ALEXIS DEITZ


Address: 574 Middle Tpke E, Manchester, CT 06040-3730
Phone: 8606464334

ALEXIS DEITZ (NPI# 1669030177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669030177
Entity Type Individual
Full Name ALEXIS DEITZ
Credential PA-C
Practice Address 574 Middle Tpke E
Manchester
CT 06040-3730
Mailing Address 600 Andrews Way Apt 307
South Windsor
CT 06074-9603
Practice Telephone 8606464334
Mailing Telephone 8606464334
Enumeration Date 2019-05-30
Last Update Date 2019-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 574 MIDDLE TPKE E
City MANCHESTER
State CT
Zip Code 06040-3730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073522991 Barbara Louise Phillips Family Medicine 574 Middle Tpke E, Manchester, CT 06040-3730 2006-08-07
1992232813 Simone V Gorski Family Medicine 574 Middle Tpke E, Manchester, CT 06040-3730 2017-05-23
1730566381 Family Medicine Center Physician Assistant 574 Middle Tpke E, Manchester, CT 06040-3730 2015-05-04
1427067339 Martin Mark Keibel Family Medicine 574 Middle Tpke E, Manchester, CT 06040-3730 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1962856179 Odelia Brew Nurse Practitioner 256 Hackmatack Street, Manchester, CT 06040 2016-04-14
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
Find all providers in zip 06040

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356729487 Kelsey Wood Physician Assistant 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 2015-05-08
1841626678 Evan Patrick Dyer Physician Assistant 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 2013-09-25
1528313350 Stephanie Elaine Fangman Physician Assistant 709 W Main St Ste 3, Manchester, IA 52057-1526 2012-07-18
1932351673 Michael Anthony Ascenzia Physician Assistant 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 2008-10-14
1780747519 Wendy Brown Jorgensen Physician Assistant 1053 Western Avenue, Manchester, ME 04351 2006-12-19
1770694945 Briana Marie Peterson Physician Assistant 574 E Middle Tpke, Manchester, CT 06040-3730 2006-08-31
1245249010 Holly Pelletier Physician Assistant 57 Webster St Ste 110, Manchester, NH 03104-2552 2006-08-07
1558396192 Nancy E. Kalinski Physician Assistant 102 Bay St, Manchester, NH 03104-3008 2006-07-12
1790787323 Paul Barlow Physician Assistant 1 Highlander Way Ste 4, Manchester, NH 03103-7404 2005-08-12
1083154926 Kristen N Vautour Physician Assistant 100 Hitchcock Way, Manchester, NH 03104-4125 2017-02-25
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 06040

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Dataset Information

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.

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