MAEGAN LORELL KITZMANN (NPI# 1720347966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720347966 |
| Entity Type | Individual |
| Full Name | MAEGAN LORELL KITZMANN |
| Practice Address |
3400 N Dysart Rd Suite H-131 Avondale AZ 85392 |
| Mailing Address |
3400 N Dysart Rd Ste H131 Avondale AZ 85392-1012 |
| Practice Telephone | 6235359777 |
| Practice Fax Number | 6232363179 |
| Mailing Telephone | 6235359777 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6506 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 N DYSART RD SUITE H-131 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508815267 | Michelle A Armijo | Orthopaedic Surgery | 3400 N Dysart Rd, Ste H131, Avondale, AZ 85392-1003 | 2006-05-09 |
| 1891201521 | Desert Sage Health, Pllc | Psychologist | 3400 N Dysart Rd, Avondale, AZ 85392-1003 | 2017-12-18 |
| 1881040046 | Advanced Anesthesia, Plc | Anesthesiology | 3400 N Dysart Rd, H-131, Avondale, AZ 85392-1003 | 2016-05-06 |
| 1851760276 | Tayler Auriel Sartorius | Physician Assistant | 3400 N Dysart Rd, Suite G127, Avondale, AZ 85392-1003 | 2015-09-15 |
| 1396127197 | Brenda Jean Paluc | Psychologist | 3400 N Dysart Rd, #117, Avondale, AZ 85392-1003 | 2015-06-29 |
| 1467761809 | Adelante Healthcare, Inc | Clinic/Center | 3400 N Dysart Rd, Ste 121, Avondale, AZ 85392-1003 | 2010-10-04 |
| 1740410125 | Davinder Singh Mann | Obstetrics & Gynecology | 3400 N Dysart Rd, Suite F121, Avondale, AZ 85392-1003 | 2009-07-20 |
| 1255576757 | Noe Vargas | Counselor | 3400 N Dysart Rd, Suite 117, Avondale, AZ 85392-1003 | 2008-12-11 |
| 1750429619 | Thihan Phan | Dentist | 3400 N Dysart Rd, Unit G-125, Avondale, AZ 85392-1003 | 2007-02-02 |
| 1013013358 | Justice Huy Duc Tran | Obstetrics & Gynecology | 3400 N Dysart Rd, Building F, Ste 121 & 123, Avondale, AZ 85392-1003 | 2006-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405535 | Jessica Draper | Physician Assistant | 12722 W Monte Vista Rd, Avondale, AZ 85392-6431 | 2018-11-05 |
| 1073985388 | Danielle Meeker | Physician Assistant | 12409 W Indian School Rd Ste 210, Avondale, AZ 85392-9502 | 2015-10-26 |
| 1851796304 | Elevate Seniors Pllc | Physician Assistant | 10320 W Mcdowell Rd Ste N1444, Avondale, AZ 85392-4879 | 2014-10-27 |
| 1043493125 | Robert T Davis | Physician Assistant | 13065 W Mcdowell Rd Ste A107, Phoenix Gi Consultants, Avondale, AZ 85392-6440 | 2007-12-11 |
| 1679680045 | Juan Luis Miranda | Physician Assistant | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85323-6437 | 2006-08-23 |
| 1376913194 | Michelle Kaye Dawson-harrel | Physician Assistant | 13075 W Mcdowell Rd, Suite D106, Avondale, AZ 85392-6436 | 2015-10-06 |
| 1003211889 | Eric Tomas Ovalle | Physician Assistant | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2014-10-23 |
| 1487066106 | Matthew Graham | Physician Assistant | 13075 W Mcdowell Rd, Ste D106, Avondale, AZ 85392-6436 | 2014-05-29 |
| 1417388448 | Timothy D Hosch | Physician Assistant | 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392-5010 | 2013-12-02 |
| 1538400692 | Alaina Anne Vacco | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2013-03-13 |
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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.