KOREY SHUTE (NPI# 1275008419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275008419 |
| Entity Type | Individual |
| Full Name | KOREY SHUTE |
| Credential | PA-C |
| Practice Address |
14961 W Bell Rd Suite 175 Surprise AZ 85374 |
| Mailing Address |
14961 W Bell Rd Ste 175 Surprise AZ 85374-3220 |
| Practice Telephone | 6232429830 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7272 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14961 W Bell Rd, Suite 175, Surprise, AZ 85374 | 6232429830 |
| Street Address |
14961 W BELL RD SUITE 175 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263825 | Jugroop S Brar | Internal Medicine | 14961 W Bell Rd, Suite 175, Surprise, AZ 85374-3200 | 2005-05-31 |
| 1679194153 | Christie Sibiga | Nurse Practitioner | 14961 W Bell Rd, Surprise, AZ 85374-3200 | 2020-05-06 |
| 1609311109 | Arizona Kids Pediatrics Ltd | Clinic/Center | 14961 W Bell Rd, Suite 100, Surprise, AZ 85374-3200 | 2016-12-20 |
| 1376903138 | Arizona Lung Sleep and Valley Fever Institute | Nurse Practitioner | 14961 W Bell Rd, #175, Surprise, AZ 85374-3200 | 2016-03-07 |
| 1932594579 | Arizona Lung Clinic Pllc | Internal Medicine | 14961 W Bell Rd, Suite 175, Surprise, AZ 85374-3200 | 2015-03-31 |
| 1750770699 | Shaunte Thomas | Nurse Practitioner | 14961 W Bell Rd, Ste 175, Surprise, AZ 85374-3220 | 2015-01-15 |
| 1891075909 | Christin Hegreness | Nurse Practitioner | 14961 W Bell Rd, Suite 175, Surprise, AZ 85374-3200 | 2011-08-19 |
| 1659605921 | Bruce Joseph Benaglio | Physician Assistant | 14961 W Bell Rd, Ste 175, Surprise, AZ 85374-3200 | 2009-09-19 |
| 1477703700 | Arizona Maternity and Women's Clinic Inc. | Obstetrics & Gynecology | 14961 W Bell Rd, Ste 175, Surprise, AZ 85374-3200 | 2008-09-23 |
| 1154583847 | Paramveer Bhugra | Internal Medicine | 14961 W Bell Rd, Suite 175, Surprise, AZ 85374-3200 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1861010241 | Caleb Kruse | Physician Assistant | 16940 W White Wing Rd, Surprise, AZ 85387-6116 | 2020-07-11 |
| 1245872761 | Steven Frederick Legate | Physician Assistant | 14780 W Mountain View Blvd Ste 109, Surprise, AZ 85374-7280 | 2019-10-16 |
| 1578023040 | Morgan Anderson | Physician Assistant | 15416 N 169th Ln, Surprise, AZ 85388-1360 | 2019-03-21 |
| 1902398167 | Samantha Hawes | Physician Assistant | 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 | 2018-06-04 |
| 1306342530 | Brant Morrow | Physician Assistant | 14800 W Mountain View Blvd Ste 250, Surprise, AZ 85374-4797 | 2018-04-05 |
| 1245501873 | Michelle Diocampo Claricia | Physician Assistant | 12775 W Bell Rd, Surprise, AZ 85378-9770 | 2012-01-12 |
| 1588992440 | John M Stroh | Physician Assistant | 13755 N Litchfield Rd, Surprise, AZ 85379-4287 | 2009-12-03 |
| 1174858567 | Tiffany R Anderson | Physician Assistant | 14239 W Bell Rd Ste 112, Surprise, AZ 85374-2470 | 2009-10-02 |
| 1225296981 | Tiffani Kay Mills | Physician Assistant | 14811 W. Bell Rd., Suite 101, Surprise, AZ 85374-7602 | 2008-05-29 |
| 1295761153 | Bradley Gerald Hall | Physician Assistant | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2006-06-23 |
| Find all providers in SURPRISE | ||||
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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.