ZACKERY A. GROOVER


Address: 4175 S Alamo Ave, Tucson, AZ 85707-4402
Phone: 5202282778

ZACKERY A. GROOVER (NPI# 1134373632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134373632
Entity Type Individual
Full Name ZACKERY A. GROOVER
Credential PA-C
Practice Address 4175 S Alamo Ave
Tucson
AZ 85707-4402
Mailing Address 4881 Sugar Maple Dr
Wpafb
OH 45433-5529
Practice Telephone 5202282778
Enumeration Date 2008-11-11
Last Update Date 2019-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4175 S ALAMO AVE
City TUCSON
State AZ
Zip Code 85707-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760956387 Kyle Lynn Craver Military Health Care Provider 4175 S Alamo Ave, Tucson, AZ 85707 2019-01-16
1396216099 Laura Bette Social Worker 4175 S Alamo Ave, Tucson, AZ 85707-4402 2018-12-07
1679048250 Lam T Chung Pharmacist 4175 S Alamo Ave, Tucson, AZ 85707-4402 2018-10-10
1811477235 Alan Thatcher Price Military Health Care Provider 4175 S Alamo Ave, Tucson, AZ 85707-4402 2018-08-15
1841776101 Kimberly Johnson Nurse Practitioner 4175 S Alamo Ave, Tucson, AZ 85707-4402 2018-07-19
1457868598 Kristina Marie Linden Social Worker 4175 S Alamo Ave, Tucson, AZ 85707-4402 2018-01-10
1235668054 Joseph Anthony Everett Dentist 4175 S Alamo Ave, Tucson, AZ 85707-4402 2017-06-06
1407205743 Eun Soo David Park Family Medicine 4175 S Alamo Ave, Tucson, AZ 85707 2016-06-07
1477907590 Vanessa F Scheirer Physical Therapist 4175 S Alamo Ave, Tucson, AZ 85707-4402 2016-04-14
1164883104 Marc Enslow Dentist 4175 S Alamo Ave, Tucson, AZ 85707-4402 2016-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699128850 Megan Dehaven Specialist/Technologist 5455 E Comanche St, Tucson, AZ 85707 2016-07-22
1780927954 Ryan N Taylor Physician Assistant 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 2013-04-05
1154658839 Alisha A Marchetti Physician Assistant 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 2009-11-17
1851529192 Christopher Thomas Yarbrough Military Health Care Provider 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 2009-06-25
1144457045 Denise Fabian Psychiatry & Neurology 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 2009-06-17
1942437447 Emerson M Earle Military Health Care Provider 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 2009-06-11
1164657136 Raul Romero Military Health Care Provider 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 2009-05-20
1063647196 Virginia E. Bailey Military Health Care Provider 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 2009-05-19
1043417611 Jacob Riis Orthopaedic Surgery 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 2007-06-28
1508989732 Christopher E. Dunham Physician Assistant 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 2007-04-10
Find all providers in zip 85707

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457966640 Stephanie Alonso Physician Assistant 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 2020-09-14
1902416084 Nooria Sufi Physician Assistant 3849 E Calle De Soto, Tucson, AZ 85716-5125 2020-08-04
1578189650 Emily Alaine Maru Physician Assistant 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 2020-06-24
1144863481 Daniel E Valdez Physician Assistant 7360 S Frost Dr, Tucson, AZ 85747-5641 2019-10-18
1831663731 Chenin Poels Physician Assistant 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 2019-01-14
1750864310 Stephen Skiano Physician Assistant 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 2018-09-10
1215415112 Chelsea Marie Baker Physician Assistant 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 2018-08-02
1891209268 Samantha Martinez Physician Assistant 7089 N Thornydale Rd, Tucson, AZ 85741-2728 2017-11-21
1851819692 Clayton Harrison Andrews Physician Assistant 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 2017-08-31
1831613579 Ashley Shaw Physician Assistant 5856 N Placita Esplendora, Tucson, AZ 85718 2017-08-02
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Competitor

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City TUCSON
Zip Code 85707

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Dataset Information

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.

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