KEVIN DRAKE (NPI# 1285183681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285183681 |
| Entity Type | Individual |
| Full Name | KEVIN DRAKE |
| Credential | PA-C |
| Practice Address |
500 W Thomas Rd Ste 500 Phoenix AZ 85013-4220 |
| Practice Telephone | 6024064000 |
| Practice Fax Number | 6024066498 |
| Mailing Telephone | 6024064000 |
| Mailing Fax Number | 6024066498 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
6438 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598810517 | Kevin Criston Drake | Chiropractor | 4415 Excelsior Blvd, Saint Louis Park, MN 55416-4813 | 2007-01-23 |
| 1568472389 | Kevin K Drake | Specialist | 2428 Santa Monica Blvd, Suite Ll, Santa Monica, CA 90404-2045 | 2006-08-08 |
| 1922015460 | Kevin Matthew Drake | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-01 |
| Street Address |
500 W THOMAS RD STE 500 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841266681 | Hesham E Abdelrazek | Internal Medicine | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 | 2006-02-23 |
| 1053926527 | Brian Michael Daft | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2020-09-11 |
| 1003442435 | James Bradley Craigo | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2020-03-17 |
| 1831731769 | Amy Lee Moore | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2019-10-11 |
| 1053953000 | Sarah Renee Mccartney | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2019-10-10 |
| 1841842754 | Candi May Lewis | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2019-07-10 |
| 1487119699 | Roxanne Carla Raganit Tenorio | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2019-02-02 |
| 1326521980 | Kaitlyn Leahey | Physician Assistant | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 | 2018-09-10 |
| 1205313798 | Paul Hardt | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2018-07-26 |
| 1669975272 | Erin Raffaele | Nurse Practitioner | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2018-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| 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.