MS. KIMBERLY JAE CHRISMAN (NPI# 1487679429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487679429 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY JAE CHRISMAN |
| Credential | PA-C |
| Practice Address |
500 W Thomas Rd Ste 400 Phoenix AZ 85013-4238 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024063874 |
| Practice Fax Number | 6024062335 |
| Mailing Telephone | 4803907317 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2922 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 W Thomas Rd, Phoenix, AZ 850134409 | 6024063157 | |
| 1955 W Frye Rd, Chandler, AZ 852246282 | 4807284700 | 4807284747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396218053 | Kimberly Chrisman | Counselor | 3011 Harrah Dr Ste T, Spring Hill, TN 37174-6254 | 2019-01-05 |
| 1609351857 | Kimberly Lauren Chrisman | Physician Assistant | 1174 W Michigan Ave Ste A, Marshall, MI 49068-1625 | 2018-10-03 |
| Street Address |
500 W THOMAS RD STE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750347563 | Jordan A Weinberg | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2006-04-21 |
| 1417431818 | Nicole Marie Torres | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2018-09-20 |
| 1871950980 | Sidney Shane Mangelsdorf | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2016-01-20 |
| 1356769459 | Jeanne Yvonne Parrish | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2014-04-04 |
| 1629492236 | Erin Wilkinson | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2014-02-18 |
| 1679825004 | Claire J Johnson | Physician Assistant | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2012-10-09 |
| 1306169313 | Derik Michael Alexander | Nurse Practitioner | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2010-03-04 |
| 1215160379 | Jordan Vernon Jacobs | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2009-08-24 |
| 1811121403 | Kathryn Elise Coan | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013-4238 | 2009-05-11 |
| 1982868519 | James N. Bogert | Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
| 1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1598047367 | James P. Ennis II | Physician Assistant | 4023 Cloverland Drive, Phoenix, MD 21131-2139 | 2011-09-16 |
| 1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
| 1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
| 1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
| 1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
| 1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
| 1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
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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.