DESERT SURGICAL ASSISTANTS, LLC (NPI# 1528284478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528284478 |
Entity Type | Organization |
Organization Name | DESERT SURGICAL ASSISTANTS, LLC |
Practice Address |
10930 N Tatum Blvd #103 Phoenix AZ 85028-6069 |
Practice Telephone | 6022637600 |
Practice Fax Number | 6022120365 |
Mailing Telephone | 6022637600 |
Mailing Fax Number | 6022120365 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-09-18 |
Authorized Official Name | MICHAEL P CASKEY (OWNER) |
Authorized Official Telephone | 6022637600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10930 N TATUM BLVD #103 |
City | PHOENIX |
State | AZ |
Zip Code | 85028-6069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144214172 | Kenneth A Ashton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-06 |
1265988299 | Kelsey Slugocki | Physician Assistant | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2016-08-30 |
1043602444 | Jordanna Newberger | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-23 |
1801287354 | Rachel Armenta | Nurse Practitioner | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-05 |
1174929129 | Jessica Russ | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2014-11-18 |
1396184602 | Malia Goozen-suor | Perfusionist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2013-06-19 |
1396970182 | Meghan Kirksey | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2009-05-21 |
1245364702 | Michelle D Carey-caskey | Registered Nurse | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-03-15 |
1902934342 | Vicki Larson | Specialist | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-02-28 |
1659409001 | Robert Harrison | Specialist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
Find all providers in zip 85028 |
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.