MR. DANIEL LYNN STOLL (NPI# 1588755185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588755185 |
Entity Type | Individual |
Full Name | MR. DANIEL LYNN STOLL |
Credential | PA-C |
Practice Address |
1800 E Wilcox Dr Sierra Vista AZ 85635-2756 |
Practice Telephone | 5204593116 |
Practice Fax Number | 5204597397 |
Mailing Telephone | 5204593116 |
Mailing Fax Number | 5204597397 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1478 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 112946 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255713418 | Daniel Stoll | Family Medicine | 2480 Sonoma St, Redding, CA 96001-3027 | 2015-06-24 |
Street Address |
1800 E WILCOX DR |
City | SIERRA VISTA |
State | AZ |
Zip Code | 85635-2756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063487486 | Ralph Esker Mayberry | Family Medicine | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2006-02-20 |
1730705377 | Jason Patrick | Nurse Practitioner | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2020-06-19 |
1972978328 | Garrick Haymore | Nurse Practitioner | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2015-12-10 |
1558563114 | Family Health Center of Sierra Vista, PC | Family Medicine | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2007-06-04 |
1992895452 | Elizabeth A Reese | Physician Assistant | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2006-10-13 |
1730270349 | Lance Joseph Teurfs | Physician Assistant | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2006-09-27 |
1518985993 | Leo Michael Lesueur | Internal Medicine | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
Find all providers in zip 85635 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568558963 | Lorenza None Lopez Wysong | Physician Assistant | 3533 Canyon De Flores, Ste A, Sierra Vista, AZ 85650-5366 | 2006-10-04 |
1730270349 | Lance Joseph Teurfs | Physician Assistant | 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756 | 2006-09-27 |
1881645596 | Sean Paul Royal Dorado | Physician Assistant | 155 Calle Portal, Ste. 100, Sierra Vista, AZ 85635-2900 | 2006-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
Find all providers with the same taxonomy |
City | SIERRA VISTA |
Zip Code | 85635 |
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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.