MARICOPA SURGICAL ASSIST (NPI# 1265031108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265031108 |
| Entity Type | Organization |
| Organization Name | MARICOPA SURGICAL ASSIST |
| Practice Address |
19829 N 27th Ave Phoenix AZ 85027-4001 |
| Mailing Address |
Po Box 39179 Phoenix AZ 85069-9179 |
| Practice Telephone | 6238796100 |
| Mailing Telephone | 6023950718 |
| Mailing Fax Number | 6022778146 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. MATTHEW CRAIG LEWIS (SURGICAL FIRST ASSIST) |
| Authorized Official Telephone | 6028823439 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19829 N 27TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716868 | Julie Hessler | Pediatrics | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2005-11-09 |
| 1427657238 | Kevin C Smith | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-22 |
| 1174144885 | Marjan Ashtiani | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-05-04 |
| 1104477835 | Liudmila Tamarchina | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-24 |
| 1922657121 | Tiffany Jean Colorado | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-10 |
| 1780233387 | Lee Louis Cavellini | Occupational Therapist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-05 |
| 1841843497 | Khanh Thi Le | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-07-23 |
| 1093294878 | Dawn Nicole Nichols | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2018-08-12 |
| 1841782265 | Diana Olivera | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027 | 2018-06-01 |
| 1760996128 | Kimberly A Walls | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
| 1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1598047367 | James P. Ennis II | Physician Assistant | 4023 Cloverland Drive, Phoenix, MD 21131-2139 | 2011-09-16 |
| 1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
| 1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
| 1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
| 1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
| 1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
| 1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
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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.