MARA DANIELLE IMMEDIATO (NPI# 1538410071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538410071 |
| Entity Type | Individual |
| Full Name | MARA DANIELLE IMMEDIATO |
| Credential | PA-C |
| Practice Address |
1255 W Rio Salado Pkwy Ste 107 Tempe AZ 85281-2892 |
| Practice Telephone | 4809620071 |
| Practice Fax Number | 4809620590 |
| Mailing Telephone | 4809620071 |
| Mailing Fax Number | 4809620590 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5195 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1255 W RIO SALADO PKWY STE 107 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854296 | Jason C Datta | Orthopaedic Surgery | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2006-03-09 |
| 1962707869 | Bryce A Hilmo | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281 | 2011-01-24 |
| 1194979427 | Lyle Young | Orthopaedic Surgery | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2008-11-13 |
| 1184876492 | Vanessa Rene Lo | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2008-10-17 |
| 1871769976 | Sonoran Physical Therapy | Clinic/Center | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1306249420 | Sonoran Surgical Pllc | Physician Assistant | 2502 S Cottonwood Dr, Tempe, AZ 85282-3071 | 2014-10-02 |
| 1841561859 | Kennedy Orthopedic Services, Inc. | Physician Assistant | 1819 E Yale Dr, Tempe, AZ 85283-2249 | 2012-01-23 |
| 1710940192 | Lanny L Oden | Physician Assistant | 1186 E Redfield Rd, Tempe, AZ 85283-5732 | 2006-04-07 |
| 1700888716 | Physician Assistant Services | Physician Assistant | 7804 S Jentilly Ln, Tempe, AZ 85284-1562 | 2005-08-10 |
| 1891190062 | Donald Grace | Physician Assistant | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2014-10-29 |
| 1316182926 | Jennifer Johnstad LLC | Physician Assistant | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282-7612 | 2008-12-10 |
| 1346383387 | Arizona Surgeon Assistance | Physician Assistant | 2000 E Southern Ave, #105, Tempe, AZ 85282-7510 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1982124509 | Catherine Fredrickson | Physician Assistant | 51312 W Deer Run Rd, Maricopa, AZ 85139-3554 | 2017-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARA DANIELLE IMMEDIATO.
| 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.