ELITE MEDICAL PARTNERS PLLC (NPI# 1710599303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710599303 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL PARTNERS PLLC |
| Practice Address |
20261 E Ocotillo Rd Queen Creek AZ 85142-8806 |
| Practice Telephone | 4806772771 |
| Mailing Telephone | 4806772771 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | JILLIAN TRULSON (OWNER) |
| Authorized Official Telephone | 4802276683 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12763749 | 01 | |
| NPI | 1104324623 | 01 | |
| CAQH | 14949926 | 01 |
| Street Address |
20261 E OCOTILLO RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270477 | Joal R Miller | Physical Therapist | 20261 E Ocotillo Rd, Suite 110, Queen Creek, AZ 85142-8806 | 2006-01-19 |
| 1457790412 | Anthony Arthur Janssen | Chiropractor | 20261 E Ocotillo Rd, 114, Queen Creek, AZ 85142-8806 | 2013-06-22 |
| 1487842001 | Scott Richard Harris | Dentist | 20261 E Ocotillo Rd, Suite #120, Queen Creek, AZ 85242-8806 | 2007-10-09 |
| 1710105747 | San Tan Physical Therapy, Pllc | Specialist | 20261 E Ocotillo Rd, Suite #110, Queen Creek, AZ 85142-8806 | 2007-04-23 |
| 1811026834 | G & M Orthodontics | Dentist | 20261 E Ocotillo Rd, Suite #130, Queen Creek, AZ 85242-8806 | 2007-03-05 |
| 1477640894 | Marisa Lynn Rickenbach | Physical Therapist | 20261 E Ocotillo Rd, Suite 110, Queen Creek, AZ 85242-8806 | 2006-10-06 |
| 1285689497 | Jennifer M Guy-carchidi | Physical Therapist | 20261 E Ocotillo Rd, Suite 110, Queen Creek, AZ 85142-8806 | 2006-05-24 |
| 1689639924 | Charla Neoma Nelson | Physical Therapist | 20261 E Ocotillo Rd, Suite 110, Queen Creek, AZ 85142-8806 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639366321 | Justin Ehmke | Physician Assistant | 21321 E Ocotillo Rd Ste 118, Queen Creek, AZ 85242-5994 | 2007-09-26 |
| 1568534139 | Will A Mclaws | Physician Assistant | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2006-11-15 |
| 1093856247 | Kelly Allison Mcmillan | Physician Assistant | 287 E Hunt Hwy, Suite 105, Queen Creek, AZ 85143-5096 | 2007-02-09 |
| 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 | QUEEN CREEK |
| Zip Code | 85142 |
Please comment or provide details below to improve the information on ELITE MEDICAL PARTNERS PLLC.
| 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.