .... 148, 149 Southwest Behavioral Health Services 151 PHYSICAL DISABILITIES / RESPITE CARE / RELEVO DEL NURSE WITH PRESCRIPTIVE DISCAPACIDADES FÍSICAS (E376) PRIVILEGES / ENFERMERA CON CUIDADOR (E212) PRIVILEGIOS PARA RECETAR Espinoza, Hugo A, NP...... 83 Horizon Health And Wellness .... 148, 149 (A060) POST TRAUMATIC STRESS SCHIZOPHRENIA / Ekman, John K, FNP ...... 142 DISORDER (PTSD) / TRASTORNO ESQUIZOFRENIA (E210) Fargas Rodriguez, Arnaldo, MA. 142, 144 POR ESTRÉS POSTRAUMÁTICO (PTSD) (E085) Ekman, John K, FNP ...... 142 Mccarvell, Kathleen A, NP...... 143, 149 Horizon Health And Wellness .... 148, 149 Villegas, Joanne E, MA ...... 84, 144 Horizon Health And Wellness .... 148, 149 Mccarvell, Kathleen A, NP...... 143, 149 Ruud, Ryan, MA...... 150 OBSESSIVE COMPULSIVE SERIOUS MENTAL ILLNESS / DISORDER (OCD) / TRASTORNO POST TRAUMATIC STRESS ENFERMEDAD MENTAL GRAVE OBSESIVO-COMPULSIVO (OCD) DISORDER (PTSD) / TRASTORNO (E377) (E170) POR ESTRÉS POSTRAUMÁTICO (PTSD) (E200) Davenport, Lori L, MA...... 144 Davenport, Lori L, MA...... 144 Ekman, John K, FNP ...... 142 Ekman, John K, FNP ...... 142 Davenport, Lori L, MA...... 144 Horizon Health And Wellness .... 148, 149 Espinoza, Hugo A, NP...... 83 Ekman, John K, FNP ...... 142 Mccarvell, Kathleen A, NP...... 143, 149 Horizon Health And Wellness .... 148, 149 Espinoza, Hugo A, NP...... 83 Sexton, Alicia A, MS...... 143 Ruud, Ryan, MA...... 150 Horizon Health And Wellness .... 148, 149 Mccarvell, Kathleen A, NP...... 143, 149 SLEEP DISORDERS / TRASTORNOS PAIN MANAGEMENT / MANEJO DEL SUEÑO (E230) DEL DOLOR (E180) Ruud, Ryan, MA...... 150 Villegas, Joanne E, MA ...... 84, 144 Horizon Health And Wellness .... 148, 149 Community Bridges...... 147 SUBSTANCE ABUSE DISORDERS / Ekman, John K, FNP ...... 142 PRESCHOOL AGE CARE (0-5 Espinoza, Hugo A, NP...... 83 YEARS) / CUIDADO DE NIÑOS EN TRASTORNOS POR ABUSO DE Ruud, Ryan, MA...... 150 EDAD PREESCOLAR (0-5 AÑOS) SUSTANCIAS (E177) (A070) PAIN MANAGEMENT / MANEJO Horizon Health And Wellness .... 148, 149 DEL DOLOR (E235) Koontz, Ashley, MA...... 150 SUBSTANCE USE DISORDER / Davenport, Lori L, MA...... 144 PROVIDER LED INTEGRATED TRASTORNO POR CONSUMO DE Horizon Health And Wellness .... 148, 149 CARE COORDINATION / SUSTANCIAS (A021) COORDINACIÓN DEL CUIDADO DE PERSONALITY DISORDERS / Villegas, Joanne E, MA ...... 84, 144 LA SALUD INTEGRADO DIRIGIDA TRASTORNOS DE LA POR PROVEEDORES (PLIC) PERSONALIDAD (E185) Appleby Kittle, Carrie L, MA...... 144 CSAZ.18.999.01.9.017

156

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

SUBSTANCE USE DISORDER / TRANSGENDER CARE / CUIDADO TRASTORNO POR CONSUMO DE DE PERSONAS TRANSGÉNERO SUSTANCIAS (E285) (E240) Horizon Health And Wellness .... 148, 149 Horizon Health And Wellness .... 148, 149 TELEMEDICINE / TELEMEDICINA Mccarvell, Kathleen A, NP...... 143, 149 (THS) TRAUMA / TRAUMA (E215) Appleby Kittle, Carrie L, MA...... 144 Davenport, Lori L, MA...... 144 Bakall, Benjamin B, MD ...... 85 TRAUMA / TRAUMA (E374) Bancroft, Tammi L, MS...... 42, 43, 142 Banner University Medical Group...... 149 Community Bridges...... 147 Bryan, Joseph S, MD ...... 86 Davenport, Lori L, MA...... 144 Colburn, Mary B, MA...... 144 Horizon Health And Wellness .... 148, 149 Community Bridges Hope Ln...... 151 TREATMENT FOR SEXUAL Community Bridges Payson ...... 151 OFFENDERS / TRATAMIENTO PARA Davenport, Lori L, MA...... 144 AGRESORES SEXUALES (E220) Davis, Bryan M, DO ...... 66, 145, 146 Espinoza, Hugo A, NP...... 83 Ekman, John K, FNP ...... 142 Mccarvell, Kathleen A, NP...... 143, 149 Elloway, Arleen, MS...... 43, 44, 142 Espinoza, Hugo A, NP...... 83 Fargas Rodriguez, Arnaldo, MA. 142, 144 Fenster, Paul E, MD...... 61 Gaitan, Jaime R, MD ...... 87 Harris, Jonathan G, NP ...... 101 Hemenway, Charolette, NP...... 44, 143 Kazaka, Katharine A, MS ...... 143 Kwong, Henry M, MD...... 87 Madsen, Roman K, PA ...... 149 Martorana, Diana, MA...... 144, 145 Mccall, Scott C, MD ...... 146 Mccarvell, Kathleen A, NP...... 143, 149 Nelson, Gloriajean, NP ...... 45 Park, Lori A, MA...... 145, 148, 149, 150 Patil, Arun S, MD ...... 64, 72, 73 Payson Outpatient Service ...... 151 Pineres, Amalia D, MD...... 40 Rankovic, Alecia, MSN ...... 143 Reddy, Rahul K, MD ...... 87, 88 Sexton, Alicia A, MS...... 143 Sorensen, Maria, MA...... 149 Southwest Behavioral Health Services 151 Sumar, Riyaz A, MD ...... 64, 65, 73 Udall, Craig K, DPM ...... 94 Vakil, Hiva, MD ...... 62, 65 Vandruff, John E, MD ...... 41 Welch, Matthew J, MD...... 88 TELEMENTAL HEALTH CAPABILITY / CAPACIDAD PARA SALUD TELEMENTAL (A101) Community Bridges...... 147 Davenport, Lori L, MA...... 144 Ekman, John K, FNP ...... 142 Kittell, Gwen, MA ...... 148 Sexton, Alicia A, MS...... 143 CSAZ.18.999.01.9.017 Index / Indice 157

Index / Índice

A Betts, Amy...... 126 Chugh, Tarun, MD...... 75 Abad, Maria M, MD...... 55 Bheemanathini, Praveen, MD...... 69 Chung Tze Chong, Daniel A, MD...... 52 Abbott, Brandon H, DO...... 41, 46 Bi, Sucai, MD...... 85 Clark, Randy R, MD...... 113 Abdo, Joseph G, MD...... 67 Biehn, Jeffrey L, DO...... 88 Cobre Valley Pharmacy...... 124 Adams, Tamerut A, DO...... 41 Bishop, Karen, NP...... 43 Cobre Valley Regional Medical Ctr/Rhc. Ahee, Ann M, NP...... 59 Bista, Amar B, MD...... 74 ...... 138 Ahmed, Irfan, MD...... 73 Black, Cameron T, MD...... 109 Cobre Valley Surgical Services...... 138 Aitken, Jane A...... 126 Blatter, Grant L...... 137 Cockfield, Ann D...... 135 Ajluni, Nader R, DO...... 55 Boiangiu, Constantin C, MD...... 97 Colattur, Shyam N, MD...... 76 Albers, Victoria L...... 128 Bond, Sarah E...... 126 Colburn, Mary B, MA...... 144 Alexander, Cami L, FNP...... 66 Boorman, David C, MD...... 108 Collier, Kelly S...... 127 Allen, April, NP...... 42, 82 Bouley, Patrick J...... 129 Community Bridges...... 147 Alten, Kimberly B, FNP...... 37 Bourquin, Todd L...... 129 Community Bridges Hope Ln...... 151 Altenbernd, Mary...... 128 Bowler, Brent, PA...... 118 Community Bridges Payson...... 151 Amaya-Pinto, Francisco J, MD...... 52 Bowman, Jonathan C, MD...... 56 Coohey, Barbara A...... 129 Amin, Tanay J, MD...... 68 Boyer, Michelle S, PA...... 47 Cook, Matthew O, DO...... 38 Andersen, Janice I...... 128 Boyer, Phillip D, DO...... 86 Cooper, Kelli...... 127, 129 Andrade, Oscar E, MD...... 37, 38 Bradbury, Alana J, NP...... 59 Cooper, Wantzy, DO...... 103 Angier, Matthew...... 128 Bradley, Ryan B, PA...... 47 Copley, John...... 129 Appleby Kittle, Carrie L, MA...... 144 Brisco, Kimberly A...... 129 Copper State Home Health...... 126 Arnold, Michael L, FNP...... 98, 101 Brooks, Nathan M, MD...... 38 Coral Desert Surgery Center...... 136 Arshad, Anees, MD...... 105, 106 Brown, Coby T, MD...... 141 Cortez, Andrew J, DO...... 76 Asiala, Chelsey A...... 128 Brown, Mitchell G, NP...... 52 Cox, Brandon R, PA...... 106, 118 Askari, Ali A, MD...... 61 Broz, Robin L, DO...... 46 Crandell, Gary D, PA...... 91 Asota, Ijeoma M, MD...... 85 Bryan, Joseph S, MD...... 86 Crimson Counseling...... 150 Astle, Craig D, MD...... 141 Bryan, Michael C, MD...... 139 Croft, Scott T, MD...... 88, 89 Aston, Nathan W, PA...... 106, 118 Buckingham, Jocelyn...... 129 Cruz, Amy B...... 129 Atalla, Jamal, MD...... 74 Bueno, Damaso S, MD...... 74 Cvs Pharmacy #11144...... 124 Aviant Hospice Gila...... 126 Bunker, Jocelyn, NP...... 111 D B Burk, Bessie, FNP...... 49, 52, 98, 101 Dahdal, Samir Y, MD...... 97, 99 Bade, Sarah...... 128 Buxton-Fattohy, Suzan S, MD...... 75 Dahl, Katharine C, MD...... 76 Bakall, Benjamin B, MD...... 85 C Danzer, Mark...... 129 Balderman, Joshua, MD...... 96, 103 Campbell, Chad, PA...... 48 Dardy, Sandra, FNP...... 53 Ballard, Amy...... 128 Campbell, Douglas J, MD...... 38 Davenport, Lori L, MA...... 144 Balraj, Praveen C, MD...... 94 Campion, Michael, MD...... 86 Davis, Bethany A, MD...... 38, 139 Bancroft, Tammi L, MS...... 42, 43, 142 Campton, Carley R, NP...... 66 Davis, Bryan M, DO...... 66, 145, 146 Banner Home Care Arizona...... 126 Cannon, Kimberly, FNP.50, 52, 98, 99, Day, Trevor J, DO...... 109, 110 Banner Hospital Ba Phys Az...... 146 101 Demack, Michael K, PA...... 48 Banner Physical Therapy And Rehab... 128 Canyonlands Hlthcr-Globe...... 138 Dennis, Lebron, PA...... 91 Banner Physician Specialists Arizona.146, Capampangan, Dan, MD...... 145 Desert Palms Physical Therapy Catalina. 147 Carlile, Maranda S, NP...... 43 ...... 136 Banner Physician Super Spec Arizona. 147 Carlson, Joshua N, MD...... 105, 112 Desjardins, Marissa L...... 129 Banner University Medical Group...... 149 Carlson, Tanner B, PA...... 48, 90 Diaz, Cynthia D, FNP...... 50, 53, 99, 101 Barakat, Mark R, MD...... 85 Carpenter, Derek B, PA...... 56, 102 Diaz, Mario...... 129 Barney, Christopher R, DMD...... 121 Carrillo, Diane E...... 129 Dickman, Erica...... 129 Bartholomew, Patricia, NP...... 43, 82 Carstens, Sarah J, MD...... 70 Dickman, Trevor P...... 129 Barton, Deborah D, NP...... 111 Cawley, Graham D...... 129 Dickson, Alysha N, PA...... 118 Barton, Scott D, MD...... 57 Challa, Sridevi, MD...... 70 District Medical Group...... 147 Bashas...... 124 Chamberlain, Howard L, MD...... 57 Dixon, Megan B, MD...... 76 Beaumont, Carrie L...... 129 Chan, Sean M, NP...... 101 Donovan, Brenda A, DNP...... 82 Beeline & Hwy 260...... 124 Channis, Basel, MD...... 70, 75 Downing, Kyle A...... 130 Benham, Brady N, MD...... 141 Chapman, Joshua T, NP...... 105, 107, 112 Doxey, G P, MD...... 114 Benitez, Jose, LPC...... 144 Charles, Travis B, DO...... 38 Dusek, Kevin J...... 130 Bennett, Richard W, MD...... 58 Chaudhary, Asad J, MD...... 75 E Bennett, Sara K, NP...... 43, 82 Chen, Ang, MD...... 75 Eastman, Ryan J...... 130 Berbos, Zachary J, MD...... 86 Chinn, Lisa E, DDS...... 122 Edstrom, Trent, NP...... 83 Berman, Scott S, MD...... 96, 103 Christensen, Bryt A, MD.114, 115, 116, Edwards, Michael G, NP...... 43 Bertelson, Erin N, NP...... 59 117 Eggers, Kevin...... 136 CSAZ.18.999.01.9.017 Index / Indice 158

Index / Índice

Eisenhart, Candee J, NP...... 43 Goodman, Steven M...... 131 Jean Philippe, Alethea D...... 131 Ekman, John K, FNP...... 142 Gordon, Alan J, MD...... 87 Jebaily, Nicholas X, MD...... 62 Ekpo, Ini E, MD...... 70 Goswami, Puja, MD...... 77 Jennings, Cameron S, MD...... 110 El Gasim, Mahmood M, MD...... 86 Graham, John S, MD...... 42 Jensen, Blaine S, PA...... 48, 91 Elloway, Arleen, MS...... 43, 44, 142 Graham, Patricia A...... 131 Jensen, Kristen A, PA...... 91 Espinoza, Hugo A, NP...... 83 Gray, Shannon M, NP...... 53 Jimenez Cintron, Jose M, MD...... 70 Estrada, Eddie, MD...... 140 Green, Adam S, MD...... 111 Johnson, Dayne A, PA...... 118 Ethington, Roger, OD...... 123 Green, Jared A, PA...... 118 Johnson, Emily G...... 131 Evans, James L, MD...... 97, 100 Greenfield, Danielle R...... 131 Johnson, Richard J...... 137 Evans, Robert T, DPM...... 93 H Jones, Jamison C, MD. .104, 107, 108, 109 F Hachem, Hassan A, MD...... 77 Judd, Lois M, NP...... 45 Facelo, Jason F...... 130 Hagerdon, Kelsey A...... 131 K Fader, Paul F, MD...... 39 Haglund, Kevin M...... 131 Kaiser, Bradley O, DDS...... 122 Faitelson, Hymie Lionel, MD...... 95 Hall, Nancy M...... 127 Kane County Hospital...... 36 Falke, Sharon L, NP...... 44 Hamblin, John S, DDS...... 121 Kaonohi, Leighton K, PA...... 118 Fargas Rodriguez, Arnaldo, MA. .142, 144 Hanger Prosthetics & Orthotics...... 137 Kartoumah, Almutaz B, MD...... 78 Fat-Denatsosie, Brittany J, NP...... 44 Hanger Prosthetics & Orthotics West... 128 Kasper, Lawrence M, MD...... 69 Fenster, Paul E, MD...... 61 Hanna, Abboud, MD...... 78 Katariya, Kushagra, MD...... 97, 102, 103 Ferraro, James C, DO...... 76 Hansen, Ethan...... 131 Kazaka, Katharine A, MS...... 143 Fierro, Kenneth A...... 130 Hardcastle, Lacey A...... 131 Kearny Pharmacy...... 124 Files, Laura B...... 130 Harris, Jonathan G, NP...... 101 Keen, Brent L, MD...... 39 Finch, Glenn M, NP...... 39, 44 Hart, Brenna B...... 131 Kelly, Lawrence J, MD...... 89 Finley, Courtney...... 130 Harward, Aaron A...... 136, 137 Kempton, James P...... 132 Fischer, Lisa A...... 127 Havard, Lauren L, MD...... 42 Kenny, Tiffany D...... 127 Fisler, Rita E, MD...... 65 Haven Of Globe...... 135 King, Sarah M...... 127 Fontecha, Percival G...... 130 Hayes, Joshua F...... 131 King, Shellese A, DDS...... 121 Foote, Stacey J...... 130 Heaton, Rex, NP...... 112 Kirk, Stephen T, MD...... 109 Fortunato-Tamayo, Nicholetta...... 127 Hemenway, Charolette, NP...... 44, 143 Kittell, Gwen, MA...... 148 Foster, Christine K, MD...... 57, 58 Heritage Health Care Center...... 135 Klein, Neal A, MD...... 72 Foulger, Jordan, PA...... 48 Hernandez, Priscila E, NP...... 83 Kline, Cheryl J, NP...... 83 Frank, Cheryl A...... 130 Herzberg, David A...... 131 Klotz, Hayley, PA...... 48 Freeburg, Dominic D, PA...... 91 Hill, Jennifer L, MD...... 61 Koontz, Ashley, MA...... 150 Freeman, Monica, NP...... 44, 83 Hillstead, Alan P, MD...... 116 Kozupa, Paulina...... 132 Frieden, Derek L, MD...... 115, 116 Hoadley, Robert, NP...... 44 Krause, Lonny D, NP...... 105, 107, 112 Frys Food And Drug...... 124 Hoekstra, Elis R...... 131 Kredit, Adair N...... 132 G Hoffman, Donna L, FNP...... 37 Kruchowsky, Mary S...... 132 Gaffney, Lisa E...... 130 Hogan, Donn M, MD...... 78 Kuker, Jenni, NP...... 83 Gaitan, Jaime R, MD...... 87 Hogan, Jasmine C...... 131 Kumar, Shantha, MD...... 61, 62, 71 Gallego, Denise A...... 130 Holder, Karen V, NP...... 37, 45 Kumar, Swati, MD...... 66 Gandhi, Zahabia T, MD...... 56, 59 Hollingshead, Bryson J, DO...... 57 Kwong, Henry M, MD...... 87 Garber, Jason E, MD...... 110, 111 Holloway, Amanda L, DO...... 39 Kyger, Mark...... 132 Garcia, Matilda C, MD...... 47 Horizon Health And Wellness...... 148, 149 L Gardner, Kent E, MD...... 114 Horizon Health And Wellness Oracle. . 138 Labcorp...... 126, 135 Gatchalian, Raul A, MD...... 77 Horn, Rebecca J, MS...... 150 Laffely, Nicholas H, MD...... 108, 111 Gavlick, Kirk M, DO...... 95, 100 Horne, Susan C, MD...... 68 Lahr, Chad M...... 132 Geer, Crystal M...... 130 Hospice Compassus...... 126 Lancero, Lou L, MD...... 95, 97 Genoa Healthcare, LLC...... 124 Hughes, Marissa L, NP...... 112 Larson, Nicole...... 132 George, Sunil S...... 130 Hunt, Judith A, MD...... 47 Lasseter, Amanda E...... 132 George, Zachary H, MD...... 104, 109 I Laukonen, Sabrina R...... 132 Gibbs, Rebekah...... 130 Ideal Therapies...... 127 Law, Patrick W, DPM...... 93, 94 Gilles, Pierre C, MD...... 67, 68 Itkin, David J, MD...... 69, 70 Lee-Iannotti, Joyce K, MD...... 82 Gipe, David J...... 130 J Li, Xiaoyi, MD...... 95 Glaser, Katherine, MD...... 139 Jacewicz, Rebecca A...... 131 Liao, Tina Y, MD...... 55, 56 Glasgow, Jennifer M...... 131 Jackson, Jeffrey, OD...... 123 Liberty Dialysis St George...... 137 Gleason, Philip E, MD...... 90 Jacob, Joseph R, MD...... 114 Lieder, Emily R, MD...... 39 Godsey, Jacy K, NP...... 53 Jain, Neal, MD...... 47, 61 Lietzow, Rebecca J, FNP...... 45, 84 Gomez, Aaron J, MD...... 47 Jarrell, Christopher, NP...... 45 Lipschultz, Naomi...... 132 Goodman, Herbert D, MD...... 90 Jazayeri, Sadra S, MD...... 65 Liu, Stephanie M...... 127 CSAZ.18.999.01.9.017 Index / Indice 159

Index / Índice

Lord, Ron K, MD...... 105, 112, 113 Narayanan, Rajnikanth, MD...... 79 Preferred Homecare...... 126 Lorenzo, Alberto P, MD...... 39 Nayyar, Deepak, MD...... 52 Price, Joshua L, NP...... 84 Lunt, Bryce C, MD...... 58 Neeley, Ryan A, DO...... 89 Prieto, Roseanne P, NP...... 84 M Neff, Richard K, MD...... 40 Prock, Angela D...... 127 Macalisang, Rex E...... 132 Nelson, Gloriajean, NP...... 45 Psychology Specialists...... 148, 151 Madsen, Roman K, PA...... 149 Newland, Anne M, MD...... 42 Q Makki, Nader M, MD...... 100 Nguyen, Andy T...... 133 Qadri, Muhammad K, MD...... 71 Mandap, Marissa P, DMD...... 121 Nguyen, Lan B, DDS...... 121 Quesada, Nikki C, NP...... 54, 102 Maneely, Matthew H, DDS...... 121 Nguyen, Tam T, MD...... 94 R Mannino, Anthony, DO...... 39 Nichols, Cameron L, PA...... 49 Raja, Rubina A, MD...... 42 Marmoush, Fady Y, MD...... 62 Nichols, Deborah, FNP...... 37, 45 Ramos, Alberto X, MD...... 67, 71 Marquis, Kellie, NP...... 101 Nichols, Logan R, PA...... 56 Rankel, Brian J, PA...... 92 Martorana, Diana, MA...... 144, 145 Niedzielko, Ryan...... 133 Rankovic, Alecia, MSN...... 143 Massaro, Sara, FNP...... 50 Nilson, Wendell T, MD...... 59 Rao, Rushil G, MD...... 87 Massingale, Michelle L...... 132 Nimri, Alexander M, MD...... 80 Razavi, Mir-Muhammad K, MD...... 71 Mc Murty, Brent W...... 132 Ning, Amilee S, PA...... 91 Rcg Mammoth...... 135 Mcbride, Zachariah, PA...... 48, 49 Nix, Jessica, FNP...... 50, 54 Reber, Keith R, DPM...... 119 Mccall, Scott C, MD...... 146 Noel, Erica R...... 133 Reddy, Rahul K, MD...... 88 Mccarvell, Kathleen A, NP...... 143, 149 Norman, William C...... 133 Reeg, Mackenzi L...... 133 Mcdevitt, Kyle K, NP...... 53 North Country Hlth-Payson...... 138 Reicho, Paul R, MD...... 67 Mcdowell, Benjamin D, DDS...... 121 Nossek, Scott J...... 133 Renal Care Group - Globe...... 126 Mclaws, Ivan D, DPM...... 94 Nwokorie, Angela C, CSW...... 148 Richards, Ray S, MD...... 120 Mcmahan, Therese A, CNM...... 73 Nyokwoyo, Euphrase M, NP...... 84 Riesenman, Paul J, MD...... 95 Mcmahon, Kristina T, NP...... 109, 112 O Riley, Thomas...... 127 Mcnabb, Marilyn C, MS...... 145 O'brien, Aaron M, MD...... 106, 113 Rim Country Hlth & Retirement Mcpherson, Bruce A, PA...... 106, 118 Odden, Jamie L, MD...... 87 Community...... 135 Mcqueary, Elizabeth S...... 127 Onan, Kevin A, PA...... 92 Risser, Christian F, MD...... 88 Melde, Richard A, MD...... 39, 42 Onibokun, Adedayo O, MD...... 139 Robey, Jean T, MD...... 80 Memon, Abdul Q, MD...... 62, 63, 72 Orton, Lindsay...... 133 Robison, Cecelia M, MS...... 150 Merrick, Liana...... 132 P Rokkam, Vamsi, MD...... 80 Meyer, Eric S...... 132 Pacanowski, John P, MD...... 103 Rooney, Holly E, MD...... 40 Meyers, Mark A, MD...... 65 Packer, Susan, FNP...... 50, 51 Rooney, John E, MD...... 66 Michels, Alan P, MD...... 42 Palo Verde Hospital...... 36 Root, Bradley D, DO...... 117 Miller, Elizabeth G, NP...... 45 Parekh, Shehzad M, MD...... 80 Root, Eric J, DO...... 57 Millien, Roxanne L, MA...... 145 Park, Lori A, MA...... 145, 148, 149, 150 Root, Max R, MD...... 117, 118 Mills, Joyce A...... 132 Parry, Ami, NP...... 59 Ruehl, Mary L, NP...... 102 Mills, Lora L, PA...... 91 Parry, Scott A, MD...... 106, 107, 113 Ruud, Ryan, MA...... 150 Mishler, Rick E, MD...... 78 Parry, Todd R, MD...... 106, 113 S Mix, Michelle M, MD...... 64 Patel, Natasha, MD...... 139 Safeway Pharmacy #1536...... 124 Moasser, Amir H, MD...... 79 Pathways Of Az...... 148 Sahd, Dana N...... 133 Monaccio, Annette M...... 127 Patil, Arun S, MD...... 64, 73 Saifee, Mustufa T, MD...... 106, 107, 120 Monson, Melissa, FNP. 50, 53, 54, 99, 102 Paul, David M, MD...... 69 Salik, Kathleen R...... 133 Moore, Grant H, MD...... 87 Paul, Edward G, MD...... 40 Salim, Muhammad M...... 126 Morales, Monty C, MD...... 95, 100 Payson Care Center...... 135 Salim, Muhammad M, MD...... 94 Morales, Ralph E, MD...... 64 Payson Outpatient Service...... 151 Salinas, Claudia, FNP...... 51, 54 Morgosh, Kelsey, MD...... 39, 40 Payson Physical Therapy...... 133 Salvatore, Theresa, NP...... 45 Morse, Suzanne, NP...... 84, 90 Pendleton, Gus C, MD...... 58 Sangave, Amit A, MD...... 88 Mosley, Anna M...... 133 Peress, Darren F, MD...... 96, 98 Santos, Peter W, DO...... 80 Mozart, Michelle L...... 133 Petersen, Colby B, PA...... 119 Savage, Colleen M, NP...... 45 Mugo, Patti W, MD...... 40 Petkov, Pavel S, MD...... 140 Savala, Virginia A, DO...... 140 Murphy, Kevin G, MD...... 139 Philip, Selin, NP...... 54, 102 Sawyer, Steven J, MD...... 68 Murphy, Kevin M, PA...... 91 Pieratt, Paula J, NP...... 51, 99 Scales, Krystal, NP...... 46 Mustafa, Esmat M, MD...... 79 Pierce, Marianne K...... 127 Schaffer, Jordan A...... 133 Myer, James H, MD...... 96, 97, 100 Pinchera, Stephanie K, PA...... 92 Schild, Annie...... 133 Myers, Brad A, MD...... 110 Pinder, James C...... 133 Schlagel, Laura J, MD...... 111 N Pineres, Amalia D, MD...... 40 Schmaltz, Anastasia E...... 133 Nair, Lekha M, NP...... 54 Pleasant Valley Comm Medi...... 138 Schraudenbach, Cooper C, MD...... 40, 41 Napier, Jessica R, FNP...... 54 Powell, Andrew B, DPM...... 119 Schuhardt, Maure...... 134 CSAZ.18.999.01.9.017 Index / Indice 160

Index / Índice

Sefcovic, Ashley H, PA...... 119 Truong, Frank, MD...... 41 Seipel, Peter R, MD...... 89 Turney-Shaw, Jean R, NP...... 46 Sepich, Dustin J, MD...... 90 Twiggs, Jerry D, MD...... 60 Seppala, Ruth L, NP...... 51, 54 U Sexton, Alicia A, MS...... 143 Udall, Craig K, DPM...... 94 Shaikh, Athar A, MD...... 52 Uddin, Muhammad A, MD...... 81 Sherrill, Christine C...... 134 Ullal, Himanshu, PA...... 49 Shimamoto, Sam R, MD...... 61 Ungar, Scott A, DO...... 81 Shoultes, Raschelle D, NP...... 107, 112 University Physician Specialists LLC. . 148 Simmons, Joseph, MA...... 145 V Siravo, Judith R...... 127 Vakil, Hiva, MD...... 62, 65 Skeif, Basel, MD...... 96 Van Gils, Carl C, DPM...... 119 Slaminski, Michael R...... 134 Vandruff, James E, DO...... 41 Smith, Bianca H, DO...... 140 Vandruff, John E, MD...... 41 Smith, Sydney A...... 134 Vannucci, Brianne C...... 134 Sorensen, Maria, MA...... 149 Vaughan, Andrew H, MD...... 114 South Main Surgery Center...... 136 Victoria L Woods Lcsw LLC...... 148 Southwest Behavioral Health Services. 151 Vigil, Lynne A, FNP...... 37 Spooner, Peter H, MD...... 96, 98 Villegas, Joanne E, MA...... 84, 144 Sridhara, Srilekha, MD...... 72 Vlach, Andrea J...... 135 St George Regional Hospital...... 36 W Stadler, Ashley D...... 134 Wakefield, Travis L...... 136 Staheli, John K, MD...... 59 Walden, Daniel H...... 135 Stein, Susan R, MD...... 140 Walgreens #6533...... 125 Steward, Kimberly Y...... 134 Walker, Bradley, OD...... 123 Steward, Warner L...... 134 Walmart Pharmacy 10-1334...... 125 Stratford, C K, MD...... 58 Walmart Pharmacy 10-1369...... 125 Strum, Danielle C, PA...... 92 Walter, Logan C, DO...... 141 Stucki, Sean J, PA...... 119 Watkins, Katherine, NP...... 84 Suma, Pamela...... 127 Watson, Gregory L, DO...... 110 Sumar, Riyaz A, MD...... 64, 65, 73 Watson, Joy M, PA...... 49 Sun Life Family - Oracle...... 138 Webster, Brittany...... 135 Sun Life Family Health Center...... 125 Welch, Matthew J, MD...... 88 Sun Life Family-San Manue...... 138 Werrell, Bradley H, DO...... 41 Sunkarapalli, Vinitha...... 134 Whitehair, Jennifer J, MD...... 139, 140 Suski, Michelle A...... 134 Williams, Brittany R...... 128 Sutak, Alan K, MD...... 114 Williams, Pamela N, FNP...51, 55, 99, 102 Swain, Suzanne M, NP...... 46 Willms, Jonathan R, DO...... 141 Swanson, Jennifer, PA...... 92 Willoughby, Bruce H...... 135 T Winward, Tracy W, MD...... 141 Tampow, Alexandria J...... 134 Wolf, Lori K...... 128 Tani, Jason C, MD...... 90 Wolfe-Ruiz, Cheryl A, PA...... 93 Tavera, Holly C...... 127 Wombold, Leroy D, DO...... 68 Taweel, Ibrahim G, MD...... 72 Woods, Kristin A, NP...... 46 Taylor, Brenda L...... 134 Woods, Russell, OD...... 123 Taylor, John D, PA...... 92, 93 Wright, Jeffrey A, PA...... 60 Te, Joseph D, MD...... 104, 110 Wright, Kelly G, FNP...... 37 Tenney, Jared K...... 134 Wyma, Mark, PA...... 49 Thibedeau, Jessie, NON...... 73 X Thode, Mary A...... 134 Xie, Bing, FNP...... 51, 55 Thomas, Anna R...... 128 Z Thomas, William J, MD...... 98 Zaw, Yuzana K, MD...... 81 Tirrito, Salvatore J, MD...... 98 Zaykoski, Samantha...... 128 Tomlinson, Stephen J...... 137 Zhao, Hui J, MD...... 81 Tomnitz, Lisa M...... 134 Zions Way Home Health & Hospice.136, Tong, Shumei, MD...... 56 137 Toth, Sharon L, FNP...... 37 Zou, Lixian, MD...... 82 Trantham, Edward, NP...... 46, 84 CSAZ.18.999.01.9.017

161 Notes ______

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______CSAZ.18.999.01.9.017

162 Notes ______

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______CSAZ.18.999.01.9.017

163 Notes ______

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______CSAZ.18.999.01.9.017

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