MR. JAMES LEA ALI (NPI# 1588635643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588635643 |
Entity Type | Individual |
Full Name | MR. JAMES LEA ALI |
Credential | P.A.-C |
Practice Address |
3306 W Roosevelt St Phoenix AZ 85009-3404 |
Practice Telephone | 6022784930 |
Practice Fax Number | 6022697772 |
Mailing Telephone | 6022784930 |
Mailing Fax Number | 6022697772 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2011-04-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2928 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 912784 | 05 |
Street Address |
3306 W ROOSEVELT ST |
City | PHOENIX |
State | AZ |
Zip Code | 85009-3404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922644012 | Elicia Hinton | Family Medicine | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2019-11-23 |
1265981666 | Your Neighborhood Dental Care LLC | Dentist | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2016-09-26 |
1023566817 | Kendal Packer | Physician Assistant | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2016-09-21 |
1356792410 | Melissa Morrison | Nurse Practitioner | 3306 W Roosevelt St, Ste. A, Phoenix, AZ 85009-3404 | 2016-06-29 |
1336455450 | Robin K Lee | Physician Assistant | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2010-08-26 |
1548597941 | Sag, LLC | Pain Medicine | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2009-11-06 |
1033359419 | Sag, LLC | Clinic/Center | 3306 W Roosevelt St, Phoenix, AZ 85009-3404 | 2009-02-25 |
1245423789 | Family Practice Clinic Ltd | Family Medicine | 3306 W Roosevelt St, Ste A, Phoenix, AZ 85009-3404 | 2007-08-18 |
1699828723 | Charles Eugene Myers | Family Medicine | 3306 W Roosevelt St, Suite A, Phoenix, AZ 85009-3404 | 2007-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
Find all providers in zip 85009 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in PHOENIX |
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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.