Southeast Valley Gastroenterology Consultants, P.C.
Organization Active NPI Gastroenterology Physician · Chandler, AZ
NPI 1104861905 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1104861905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- SOUTHEAST VALLEY GASTROENTEROLOGY CONSULTANTS, P.C.
- Practice address
- 875 S Dobson Rd
Chandler, AZ 85224-5710 - Phone
- (480) 855-2036
- Fax
- (480) 855-2026
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles M Schron, M.D.
- Title
- President
- Phone
- (480) 855-2036
Practitioners 42
-
Joyce M Bealer, CRNA
-
George Alan Bracher, M.D.
-
Linda Brister, CRNA
-
Lori A Denewiler, CRNA
-
Salina Faidhalla, MD
-
Andrew S Ma, M.D.
-
Gerrit Stuart Miller, CRNA
-
Yatin R Patel, M.D.
-
Leanne Roman, CRNA
-
Charles M. Schron, M.D.
-
Eric E Sisam, APRN, CRNA
-
Anita E. Spiess, M.D.
-
Paul Dustin Broadbent, CRNA
-
Matthew Bzdyk, PA-C
-
Sandra Lynn Ehrler, PHYSICIAN ASSISTANT
-
Kelly M Kollman, P.A.-C.
-
Jessica S Laurino, PA-C
-
Jennifer Ann McPhail, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001749 | AZ | Part B Supplier - Clinic/Group Practice | 9436142270 |
Receives reassigned benefits from 42 practitioners Practice locations: Chandler, AZ |
National Provider Directory
Locations
2745 S Alma School Rd
Chandler, AZ 85286
875 S Dobson Rd
Chandler, AZ 85224
Phone (480) 899-9800
3591 S Mercy Rd
Ste 303
Gilbert, AZ 85297
Phone (480) 782-5005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
875 S Dobson Rd
Chandler, AZ 85224-5710
Mailing address
875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 855-2036
Other providers in Chandler, AZ
- South Chandler Dental Group, LLP
- South Chandler Medical Group LLC
- South Mountain Chiropractic, PC
- South Mountain Smiles PLLC
- Southeast Valley Endoscopy Center,LLC
- Southwest Behavioral Health Services Inc.
- Southwest Contemporary Women'S Care, PC
- Southwest Dental
- Southwest Kidney Davita Dialysis Partners LLC
- Southwest Lactation Services
All providers in Chandler, AZ · Gastroenterology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.