CAROLYN WAGNER VON HOFF (NPI# 1013290410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013290410 |
| Entity Type | Individual |
| Full Name | CAROLYN WAGNER VON HOFF |
| Other Name | CAROLYN DECARLI |
| Credential | P.A.C. |
| Practice Address |
963 N Mcqueen Road Chandler AZ 85225-8149 |
| Practice Telephone | 4803981940 |
| Practice Fax Number | 4807821453 |
| Mailing Telephone | 4803981940 |
| Mailing Fax Number | 4807821453 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4954 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA BOARD OF PHYSICIAN ASSISTANTS | 4954 | 01 |
| Street Address |
963 N MCQUEEN ROAD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-8149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761577 | Shimul Bansal Sahai | Physical Medicine & Rehabilitation | 963 N Mcqueen Road, Chandler, AZ 85225-8149 | 2007-04-23 |
| 1184827255 | Rohit K Sahai | Surgery | 963 N Mcqueen Road, Chandler, AZ 85225-8149 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080442 | Wayna Heidi Liu | Physician Assistant | 2950 S Alma School Rd Ste 1, Chandler, AZ 85286-8120 | 2016-01-01 |
| 1003288804 | Marta Rebeccah Liang | Physician Assistant | 1840 W Chandler Blvd Ste D2, Chandler, AZ 85224 | 2015-10-20 |
| 1730558644 | Erica Marie Neal | Physician Assistant | 2181 E Pecos Rd Ste 1, Chandler, AZ 85225-6140 | 2015-09-21 |
| 1427454784 | Nicole Hensey | Physician Assistant | 1940 N. Alma School Rd., Chandler, AZ 85224 | 2014-11-14 |
| 1861815250 | Vanessa R. Olds | Physician Assistant | 1592 E Wildhorse Pl, Chandler, AZ 85286-1187 | 2014-01-21 |
| 1902056708 | Robert H Stowers | Physician Assistant | 600 S Dobson Rd Ste 39, Chandler, AZ 85224-5677 | 2008-09-29 |
| 1508045600 | Tyler S Dennison | Physician Assistant | 595 N Dobson Rd Ste D65, Chandler, AZ 85224-4234 | 2007-10-25 |
| 1588705214 | David S Bone | Physician Assistant | 5000 W Chandler Blvd Bldg Ch-3, Chandler, AZ 85226-3601 | 2007-02-08 |
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1215543616 | Alex Wamble | Physician Assistant | 70 N Mcclintock Dr, Chandler, AZ 85226-3711 | 2020-09-21 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.