KEVIN B MAIN (NPI# 1194126425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194126425 |
| Entity Type | Individual |
| Full Name | KEVIN B MAIN |
| Credential | PA-C |
| Practice Address |
3303 E Baseline Rd., Ste #208 Desert Pulmonary & Sleep Consultants, Plc Gilbert AZ 85234-2738 |
| Practice Telephone | 4809621650 |
| Practice Fax Number | 4809621883 |
| Mailing Telephone | 4809621650 |
| Mailing Fax Number | 4809621883 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5638 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3303 E BASELINE RD., STE #208 DESERT PULMONARY & SLEEP CONSULTANTS, PLC |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
| 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 |
| 1043336787 | Martha M Gurgel | Physician Assistant | 1410 W Guadalupe, Bldg 4 Ste 125, Gilbert, AZ 85233 | 2007-03-22 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on KEVIN B MAIN.
| 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.