MR. CHAD MICHAEL WIKAN (NPI# 1134482631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134482631 |
| Entity Type | Individual |
| Full Name | MR. CHAD MICHAEL WIKAN |
| Credential | ANP-C |
| Practice Address |
12409 W Indian School Rd Suite #b210 Avondale AZ 85392-9502 |
| Practice Telephone | 6239359920 |
| Practice Fax Number | 6239359925 |
| Mailing Telephone | 6239359920 |
| Mailing Fax Number | 6239359925 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP4499 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12409 W INDIAN SCHOOL RD SUITE #B210 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538898 | Thomas Morgan | Chiropractor | 12409 W Indian School Rd, #b-210, Avondale, AZ 85392-9502 | 2006-02-21 |
| 1407480932 | Melanie Lee Boltze | Registered Nurse | 12409 W Indian School Rd, Avondale, AZ 85392-9502 | 2020-02-24 |
| 1275937740 | Thomas Healthcare | Pain Medicine | 12409 W Indian School Rd, 210, Avondale, AZ 85392-9502 | 2014-10-13 |
| 1205239225 | Jackson Healthcare | Pain Medicine | 12409 W Indian School Rd, 210, Avondale, AZ 85392-9502 | 2014-10-04 |
| 1508104324 | Emily Kay Johnston | Physician Assistant | 12409 W Indian School Rd, Building E, Avondale, AZ 85392-9502 | 2013-01-29 |
| 1881901452 | Tara Joy Marshall | Specialist/Technologist | 12409 W Indian School Rd, Suite C306, Avondale, AZ 85392-9502 | 2010-09-02 |
| 1528373552 | Jeffry Michael Pollock | Specialist/Technologist | 12409 W Indian School Rd, C306, Avondale, AZ 85392-9502 | 2010-08-13 |
| 1700033412 | 60002 Avondale Rehabilitation Center | Chiropractor | 12409 W Indian School Rd, B210, Avondale, AZ 85392-9502 | 2008-08-25 |
| 1861658361 | Janna Renee Gess | Occupational Therapy Assistant | 12409 W Indian School Rd, Avondale, AZ 85392-9502 | 2008-08-04 |
| 1114111010 | Erin Diane Sargent | Speech-Language Pathologist | 12409 W Indian School Rd, Ste C-306, Avondale, AZ 85392-9502 | 2007-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006934 | Angela Conlan | Nurse Practitioner | 516 Turnbridge Ct, Avondale, PA 19311-1348 | 2019-04-29 |
| 1710350368 | Caroline Heidi Assmann | Nurse Practitioner | 10916 W Granada Rd, Avondale, AZ 85392-5433 | 2015-11-04 |
| 1265663736 | Leah Jhoana Echiverri | Nurse Practitioner | 10705 W Encanto Blvd, Avondale, AZ 85392-5489 | 2009-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
| 1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
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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.