GLORIA JEAN EAGLE (NPI# 1770543506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770543506 |
| Entity Type | Individual |
| Full Name | GLORIA JEAN EAGLE |
| Credential | P.A.-C |
| Practice Address |
400 S California Ave Parker AZ 85344-4467 |
| Practice Telephone | 9286696151 |
| Practice Fax Number | 9286698403 |
| Mailing Telephone | 9286696151 |
| Mailing Fax Number | 9286698403 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1932 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAIL ROAD MEDICARE | P00279265 | 01 |
| AZ | 158539 | 05 | |
| AZ | BLUE CROSS BLUE SHEILD | A20324620 | 01 |
| Street Address |
400 S CALIFORNIA AVE |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129358 | Kevin Scott Klopfenstein | Internal Medicine | 400 S California Ave, Parker, AZ 85344-4467 | 2006-03-24 |
| 1043355175 | Kevin S. Klopfenstein M.d. P.C. | Physician Assistant | 400 S California Ave, Parker, AZ 85344-4467 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528478476 | Carol A Hunter | Physician Assistant | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2014-04-30 |
| 1861777567 | Angela Cole | Physician Assistant | 19284 Cottonwood Dr Ste 204, Parker, CO 80138-3881 | 2011-10-14 |
| 1164758728 | Andrea Martha Hoff | Physician Assistant | 905 S. Fiesta Avenue, Parker, AZ 85344 | 2009-11-02 |
| 1629199062 | Chrmeg Med Inc | Physician Assistant | 10259 S. Parker Road, Suite 200, Parker, CO 80134 | 2007-04-03 |
| 1477065548 | Anna Miller | Physician Assistant | 19964 Hilltop Rd Ste A, Parker, CO 80134-7316 | 2017-10-30 |
| 1972052868 | Nathan Schulte | Physician Assistant | 10371 Parkglenn Way Ste 100, Parker, CO 80138-3871 | 2016-10-03 |
| 1235589284 | Arianna Groven | Physician Assistant | 10371 Parkglenn Way, Suite 100, Parker, CO 80138-3885 | 2016-06-20 |
| 1568821338 | Staci Ann Page | Physician Assistant | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2016-02-22 |
| 1417385428 | Elizabeth Amney Rowan | Physician Assistant | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2013-10-30 |
| 1659632040 | Jaime Lynn Fell | Physician Assistant | 9235 Crown Crest Blvd, 100, Parker, CO 80138-8880 | 2012-06-02 |
| Find all providers in PARKER | ||||
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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.