DOMINIQUE EMMANUEL BROWNE (NPI# 1730696287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730696287 |
| Entity Type | Individual |
| Full Name | DOMINIQUE EMMANUEL BROWNE |
| Credential | PA |
| Practice Address |
167 N Main St Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Practice Fax Number | 9282832095 |
| Mailing Telephone | 9282832501 |
| Mailing Fax Number | 9282832095 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
061828814 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 7013 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 352969 | 05 | |
| AZ | MEDICARE | TEZ4OH | 01 |
| Street Address |
167 N MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751125 | Henry John Leonard Van Dyk | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2006-06-20 |
| 1013529510 | Kristen Marie Becenti | Physical Therapist | 167 N Main St, Tuba City, AZ 86045-0600 | 2020-08-18 |
| 1063023539 | Emily Beskar | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2020-08-10 |
| 1831713957 | Taylor Rae Erhardt | Optometrist | 167 N Main St, Tuba City, AZ 86045 | 2020-06-04 |
| 1922651355 | Ashley Benford | Occupational Therapist | 167 N Main St, Tuba City, AZ 86045 | 2019-07-24 |
| 1053970715 | Emi Yamashita | Dietitian, Registered | 167 N Main St, Tuba City, AZ 86045 | 2019-06-06 |
| 1710444831 | Hayden Verl Poulson | Podiatrist | 167 N Main St, Tuba City, AZ 86045 | 2019-02-25 |
| 1841766847 | Eric Spears | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2018-10-17 |
| 1093256208 | Karen Yin-chieh Jong | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2017-03-20 |
| 1851745160 | Daniel Nathan Lesky | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2016-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
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| 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 |
|---|---|---|---|---|
| 1073160271 | Caroline Elyse Schmidt | Physician Assistant | 167 N Main St., Tuba City, AZ 86045 | 2019-08-22 |
| 1184167157 | Brittany Louise Baker | Physician Assistant | 167 North Main St, Tuba City, AZ 86045 | 2016-11-23 |
| 1033580717 | Alvin Palmer | Physician Assistant | 167 N. Main Street, Tuba City, AZ 86045 | 2015-10-07 |
| 1417359605 | Jayson Watabe | Physician Assistant | 167 N Main Street, Tuba City, AZ 86045 | 2014-09-19 |
| 1407258965 | Laura Kathryn Cobb | Physician Assistant | 167 N Main Street, Tuba City, AZ 86045 | 2014-09-16 |
| 1861421307 | Colleen K Williams | Physician Assistant | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-30 |
| 1093758765 | John C Ziebarth | Physician Assistant | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-13 |
| 1174566798 | Millie B Brockie | Physician Assistant | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 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 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1275148280 | Patricia Miriam Rus | Physician Assistant | 23615 N 105th Dr, Peoria, AZ 85383-1195 | 2020-09-15 |
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1043825367 | Lauren Elizabeth Fraijo | Physician Assistant | 13575 W Indian School Rd Ste 700, Litchfield Park, AZ 85340-4905 | 2020-09-14 |
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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.