NORAZ SURGICAL ASSISTS (NPI# 1679942668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679942668 |
Entity Type | Organization |
Organization Name | NORAZ SURGICAL ASSISTS |
Practice Address |
50 Pine Del Dr Flagstaff AZ 86005-9603 |
Practice Telephone | 9286996786 |
Enumeration Date | 2015-09-19 |
Last Update Date | 2015-09-19 |
Authorized Official Name | JOEL PACKARD (OWNER) |
Authorized Official Telephone | 9286996786 |
Authorized Official Credential | CSFA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
50 PINE DEL DR |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86005-9603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972990851 | Joel Packard | Physician Assistant | 50 Pine Del Dr, Flagstaff, AZ 86005-9603 | 2015-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851776785 | Libby Smith | Counselor | 3240 S. Trotter Lane, Flagstaff, AZ 86005 | 2015-07-21 |
1255484580 | Melanie Glass Watters | Physical Therapist | 2342 Mongwa Ovi, Flagstaff, AZ 86005-3531 | 2007-01-19 |
1609488444 | Camille Elizabeth Harding | Student in an Organized Health Care Education/Training Program | 2707 Moenkopi Trl, Flagstaff, AZ 86005-3659 | 2020-08-22 |
1568871366 | J Wynne Geikenjoyner | Physical Therapist | 4247 Canyon Loop, Flagstaff, AZ 86005-3726 | 2014-08-05 |
1174592380 | Carol L. O'saben | Psychologist | 4289 Canyon Loop, Flagstaff, AZ 86005-3726 | 2006-03-17 |
1275005068 | Jennifer Leigh Cody | Respite Care | 2583 Chof Trl, Flagstaff, AZ 86005-3737 | 2018-12-18 |
1528260155 | Laura Ann Kinghan | Occupational Therapist | 3623 Kachina Trail, #8, Flagstaff, AZ 86005-3786 | 2007-06-05 |
1114386570 | Laurenlee Rae | Occupational Therapist | 2580 Nakai Trl, Flagstaff, AZ 86005-3796 | 2016-02-15 |
1881212439 | Diana Campos | Specialist/Technologist | 3558 Huron, Flagstaff, AZ 86005-4056 | 2020-07-10 |
1093218877 | Vanessa Margaret Scheu | Nurse Practitioner | 3861 Jemez, Flagstaff, AZ 86005-4061 | 2018-03-17 |
Find all providers in zip 86005 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962857383 | Kimberly J. Sargent Pa-c, Pllc | Physician Assistant | 711 W Aspen Ave, Flagstaff, AZ 86001-5301 | 2016-05-04 |
1972990851 | Joel Packard | Physician Assistant | 50 Pine Del Dr, Flagstaff, AZ 86005-9603 | 2015-04-18 |
1750349338 | Jennifer Michelle Morris | Physician Assistant | 31 E Conquistador Trl, Flagstaff, AZ 86001-8317 | 2006-05-03 |
1558849596 | Neurofit Health Pllc | Physician Assistant | 1200 N. Beaver, Flagstaff, AZ 86001-3118 | 2018-08-01 |
1558614834 | Gregory A. Cox, Pa-c, Pllc | Physician Assistant | 709 W Birch Ave, Flagstaff, AZ 86001-4417 | 2012-10-24 |
1871521690 | Thomas E Anderson | Physician Assistant | 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001-3126 | 2006-06-29 |
1881651362 | Robert M Evans | Physician Assistant | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2006-04-27 |
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 |
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
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 |
Find all providers with the same taxonomy |
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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.