JEREMY BIRD (NPI# 1194350454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350454 |
| Entity Type | Individual |
| Full Name | JEREMY BIRD |
| Practice Address |
3801 Santa Rosa Dr Ste 400 Kingman AZ 86401-2311 |
| Mailing Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9286818530 |
| Practice Fax Number | 9286818741 |
| Mailing Telephone | 9282634722 |
| Mailing Fax Number | 9282634794 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447586144 | Jeremy J. Bird | Physician Assistant | 3444 Kearny Villa Rd Ste 202, San Diego, CA 92123-1960 | 2009-10-30 |
| Street Address |
3801 SANTA ROSA DR STE 400 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699195438 | Joie Tedder | Nurse Practitioner | 3801 Santa Rosa Dr Ste 400, Kingman, AZ 86401-2311 | 2014-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235314089 | Ann Marie Garibaldi | Physician Assistant | 2226 Hualapai Mountain Rd Ste 101, Kingman, AZ 86401-8374 | 2007-12-28 |
| 1720059876 | Kathryn A Kimpler | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-01-27 |
| 1992792758 | Kurtis A Manley | Physician Assistant | 2226 Hualapai Mountain Rd, Kingman, AZ 86401-8374 | 2005-10-05 |
| 1134681281 | Binh Thanh Nguyen | Physician Assistant | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-04-05 |
| 1598243149 | Kaylee Mason Herrero | Physician Assistant | 1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593 | 2018-08-04 |
| 1689172629 | Victoria Rossi | Physician Assistant | 3801 Santa Rosa Dr, Kingman, AZ 86401 | 2018-01-24 |
| 1508245333 | Sarah Lybrand | Physician Assistant | 1739 E Beverly Ave, Suite 102, Kingman, AZ 86409-3593 | 2015-05-26 |
| 1760735880 | Raice R Nelson | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2012-10-26 |
| 1225381858 | Jennifer Lauren Azbill | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409 | 2012-10-19 |
| 1720388481 | Patricia Diane Wise | Physician Assistant | 3931 Stockton Hill Rd, Suite C, Kingman, AZ 86409-2426 | 2010-10-28 |
| Find all providers in KINGMAN | ||||
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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.