Nes Arizona Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

NES ARIZONA INC

Practice address

450 S Ocotillo Ave
Benson, AZ 85602-6403

Phone

(520) 586-2261

NPI assigned

Jun 11, 2015

Last updated

Dec 29, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Moore

Title

Cfo

Phone

(415) 435-4591

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nes Arizona Inc

  • Emergency Medicine Physician
  • Fort Mohave, AZ
  • NPI 1285163121

  2163737206

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nes Arizona Inc

  • Emergency Medicine Physician
  • Fort Mohave, AZ
  • NPI 1285163121

  O20150818005113

  Same enrollment

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicola Baker, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1881906931
  Medicare reassignment NPD
• John K Barberii, MD

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1629163068
  Medicare reassignment NPD
• Mikhail A Bargan, MD

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1790766533

  Emergency Medicine

  Medicare reassignment NPD
• Michael James Baros, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1619420825
  Medicare reassignment NPD
• Randall L Bennett, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1962402800
  Medicare reassignment NPD
• Scott Aaron Bonnono, M.D., M.S.

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1366881971
  Medicare reassignment NPD
• Julia M Brown, M.D.

  • Emergency Medicine Physician
  • Bisbee, AZ
  • NPI 1851391684
  Medicare reassignment NPD
• Vincent Call, D.O.

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1699111245
  Medicare reassignment NPD
• Dilyara Cannon

  • Family Nurse Practitioner
  • Fort Mohave, AZ
  • NPI 1114325784
  Medicare reassignment NPD
• Michael Colonna, D.O.

  • General Practice Physician
  • Kingman, AZ
  • NPI 1508007477

  Multi-Specialty

  Medicare reassignment NPD
• Jeffrey Todd Daniel, M.D

  • Emergency Medicine Physician
  • Flagstaff, AZ
  • NPI 1538118385
  Medicare reassignment NPD
• Robert Duran, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1023018850
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1205217700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31054",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150139",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-586-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-435-4591"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028615",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennie Elise McMillian, LPC, MA
• Douglas Eugene Miller, R.PH.
• Evangelina Pavelik Miller, FNP-C
• Chine Quetzalcoatl Tan Myers, FNP-C
• Nazcare, Inc. - B.E.S.T. Wellness Center
• Stephanie Nichole O'Connor, PNP
• Edward Reginald Onofrio, PHYSICAL THERAPIST
• Craig R Ottenstein, MD
• Kalpana R. Pandit, M.D.
• Billie R. Peterson, MSW, LCSW

• Emergency Medicine Physician in Benson, AZ
• Providers in Benson, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.