PHYSICIAN ASSISTANT SERVICES (NPI# 1700888716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700888716 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSISTANT SERVICES |
| Practice Address |
7804 S Jentilly Ln Tempe AZ 85284-1562 |
| Mailing Address |
Po Box 27514 Tempe AZ 85285-7514 |
| Practice Telephone | 4809676500 |
| Practice Fax Number | 4809676540 |
| Mailing Telephone | 4809676500 |
| Mailing Fax Number | 4809676540 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MS. PAULA A STUFFLEBEAM (PRESIDENT) |
| Authorized Official Telephone | 4809676500 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679746036 | Physician Assistant Services | General Acute Care Hospital | 45900 Geddes Rd, Canton, MI 48188-2306 | 2008-04-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHYSICIAN ASSISTANT SERVICES NY PLLC | 13 Alice Court, East Rockaway, Ny 11518 |
| Street Address |
7804 S JENTILLY LN |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| 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 |
| 1891190062 | Donald Grace | Physician Assistant | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2014-10-29 |
| 1538410071 | Mara Danielle Immediato | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2012-09-24 |
| 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 | ||||
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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.