MEGAN ANNETTE WIENECKE (NPI# 1720591241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720591241 |
| Entity Type | Individual |
| Full Name | MEGAN ANNETTE WIENECKE |
| Other Name | MEGAN ANNETTE KEENE |
| Credential | PA-C |
| Practice Address |
2122 E Highland Ave Ste 100 Phoenix AZ 85016-4740 |
| Practice Telephone | 4803722111 |
| Practice Fax Number | 4803722112 |
| Mailing Telephone | 4803722111 |
| Mailing Fax Number | 4803722112 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 7797 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 3442 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2122 E HIGHLAND AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063421766 | Ronald Scott Chamberlain | Surgery | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2006-08-05 |
| 1881200970 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2020-09-23 |
| 1174820542 | Nasrin Ghalyaie | Surgery | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2011-02-22 |
| 1497918502 | Shruti Badhwar | Psychiatry & Neurology | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2008-07-08 |
| 1811199912 | Emun Abdu | Neurological Surgery | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2007-06-01 |
| 1437255742 | Sanjay Ramakumar | Urology | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| 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 |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.