Gregg P Sydow Diagnostic Radiology
4062 S Holland Rd, Flagstaff, AZ 86005-8967


Gregg P Sydow is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1619157609. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6002057296. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is RADADVANTAGE A PROFESSIONAL CORPORATION. The address is 4062 S Holland Rd, Flagstaff, AZ 86005-8967. The zip code is 86005.


Gregg P Sydow · 4062 S Holland Rd, Flagstaff, AZ 86005-8967

Nation Provider ID 1619157609
PAC ID by PECOS 6002057296
Professional Enrollment ID I20130731000343
Last Name SYDOW
First Name GREGG
Middle Name P
Gender M
Medical School Name SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty RADADVANTAGE A PROFESSIONAL CORPORATION
Phone Number 9525951100
Group Practice PAC ID 2163597899
Number of Group Practice Members 232
Address 4062 S HOLLAND RD
FLAGSTAFF, AZ 860058967
Claims Based Hospital Affiliation Claim Control Number (CCN): 030002
Legal Business Name: BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Claims Based Hospital Affiliation Claim Control Number (CCN): 260040
Legal Business Name: COX MEDICAL CENTERS
Claims Based Hospital Affiliation Claim Control Number (CCN): 350002
Legal Business Name: ST ALEXIUS MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 030088
Legal Business Name: BANNER BAYWOOD MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 030121
Legal Business Name: MOUNTAIN VISTA MEDICAL CENTER, LP
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Radadvantage A Professional Corporation · Medicare Physician

Name Address Specialty
Amy Hellbusch 4950 N Calle Bendita, Tucson, AZ 85718-6202 DIAGNOSTIC RADIOLOGY
Judith Corey 2020 W Pinhook Rd, Lafayette, LA 70508-3211 DIAGNOSTIC RADIOLOGY
Robert Henry 427 Promontory Dr W, Newport Beach, CA 92660-7337 DIAGNOSTIC RADIOLOGY
Betsy Bronson 5050 Donald St, Eugene, OR 97405-3526 DIAGNOSTIC RADIOLOGY
Bernadette Curtis 33 Province Line Rd, Princeton, NJ 08540-7543 DIAGNOSTIC RADIOLOGY
Charles Vassallo 2500 Kalakaua Ave, Honolulu, HI 96815-3602 DIAGNOSTIC RADIOLOGY
Rebecca Magno 1101 Metfield Rd, Baltimore, MD 21286-1643 DIAGNOSTIC RADIOLOGY
Robert Lewis 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 DIAGNOSTIC RADIOLOGY
Randall Kiser 457 E 900, Mapleton, UT 84664-5019 DIAGNOSTIC RADIOLOGY
Kopresh Gudi 151 Islington St, Staten Island, NY 10308-1616 DIAGNOSTIC RADIOLOGY
Alan Kopp 845 United Nations Plaza, New York, NY 10017-3535 DIAGNOSTIC RADIOLOGY
Heather Webb 2894 E Cobblemoor Ln, Sandy, UT 84093-1916 DIAGNOSTIC RADIOLOGY
Michael Hynes 65 Cooper Sq, New York, NY 10003-7126 DIAGNOSTIC RADIOLOGY
Ira Tyler 1721 Piccard Dr, Rockville, MD 20850-6066 DIAGNOSTIC RADIOLOGY
Marcus Parker 8506 Kentucky Derby Dr, Odessa, FL 33556-2445 DIAGNOSTIC RADIOLOGY
Robert Cooney 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 DIAGNOSTIC RADIOLOGY
Christina Geatrakas 48 Meadowbrook Rd, Mashpee, MA 02649-4040 DIAGNOSTIC RADIOLOGY
Donna Scuderi Given 71 Colonial Ave, Larchmont, NY 10538-1619 DIAGNOSTIC RADIOLOGY
Shalini Agarwal 9290 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4512 DIAGNOSTIC RADIOLOGY
N Judge King 4610 E Cerro De Aguila, Tucson, AZ 85718-6931 DIAGNOSTIC RADIOLOGY

Flagstaff · Medicare Physician

Name Address Specialty
Alisa Vadasz 1000 N Humphreys St, Flagstaff, AZ 86001-3124 NURSE PRACTITIONER
Neina Orrillo 1200 N Beaver St, Flagstaff, AZ 86001-3118 CERTIFIED REGISTERED NURSE ANESTHETIST
William Johnson 3702 N Paradise Rd, Flagstaff, AZ 86004-1649 CLINICAL PSYCHOLOGIST
Stephen Knecht 1200 N Beaver St, Flagstaff, AZ 86001-3118 ORTHOPEDIC SURGERY
Michelle Cardon 77 W Forest Ave, Flagstaff, AZ 86001-1483 CERTIFIED REGISTERED NURSE ANESTHETIST
Jeremy May 77 W Forest Ave, Flagstaff, AZ 86001-1483 CERTIFIED REGISTERED NURSE ANESTHETIST
Mark Statham 715 N Beaver St, Flagstaff, AZ 86001-3141 PHYSICAL THERAPY
Nathan Tritle 77 W Forest Ave, Flagstaff, AZ 86001-1483 OTOLARYNGOLOGY
Zane Larson 1600 W University Ave, Flagstaff, AZ 86001-3154 PHYSICAL THERAPY
Jennifer Morris 1200 N Beaver St, Flagstaff, AZ 86001-3118 PHYSICIAN ASSISTANT
Nicholas Schumacher 1200 N Beaver St, Flagstaff, AZ 86001-3118 NURSE PRACTITIONER
Kathleen Buchanan 2920 N 4th St, Flagstaff, AZ 86004-1816 NURSE PRACTITIONER
Joseph Carter 1300 S Milton Rd, Flagstaff, AZ 86001-6398 PHYSICAL THERAPY
Kathryn Feuquay 1200 N Beaver St, Flagstaff, AZ 86001-3118 HOSPITALIST
Patricia Cazel 2920 N 4th St, Flagstaff, AZ 86004-1816 CERTIFIED NURSE MIDWIFE
Ellen Claxton 2187 N Vickey St, Flagstaff, AZ 86004-6121 OBSTETRICS/GYNECOLOGY
Amber Miller 1485 N Turquoise Dr, Flagstaff, AZ 86001-1395 PHYSICAL THERAPY
Jane Barnwell 1016 W University Ave, Flagstaff, AZ 86001-2996 PHYSICAL MEDICINE AND REHABILITATION
Kerry Beasley 77 W Forest Ave, Flagstaff, AZ 86001-1483 AUDIOLOGIST
Nathan Belcher 519 N Leroux St, Flagstaff, AZ 86001-3221 CHIROPRACTIC