JOHN DESJARLAIS (NPI# 1053703199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053703199 |
| Entity Type | Individual |
| Full Name | JOHN DESJARLAIS |
| Practice Address |
500 N Us Highway 89 Prescott AZ 86313-5001 |
| Practice Telephone | 9254454860 |
| Mailing Telephone | 9254454860 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
500 N US HIGHWAY 89 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86313-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506259 | Samuel Irwin Dolnick | Podiatrist | 500 N Us Highway 89, 5th Floor Surgery, Prescott, AZ 86313-5001 | 2005-08-23 |
| 1093322653 | Jason Kelly Ducat | Social Worker | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-09-28 |
| 1952926842 | Katie Elizabeth Keever | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-06-16 |
| 1780208918 | Melissa Marie Kelly | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-06-03 |
| 1063035541 | Michelle O'cleireachain | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-05-19 |
| 1538792569 | Lisa Ann Monville | Social Worker | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-02-18 |
| 1285274597 | Malgorzata Chmura-witusik | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-01-14 |
| 1740829456 | Jessica Folts | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-27 |
| 1578102570 | Lisa Phillips | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-23 |
| 1134765217 | Linh Tu | Pharmacist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1740548908 | Jaiah Townsend | Respiratory Therapist, Registered | 500 Hwy 89n, Northern Arizona Va Hospital, Prescott, AZ 86313 | 2012-04-25 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1740428648 | Ruthie Hunter | Social Worker | 500 North Us Highway 89, Prescott, AZ 86313 | 2009-01-30 |
| 1659586782 | Debra Lea Mcaninch | Nurse Practitioner | 500 Hwy 89 N, Prescott, AZ 86313 | 2007-05-11 |
| 1972697159 | Ted A. Mize I | Physical Therapist | 500 Us Highway 89 North, Prescott, AZ 86313 | 2006-10-03 |
| 1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1609986579 | Jeffrey C. Peters | Pharmacist | 500 N Us Hwy 89, Prescott, AZ 86313 | 2006-08-30 |
| 1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
| Find all providers in zip 86313 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660467 | Pimri, LLC | Spec/Tech, Pathology | 455 N Mesa Dr Ste 8e, Mesa, AZ 85201-5996 | 2020-02-05 |
| 1629586011 | Carrie Dee Jones | Spec/Tech, Pathology | Hwy 98 & Route 16, Tonalea, AZ 86044 | 2018-01-19 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| 1487160073 | Matthew Rosa | Spec/Tech, Pathology | Us Hwy 160 S Mp 364.3, Kayenta, AZ 86033 | 2017-12-19 |
| 1245746114 | Gereron Jerald Daw | Spec/Tech, Pathology | 394.3 Highway 160, Kayenta, AZ 86033 | 2017-12-14 |
| 1659852747 | Iverna Lou Parrish-john | Spec/Tech, Pathology | Highway 160 M.p. 394.3, Kayenta, AZ 86033 | 2018-08-27 |
| 1447627864 | Robert Hartman | Spec/Tech, Pathology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-09-02 |
| 1467737338 | Michelle Quynhnhu Ngoc Nguyen | Spec/Tech, Pathology | 9328 E Raintree Dr, Scottsdale, AZ 85260-2098 | 2011-10-11 |
| 1700168168 | Adelita Sofia Deleon | Spec/Tech, Pathology | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-09-12 |
| 1508983727 | Steven Lee Herring II | Spec/Tech, Pathology | 943 Hualapai Way, Peach Springs, AZ 86434 | 2007-03-23 |
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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.