MICHAEL J SASSMANN (NPI# 1295049914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295049914 |
| Entity Type | Individual |
| Full Name | MICHAEL J SASSMANN |
| Credential | PA-C |
| Practice Address |
300 W White Mountain Blvd Suitea Lakeside AZ 85929-7014 |
| Practice Telephone | 9283671077 |
| Practice Fax Number | 9283671027 |
| Mailing Telephone | 9283671077 |
| Mailing Fax Number | 9283671027 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5428 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21074 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 W WHITE MOUNTAIN BLVD SUITEA |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265402622 | Gaylon Crawford | Family Medicine | 300 W White Mountain Blvd, Ste D, Lakeside, AZ 85929-7014 | 2006-01-26 |
| 1124479910 | Honor Family Healthcare, LLC | Family Medicine | 300 W White Mountain Blvd, Suite D, Lakeside, AZ 85929-7014 | 2016-06-23 |
| 1467629469 | Ccent & Fps | Otolaryngology | 300 W White Mountain Blvd, Suite D, Lakeside, AR 85929-6533 | 2008-05-09 |
| 1851425359 | Gaylon E Crawford Do Inc | Family Medicine | 300 W White Mountain Blvd, Suite A, Lakeside, AZ 85929 | 2007-03-15 |
| 1407969637 | High Pines Urology PC | Urology | 300 W White Mountain Blvd, Suite C, Lakeside, AZ 85929 | 2006-08-15 |
| 1669445706 | Leon A Driss | Internal Medicine | 300 W White Mountain Blvd, Suite A, Lakeside, AZ 85929-7014 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1104178326 | Ronald T. Watanabe | Chiropractor | 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 | 2012-10-11 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| Find all providers in zip 85929 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063740884 | Curtis Vance Birdno | Physician Assistant | 2963 W White Mountain Blvd, Lakeside, AZ 85929-6257 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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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.