DR. JASON SCOTT COUCH (NPI# 1093009672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093009672 |
| Entity Type | Individual |
| Full Name | DR. JASON SCOTT COUCH |
| Credential | D.O. |
| Practice Address |
2510 W Dunlap Ave Ste 290 Suite # 290 Phoenix AZ 85021-2759 |
| Mailing Address |
3829 E Dewberry Ave Mesa AZ 85206-1826 |
| Practice Telephone | 6027890344 |
| Mailing Telephone | 4803813103 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2017-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 006693 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
006693 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770838138 | Jason Bartlett Couch | Dentist | 6668 Lonetree Blvd, Ste. 100, Rocklin, CA 95765-3752 | 2012-07-20 |
| 1700260924 | Jason Couch | Nurse Practitioner | 900 Oblate Dr, San Antonio, TX 78216-7332 | 2015-07-17 |
| 1407832397 | Jason L. Couch | Anesthesiology | 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240-6524 | 2005-12-21 |
| Street Address |
2510 W DUNLAP AVE STE 290 SUITE # 290 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456036 | Randolph Clark | Internal Medicine | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2005-09-09 |
| 1285044677 | Ashleigh Welko | Pediatrics | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2014-05-06 |
| 1093090631 | Rahul Raman | Pediatrics | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2011-10-14 |
| 1790009660 | Cynthia M Armstrong | Nurse Practitioner | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2010-03-22 |
| 1346473782 | Gary Robert Hensley | Internal Medicine | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2009-09-02 |
| 1588828032 | Sarah Shb Bannister | Pediatrics | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2008-07-14 |
| 1821208190 | Alissa Renee Darden | Pediatrics | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2007-05-23 |
| 1164599528 | Judith Mary Beck | Family Medicine | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2006-11-29 |
| 1457371759 | Zafar Abdul Quadir | Pediatrics | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2006-07-20 |
| 1669418331 | Sanjay Patel | Family Medicine | 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245490754 | Harriet Nkhwanjiwa Banda | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2008-06-10 |
| 1841469046 | Suma P Rao | Pediatrics | 901 E Willetta St Ste 2503, Phoenix, AZ 85006-2727 | 2008-02-21 |
| 1861509465 | Zahi Haidar-ahmad | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-08-23 |
| 1356333660 | Pranav Patel | Pediatrics | 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | 2005-08-22 |
| 1962926584 | Audrey Ann Nervig | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2017-07-26 |
| 1295138691 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2014-09-30 |
| 1225440258 | Jennifer Weber | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2014-05-26 |
| 1063823078 | Soumini Chintala | Pediatrics | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2014-05-13 |
| 1508277708 | Jessica Wickland | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-05-11 |
| 1912331109 | Anshul Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2013-08-24 |
| Find all providers in PHOENIX | ||||
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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.