SHUNG L NIP (NPI# 1386927044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386927044 |
| Entity Type | Individual |
| Full Name | SHUNG L NIP |
| Credential | PA |
| Practice Address |
641 W Warner Rd Gilbert AZ 85233-7266 |
| Mailing Address |
1250 S Clearview Ave Ste 100 Mesa AZ 85209-3378 |
| Practice Telephone | 4807229828 |
| Practice Fax Number | 4807229831 |
| Mailing Telephone | 4809889108 |
| Mailing Fax Number | 4808134460 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4930 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 767347 | 05 | |
| MEDICARE PTAN | Z157989 | 01 |
| Street Address |
641 W WARNER RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-7266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276245 | Douglas Hobbs | Emergency Medicine | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2005-09-21 |
| 1598237117 | Banner Urgent Care Services, LLC | Clinic/Center | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2018-12-20 |
| 1700319605 | Angela Lea Stuff | Nurse Practitioner | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2017-04-06 |
| 1700256245 | Bryan Bussone | Physician Assistant | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2015-09-27 |
| 1598154577 | Connie Mcleod | Nurse Practitioner | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2015-01-14 |
| 1750784914 | Brian Elston | Physician Assistant | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2014-10-02 |
| 1396147450 | Joel Olmstead | Physician Assistant | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2014-09-20 |
| 1861893646 | Laura Thompson | Nurse Practitioner | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2014-09-11 |
| 1538575253 | Lokeswari Bucchireddigari | Nurse Practitioner | 641 W Warner Rd, Gilbert, AZ 85233 | 2014-07-02 |
| 1376972752 | Amber Mcdaniel | Nurse Practitioner | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746379 | Rachael Bither | Physician Assistant | 1520 W Guadalupe Rd Ste 108, Gilbert, AZ 85233-3049 | 2017-12-27 |
| 1861855462 | South Val Vista Medical Group LLC | Physician Assistant | 754 S. Val Vista Dr., #105, Gilbert, AZ 85296 | 2016-03-31 |
| 1972976371 | Christopher Consolino | Physician Assistant | 3303 E Baseline Rd Ste 208, Gilbert, AZ 85234-2728 | 2015-11-06 |
| 1023484201 | Jennifer Bagby | Physician Assistant | 625 N Gilbert Rd Ste 104, Gilbert, AZ 85234-4511 | 2015-08-11 |
| 1720485147 | Elise W Ballou | Physician Assistant | 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297-0008 | 2014-12-01 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1194126425 | Kevin B Main | Physician Assistant | 3303 E Baseline Rd., Ste #208, Desert Pulmonary & Sleep Consultants, Plc, Gilbert, AZ 85234-2738 | 2014-09-05 |
| 1285057265 | Kristina Marie Todd | Physician Assistant | 4915 E Baseline Rd Ste 124, Gilbert, AZ 85234-2969 | 2014-01-28 |
| 1285885863 | Jane E Stevenson | Physician Assistant | 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2261 | 2008-10-01 |
| 1124278254 | Janice Renee Morasch | Physician Assistant | 3645 South Rome Street, Suite 204, Gilbert, AZ 85297 | 2008-09-25 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on SHUNG L NIP.
| 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.