JEANNETTE VAUGHN-DOTTERER (NPI# 1407859416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407859416 |
| Entity Type | Individual |
| Full Name | JEANNETTE VAUGHN-DOTTERER |
| Credential | P.A.-C. |
| Practice Address |
865 N Arizola Rd Casa Grande AZ 85222-6011 |
| Mailing Address |
Po Box 10097 Casa Grande AZ 85230-0097 |
| Practice Telephone | 5208363446 |
| Practice Fax Number | 5208368807 |
| Mailing Telephone | 5208363446 |
| Mailing Fax Number | 5208368807 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2896 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
865 N ARIZOLA RD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538533 | Jeffrey Andrew Asman | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-11-03 |
| 1558960740 | Sharon Lyndell Goettsch | Dental Hygienist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-10-20 |
| 1447858899 | Paul Asimah Kwofie | Dental Hygienist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-10-16 |
| 1568077550 | Ann Kelly Truong | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-09-15 |
| 1518575877 | Travis William Warman | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2020-07-22 |
| 1851935415 | Briona Perry | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-11-06 |
| 1366098030 | Megan Jo Kilgore | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-08-17 |
| 1073168803 | Brian Maniga | Pharmacist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-08-08 |
| 1972155414 | Travis Hogan | Dentist | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-07-15 |
| 1457911810 | Sarah Jean Davis | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| 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 |
|---|---|---|---|---|
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1356329379 | Kelly D Chavez | Physician Assistant | 1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85222 | 2006-01-09 |
| 1073110722 | Danielle Laurice Stewart | Physician Assistant | 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 | 2020-10-06 |
| 1871062125 | Logan Nichols | Physician Assistant | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2018-11-15 |
| 1689111957 | Abel Ortega Diaz | Physician Assistant | 865 N Arizola Rd, Casa Grande, AZ 85122 | 2017-01-25 |
| 1467853630 | Sara Diane Gordoa | Physician Assistant | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 | 2014-09-08 |
| 1265864359 | Bret Lee Jacobsen Miller | Physician Assistant | 1800 E Florence Blvd, Ste 139, Casa Grande, AZ 85122-5303 | 2013-07-31 |
| 1821306804 | Samantha Louise Sheire | Physician Assistant | 1637 E Monument Plaza Cir, Suite 1, Casa Grande, AZ 85122-5638 | 2010-09-23 |
| 1255560710 | Vincent J Tapia | Physician Assistant | 1637 E Monument Plaza Cir, Casa Grande, AZ 85222-5600 | 2009-07-06 |
| 1285828053 | Cynthia Price Franco | Physician Assistant | 1890 E Florence Blvd, Ste 4, Casa Grande, AZ 85122-5642 | 2007-09-05 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.