MR. ANTWAIN ALEXANDER (NPI# 1508421280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508421280 |
| Entity Type | Individual |
| Full Name | MR. ANTWAIN ALEXANDER |
| Credential | PA-C |
| Practice Address |
3505 W El Cabrio Dr West Valley City UT 84119-6710 |
| Practice Telephone | 7194061868 |
| Mailing Telephone | 7194061868 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005769 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3505 W EL CABRIO DR |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| 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 |
|---|---|---|---|---|
| 1689948176 | Allyson Eggertz Sorensen | Physician Assistant | 3730 West 4700 South, West Valley City, UT 84129-3457 | 2012-02-29 |
| 1750650586 | Erika Kristen Tse | Physician Assistant | 4052 Pioneer Pkwy Ste 205, West Valley City, UT 84120-2063 | 2011-12-23 |
| 1184623829 | Greg F Powell | Physician Assistant | 4052 W Pioneer Pkwy, Ste 208, West Valley City, UT 84120 | 2005-07-15 |
| 1730655994 | Devin Earl Timothy | Physician Assistant | 3336 S Pioneer Pkwy, West Valley City, UT 84120-2000 | 2018-10-15 |
| 1679087399 | Ahmad Khalid Saeed | Physician Assistant | 3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 | 2017-11-17 |
| 1871934489 | Matthew Robert Nimer | Physician Assistant | 1525 W 2100 S, West Valley City, UT 84119-1401 | 2013-07-11 |
| 1386984987 | Alexandra Fine | Physician Assistant | 3451 S 5600 W, Suite F, West Valley City, UT 84120-1301 | 2013-02-20 |
| 1912270497 | Valerie K Oquendo | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2012-02-14 |
| 1053627737 | Natalie Evans Dahle | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2010-08-19 |
| 1275861619 | Craig Howard Yerke | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2009-11-23 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on MR. ANTWAIN ALEXANDER.
| 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.