MS. MIA LAUREN RYCKMAN


Address: 875 S Dobson Rd, Chandler, AZ 85224-5710
Phone: 4808999800

MS. MIA LAUREN RYCKMAN (NPI# 1417591348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417591348
Entity Type Individual
Full Name MS. MIA LAUREN RYCKMAN
Credential PHYSICIAN ASSISTANT
Practice Address 875 S Dobson Rd
Chandler
AZ 85224-5710
Practice Telephone 4808999800
Practice Fax Number 4808992994
Mailing Telephone 4808999800
Mailing Fax Number 4808992994
Enumeration Date 2019-11-04
Last Update Date 2019-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 7560 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 875 S DOBSON RD
City CHANDLER
State AZ
Zip Code 85224-5710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811972078 Joyce M Bealer Nurse Anesthetist, Certified Registered 875 S Dobson Rd, Chandler, AZ 85224-5710 2005-12-09
1235773185 Sandra Lynn Ehrler Physician Assistant 875 S Dobson Rd, Chandler, AZ 85224-5710 2019-11-04
1780085050 Jennifer Ann Mcphail Physician Assistant 875 S Dobson Rd, Chandler, AZ 85224-5710 2014-09-05
1194064725 John Sandy Stutts Nurse Anesthetist, Certified Registered 875 S Dobson Rd, Chandler, AZ 85224-5710 2013-02-01
1609127299 Jessica S Laurino Physician Assistant 875 S Dobson Rd, Chandler, AZ 85224-5710 2012-09-24
1366602500 Molly Anne Wyant Physician Assistant 875 S Dobson Rd, Chandler, AZ 85224-5710 2008-06-11
1699943290 Southeast Valley Endoscopy Center,llc Clinic/Center 875 S Dobson Rd, Chandler, AZ 85224-5710 2008-02-15
1306934211 Patricia Wickham-monsegur Nurse Anesthetist, Certified Registered 875 S Dobson Rd, Chandler, AZ 85224-5710 2006-10-10
1518063163 Yatin R Patel Internal Medicine 875 S Dobson Rd, Chandler, AZ 85224-5710 2006-09-14
1427094218 Sandeep Chandrakant Patel Internal Medicine 875 S Dobson Rd, Chandler, AZ 85224-5710 2006-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878859 Optum Infusion Services 308, LLC Durable Medical Equipment & Medical Supplies 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 2019-12-13
1073172037 Brennan Allen Dentist 610 N Alma School Rd Ste 4, Chandler, AZ 85224 2019-06-12
1518525237 Rachel Kelly Mador-house Genetic Counselor, MS 685 & 695 S Dobson Rd, Chandler, AZ 85224 2019-05-29
1780249748 Julia Solomon, Md Obstetrics & Gynecology 1725 West Frye Road, Suite 120, Chandler, AZ 85224 2019-05-06
1487118717 Litonrx LLC Pharmacy 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 2019-01-31
1528556495 Stone Med, LLC Physical Medicine & Rehabilitation 77 S Dobson Rd., Phoenix, AZ 85224 2018-04-26
1144739079 Four Peaks Anesthesia Consultants, LLC Anesthesiology 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 2017-09-22
1275061350 Whitney Carter Behavioral Analyst 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 2017-06-01
1528509171 Angela M. Navarrete Specialist/Technologist, Other 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 2017-03-15
1063958288 Glover Family Medical, LLC Clinic/Center 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 2017-01-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538719166 Hope M Jones Physician Assistant 1300 N Mcclintock Dr Ste B4, Chandler, AZ 85226-7241 2019-09-16
1124503909 Nina Novakovic Physician Assistant 604 W Warner Rd Ste E101, Chandler, AZ 85225-2909 2018-09-27
1497237085 Sean Austin Eddy Physician Assistant 1211 E Binner Dr, Chandler, AZ 85225-1498 2018-08-30
1821570482 Bethany Ann Tennyson Physician Assistant 875 S Dobson Rd Ste 1, Chandler, AZ 85224-5720 2018-08-30
1932619822 Dorothyrose Francis Vowels Physician Assistant 1900 W Chandler Blvd Ste 15-255, Chandler, AZ 85224-6213 2017-10-04
1689194920 Kyle D. Byrne Physician Assistant 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 2017-06-27
1801334057 Laura Witte Physician Assistant 1593 W Browning Way, Chandler, AZ 85286-0908 2017-02-08
1164853578 Cole Bewley Physician Assistant 2745 S. Alma School Rd. Ste 3, Chandler, AZ 85286 2013-12-10
1861726077 Derik K Kenworthy Physician Assistant 1979 W Ray Rd, Chandler, AZ 85224-4007 2009-09-22
1528216371 Maura Bridget Tardif Physician Assistant 5505 W Chandler Blvd Ste B13, Chandler, AZ 85226-3681 2008-09-05
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City CHANDLER
Zip Code 85224

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Dataset Information

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.

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