TRENT R TIPTON (NPI# 1265833834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265833834 |
| Entity Type | Individual |
| Full Name | TRENT R TIPTON |
| Credential | PA-C |
| Practice Address |
1500 S Dobson Rd Mesa AZ 85202-4713 |
| Mailing Address |
Po Box 2767 Scottsdale AZ 85252-2767 |
| Practice Telephone | 4805510300 |
| Mailing Telephone | 4805510300 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5829 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5829 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057466 | Consultants In Urology, Ltd | Urology | 1500 S Dobson Rd, Suite 315, Mesa, AZ 85202-4713 | 2006-03-15 |
| 1801359005 | Kathleen Juarez | Registered Nurse | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2019-04-13 |
| 1740723907 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1500 S Dobson Rd, Suite 315, Mesa, AZ 85202-4713 | 2016-11-21 |
| 1265757637 | Dale L Payne, Mdpc | Surgery | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2010-03-29 |
| 1265767917 | Weigh Better Plc | Surgery | 1500 S Dobson Rd, Suite 312, Mesa, AZ 85202-4713 | 2009-10-14 |
| 1124273032 | Center for Colon and Rectal Diseases Plc | Specialist | 1500 S Dobson Rd, Suite 313, Mesa, AZ 85202-4713 | 2008-11-19 |
| 1235391657 | Maranatha Anesthesia, Pllc | Anesthesiology | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2008-06-26 |
| 1215124284 | Joel D Pavelonis Md PC | Anesthesiology | 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202-4724 | 2007-10-03 |
| 1528258118 | Acacia Anesthesia, Pllc | Anesthesiology | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-07-30 |
| 1982725982 | Demetri N. Panayi, M.d., P.C. | Specialist | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1679826051 | Az Richardson Surgical Services, LLC | Physician Assistant | 6417 E Star Valley St, Mesa, AZ 85215-0891 | 2012-10-22 |
| 1508173014 | Karli Elizabeth Vierra | Physician Assistant | 1450 S Dobson Rd Ste 320b, Mesa, AZ 85202-4765 | 2010-09-03 |
| 1023335627 | Shawn Christopher Smith | Physician Assistant | 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 | 2010-04-23 |
| 1144460221 | April M Cadreau | Physician Assistant | 5235 E Southern Ave Ste D106-159, Mesa, AZ 85206 | 2009-03-02 |
| 1598987505 | Patricia Kim Brown | Physician Assistant | 1002 E. Sorenson St., Mesa, AZ 85203 | 2007-05-02 |
| 1275632788 | Justina D Alphin | Physician Assistant | 7525 E Broadway Rd Ste 3, Mesa, AZ 85208-1156 | 2006-09-21 |
| 1750390803 | Daniel Stephen Blake | Physician Assistant | 1839 E Enrose St, Mesa, AZ 85203-5822 | 2006-08-07 |
| Find all providers in MESA | ||||
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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.