Sonoran Vein and Endovascular LLC
A Medicare group practice based in Tucson, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1951550888), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1951550888
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121009000278 | AZ | Part B Supplier - Clinic/Group Practice | 1790049617 |
| O20150824001826 | AZ | Part B Supplier - Ambulatory Surgical Center | 1699666255 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Sonoran Vein and Endovascular LLC
dba Sonoran Vein and Endovascular Surgery Center
- Ambulatory Surgical Clinic/Center
- Peoria, AZ
- NPI 1699666255
-
Sonoran Vein and Endovascular LLC
- Vascular Surgery Physician
- Peoria, AZ
- NPI 1790049617
Practice locations
- Tucson, AZ3
- Peoria, AZ2
- Phoenix, AZ2
- Casa Grande, AZ1
- Mesa, AZ1
- Prescott, AZ1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (6).
-
Joy Elizabeth Albright, FNP
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1275181844
-
Jennifer Clark, PA-C
- Physician Assistant
- Tucson, AZ
- NPI 1740472141
-
Joseph Lee Eliason, CNP, FNP-C, CWS
- Family Nurse Practitioner
- Gallup, NM
- NPI 1043977721
-
Grant T Fankhauser, M.D.
- Vascular Surgery Physician
- Peoria, AZ
- NPI 1831121532
-
Kimberly Lynn Hart, FNP
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1184645673
-
Jennifer Hill, NP
- Adult Health Nurse Practitioner
- Surprise, AZ
- NPI 1326313222
-
Luis R. Leon, MD
- Vascular Surgery Physician
- Phoenix, AZ
- NPI 1679670483
-
David Nye, DO
- Vascular Surgery Physician
- Peoria, AZ
- NPI 1558623793
-
Dawn Marie Olsen, D.O.
- Vascular Surgery Physician
- Phoenix, AZ
- NPI 1902807852
-
Joshua P Pessin, M.D.
- Surgery Physician
- Phoenix, AZ
- NPI 1669665675
-
Julio A Rodriguez-Lopez, MD
- Vascular Surgery Physician
- Phoenix, AZ
- NPI 1932100880
-
Gabrielle Shawe
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1649164146
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.