KEISHA PERRY (NPI# 1447628458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447628458 |
| Entity Type | Individual |
| Full Name | KEISHA PERRY |
| Credential | PA |
| Practice Address |
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 |
| Practice Telephone | 1623374777 |
| Mailing Telephone | 6233747774 |
| Mailing Fax Number | 8554206361 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006865 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 7125 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2840 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2569 Douglass Ave, Memphis, TN 381142532 | 9017012560 | 9012716249 |
| 7200 Glen Forest Dr Ste 106, Richmond, VA 232263768 | 8044950053 | 7205980440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144467986 | Keisha Yvette Perry | Registered Nurse | 5968 Red Oak Dr, Toledo, OH 43615-1841 | 2009-01-15 |
| 1992194658 | Keisha L. Perry | Social Worker | 2711 Colonial Drive, Lradac -, Columbia, SC 29203 | 2015-01-20 |
| 1689845190 | Keisha Yvette Perry | Podiatrist | 1201 Broad Rock Blvd, Mail Stop 112h, Richmond, VA 23249-0001 | 2008-03-13 |
| Street Address |
14780 W MOUNTAIN VIEW BLVD STE 110 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255399812 | Michael Dean Hurt | Anesthesiology | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2006-05-03 |
| 1538781794 | Paola Marie Rivera Diaz | Social Worker | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2020-05-11 |
| 1275162323 | Nerissa Apostol Zafe | Nurse Practitioner | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2020-04-01 |
| 1447890876 | Md24 Safe Harbor Oh, LLC. | Family Medicine | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2020-01-14 |
| 1417597857 | Md24 Safe Harbor Mi, LLC. | Family Medicine | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2020-01-14 |
| 1215574470 | Safe Harbor Hospice of Arizona, LLC | General Practice | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2019-12-06 |
| 1205483476 | Alphonse Alapat | Nurse Practitioner | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2019-08-22 |
| 1366001869 | Md24 Integrated Clinics, Pllc | Family Medicine | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2019-06-07 |
| 1083273585 | Integrated Behavioral Health, Pllc. | Family Medicine | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2019-06-07 |
| 1447819941 | Md24 Integrated Wound Care, LLC. | Family Medicine | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1861010241 | Caleb Kruse | Physician Assistant | 16940 W White Wing Rd, Surprise, AZ 85387-6116 | 2020-07-11 |
| 1245872761 | Steven Frederick Legate | Physician Assistant | 14780 W Mountain View Blvd Ste 109, Surprise, AZ 85374-7280 | 2019-10-16 |
| 1578023040 | Morgan Anderson | Physician Assistant | 15416 N 169th Ln, Surprise, AZ 85388-1360 | 2019-03-21 |
| 1902398167 | Samantha Hawes | Physician Assistant | 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 | 2018-06-04 |
| 1306342530 | Brant Morrow | Physician Assistant | 14800 W Mountain View Blvd Ste 250, Surprise, AZ 85374-4797 | 2018-04-05 |
| 1245501873 | Michelle Diocampo Claricia | Physician Assistant | 12775 W Bell Rd, Surprise, AZ 85378-9770 | 2012-01-12 |
| 1588992440 | John M Stroh | Physician Assistant | 13755 N Litchfield Rd, Surprise, AZ 85379-4287 | 2009-12-03 |
| 1174858567 | Tiffany R Anderson | Physician Assistant | 14239 W Bell Rd Ste 112, Surprise, AZ 85374-2470 | 2009-10-02 |
| 1225296981 | Tiffani Kay Mills | Physician Assistant | 14811 W. Bell Rd., Suite 101, Surprise, AZ 85374-7602 | 2008-05-29 |
| 1295761153 | Bradley Gerald Hall | Physician Assistant | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2006-06-23 |
| Find all providers in SURPRISE | ||||
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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.