MRS. LORI A KLASKI (NPI# 1720286875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720286875 |
| Entity Type | Individual |
| Full Name | MRS. LORI A KLASKI |
| Other Name | MISS LORI KOCHERSPERGER |
| Credential | PA-C |
| Practice Address |
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1869 |
| Practice Telephone | 6022987777 |
| Practice Fax Number | 6239306060 |
| Mailing Telephone | 6022987777 |
| Mailing Fax Number | 6239306060 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3620 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | 3620 | 01 |
| AZ | 234159 | 05 |
| Street Address |
5859 W TALAVI BLVD SUITE 100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312801 | Dana Hock | Nurse Practitioner | 5859 W Talavi Blvd, Ste 100, Glendale, AZ 85306-1870 | 2005-08-02 |
| 1578984936 | Donnamarie Burris | Nurse Practitioner | 5859 W Talavi Blvd, Ste 100, Glendale, AZ 85306-1870 | 2014-01-02 |
| 1134405624 | Andrea Josephine Cachia | Physician Assistant | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2011-10-27 |
| 1629384284 | Leslie M Rach | Registered Nurse | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2010-08-20 |
| 1174851547 | Kathleen M Berry | Registered Nurse | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2009-11-24 |
| 1013151323 | John C Lincoln, LLC | Physician Assistant | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2009-04-30 |
| 1235325507 | G. Reshmaal Deepthi Gomes Cumaranatunge | Internal Medicine | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-09-20 |
| 1508079534 | Rebecca L Reedy | Physician Assistant | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2007-05-07 |
| 1952451882 | Jeffrey William Morgan | Internal Medicine | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2007-01-11 |
| 1366530800 | Shakeel Osman Khan | Internal Medicine | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
| Find all providers in GLENDALE | ||||
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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.