DOUGLAS A. DRAKE


Address: 370 E Virginia Ave, Phoenix, AZ 85004-1214
Phone: 6022584788

DOUGLAS A. DRAKE (NPI# 1770817348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770817348
Entity Type Individual
Full Name DOUGLAS A. DRAKE
Credential PA-C
Practice Address 370 E Virginia Ave
Phoenix
AZ 85004-1214
Mailing Address Po Box 843456
Los Angeles
CA 90084-3456
Practice Telephone 6022584788
Practice Fax Number 6022585131
Mailing Telephone 6022584788
Mailing Fax Number 6022585131
Enumeration Date 2009-09-29
Last Update Date 2014-02-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA60162605 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA60162605 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
5432 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60162605 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA 1086241 01
AZ 835649 05

Other Providers DOUGLAS DRAKE

NPI Name Taxonomy Address Enumeration
1093051484 Douglas Drake Hearing Instrument Specialist 5910 E State St, Rockford, IL 61108-2430 2012-12-13
1356499255 Douglas A Drake Physician Assistant 4647 Zion Ave, San Diego, CA 92120-2507 2007-01-08
1063425494 Douglas Albert Drake Orthopaedic Surgery 4010 W 65th St, Edina, MN 55435-1706 2006-08-15

Office Location

Street Address 370 E VIRGINIA AVE
City PHOENIX
State AZ
Zip Code 85004-1214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972502227 Arizona Center for Hand Surgery PC Orthopaedic Surgery 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 2005-07-19
1265897227 Allison Voelker Physician Assistant 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 2015-12-17
1609243880 Yakima Brown Physician Assistant 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 2015-08-24
1578965067 Regan R Alford Physician Assistant 370 E Virginia Ave, Ste 100, Phoenix, AZ 85004-1214 2014-09-16
1588065502 Duane J Fenn Physician Assistant 370 E Virginia Ave, 100, Phoenix, AZ 85004-1214 2014-09-09
1114347465 Rehab Management LLC Occupational Therapy Assistant 370 E Virginia Ave, Phoenix, AZ 85004-1214 2014-04-24
1982959698 Arizona Center for Hand Surgery PC Durable Medical Equipment & Medical Supplies 370 E Virginia Ave, 100, Phoenix, AZ 85004-1214 2012-07-18
1518107879 Edward M Reece Md Pllc Surgery 370 E Virginia Ave, Ste 100, Phoenix, AZ 85004-1214 2009-02-26
1073761169 Dr Steven D Bastian Pllc Surgery 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 2008-09-03
1225228406 Elizabeth Rose Colburn Specialist/Technologist 370 E Virginia Ave, #200, Phoenix, AZ 85004-1214 2007-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1508325929 Ican America Clinic/Center Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 2019-03-15
1770064107 Edward Jude Stein Pharmacist Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 2018-08-23
1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
1497267868 Michael Dimoff Registered Nurse 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 2017-10-25
1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
1538537246 Jessica Lindsay Karlson Pharmacist 2302 N Central Ave Ste 7, Phoenix, AZ 85004 2015-09-11
1689059883 Yvette's Hope Foundation Home Health 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 2015-07-29
1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831630375 Surgeassist, Pllc Physician Assistant 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 2017-03-16
1245695139 Alex Hall Physician Assistant 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 2015-12-21
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1598047367 James P. Ennis II Physician Assistant 4023 Cloverland Drive, Phoenix, MD 21131-2139 2011-09-16
1023327251 Perry A. Brazel Physician Assistant 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 2010-10-06
1720305535 Arizona Surgeons Assistant PC Physician Assistant 4369 E Hartford Ave, Phoenix, AZ 85032-2298 2010-05-03
1023296381 On-call Surgical Assistants LLC Physician Assistant 5710 W Spur Dr, Phoenix, AZ 85083-1245 2008-02-08
1760527725 North Valley Surgical Assisting, Inc. Physician Assistant 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 2007-02-20
1548321136 Laura M Hanschka Physician Assistant 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 2006-12-13
1134148513 Corey L Thompson Physician Assistant 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 2006-07-18
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Competitor

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City PHOENIX
Zip Code 85004

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Dataset Information

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.

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