JUNIPER DERY-CHAFFIN


Address: 1515 E Osborn Rd, Phoenix, AZ 85014-5309
Phone: 6026040000

JUNIPER DERY-CHAFFIN (NPI# 1457800302) 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) 1457800302
Entity Type Individual
Full Name JUNIPER DERY-CHAFFIN
Credential PA-C
Practice Address 1515 E Osborn Rd
Phoenix
AZ 85014-5309
Mailing Address 39 E Saragosa St
Chandler
AZ 85225-6386
Practice Telephone 6026040000
Mailing Telephone 5204657259
Enumeration Date 2016-10-03
Last Update Date 2016-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
6500 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE OF ARIZONA LICENSE 6500 01

Office Location

Street Address 1515 E OSBORN RD
City PHOENIX
State AZ
Zip Code 85014-5309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346620358 Community Partners Integrated Healthcare, Inc. Clinic/Center 1515 E Osborn Rd, Phoenix, AZ 85014-5309 2015-06-04
1790247229 Rachel C Torry Social Worker 1515 E Osborn Rd, Phoenix, AZ 85014-5309 2019-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831796549 Sherri Ann Rhodes Registered Nurse 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 2020-10-06
1235746249 Kaitlyn Landess Occupational Therapist 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 2020-09-24
1467088062 Generational Bridges Neuropsychological Services Pllc Clinical Neuropsychologist 1515 E Missouri Dr, Phoenix, AZ 85014 2020-03-16
1861022881 Daza Astrid Hernandez Speech-Language Pathologist 5314 N 7th Street, Phoeniz, AZ 85014 2020-01-17
1396213542 Arizona Youth & Family Services Inc. Community/Behavioral Health 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 2018-11-06
1366815508 Dehp LLC Case Management 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 2015-11-10
1659751972 Carla Parola Counselor 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 2015-06-02
1659763597 Dale Carroll Davis Dentist 3132 N. 7th St, Phoenix, AZ 85014 2015-03-02
1407247091 Cynthia Ruzich Psychologist 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 2015-02-18
1144618315 Emily M Bentz Specialist/Technologist 3514 N. 7th St, Phoenix, AZ 85014 2014-12-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073121505 Alexandra R Koolmees Physician Assistant 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 2020-07-21
1568080620 Manuel Gerardo Pompa Physician Assistant 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 2020-07-06
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1124502372 Amanda Rose Jones Physician Assistant 36427 N 14th St, Phoenix, AZ 85086-7506 2018-09-23
1639681745 Martha Lopez Physician Assistant 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 2017-10-30
1386153674 Emily Meredith Eoff Physician Assistant 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 2017-09-29
1659890754 Greg Horn Physician Assistant 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 2017-09-11
1619407269 Integrative Natural Medicine Physician Assistant 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 2017-06-15
1174996870 Jyoti Sharma Physician Assistant 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 2015-11-04
1487025086 Shaye Harrel Physician Assistant 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 2015-10-08
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Competitor

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City PHOENIX
Zip Code 85014

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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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