TONI DENISE MUCKALA (NPI# 1124008016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008016 |
| Entity Type | Individual |
| Full Name | TONI DENISE MUCKALA |
| Credential | PA-C, PHARMD |
| Practice Address |
890 W Elliot Rd Gilbert AZ 85233-5102 |
| Mailing Address |
Po Box 46508 Plymouth MN 55446-0508 |
| Practice Telephone | 6025109293 |
| Mailing Telephone | 6513368916 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 118389 | MN | Pharmacy Service Providers |
| N | 363A00000X | Physician Assistant | 5698 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9530 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 388528300 | 05 | |
| AZ | STATE OF ARIZONA PA LICENSE | 5698 | 01 |
| MN | STATE OF MINNESOTA PA LICENSE | 9530 | 01 |
| Street Address |
890 W ELLIOT RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073024675 | Jennifer Renee Kolle | Physician Assistant | 890 W Elliot Rd, Gilbert, AZ 85233-5102 | 2017-10-23 |
| 1922553742 | Laura Elizabeth Bohning | Physician Assistant | 890 W Elliot Rd, #102, Gilbert, AZ 85233-5102 | 2016-08-22 |
| 1699229112 | Boden Bradley | Physician Assistant | 890 W Elliot Rd, Suite 107, Gilbert, AZ 85233-5102 | 2016-08-12 |
| 1720438682 | Mckenzie Siemion | Nurse Practitioner | 890 W Elliot Rd, Gilbert, AZ 85233-5102 | 2016-06-21 |
| 1982083317 | Julie Hinman | Nurse Practitioner | 890 W Elliot Rd, Suite 102, Gilbert, AZ 85233-5102 | 2015-05-19 |
| 1407246689 | Gregory Best | Registered Nurse | 890 W Elliot Rd, Suite 102, Gilbert, AZ 85233-5102 | 2015-01-27 |
| 1861881351 | Sylvania Hernandez-latog | Nurse Practitioner | 890 W Elliot Rd, Suite 102, Gilbert, AZ 85233-5102 | 2015-01-21 |
| 1417359597 | Robin Huesgen | Nurse Practitioner | 890 W Elliot Rd, Suite 103, Gilbert, AZ 85233-5102 | 2014-09-21 |
| 1629479621 | Nathan Cook | Physician Assistant | 890 W Elliot Rd, Ste 102, Gilbert, AZ 85233-5102 | 2014-09-09 |
| 1689080731 | Danielle Lee Oas | Nurse Practitioner | 890 W Elliot Rd, Suite 192, Gilbert, AZ 85233-5102 | 2014-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746379 | Rachael Bither | Physician Assistant | 1520 W Guadalupe Rd Ste 108, Gilbert, AZ 85233-3049 | 2017-12-27 |
| 1861855462 | South Val Vista Medical Group LLC | Physician Assistant | 754 S. Val Vista Dr., #105, Gilbert, AZ 85296 | 2016-03-31 |
| 1972976371 | Christopher Consolino | Physician Assistant | 3303 E Baseline Rd Ste 208, Gilbert, AZ 85234-2728 | 2015-11-06 |
| 1023484201 | Jennifer Bagby | Physician Assistant | 625 N Gilbert Rd Ste 104, Gilbert, AZ 85234-4511 | 2015-08-11 |
| 1720485147 | Elise W Ballou | Physician Assistant | 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297-0008 | 2014-12-01 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1194126425 | Kevin B Main | Physician Assistant | 3303 E Baseline Rd., Ste #208, Desert Pulmonary & Sleep Consultants, Plc, Gilbert, AZ 85234-2738 | 2014-09-05 |
| 1285057265 | Kristina Marie Todd | Physician Assistant | 4915 E Baseline Rd Ste 124, Gilbert, AZ 85234-2969 | 2014-01-28 |
| 1285885863 | Jane E Stevenson | Physician Assistant | 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2261 | 2008-10-01 |
| 1124278254 | Janice Renee Morasch | Physician Assistant | 3645 South Rome Street, Suite 204, Gilbert, AZ 85297 | 2008-09-25 |
| Find all providers in GILBERT | ||||
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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.