CHARLES D WIESEL (NPI# 1790712057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790712057 |
| Entity Type | Individual |
| Full Name | CHARLES D WIESEL |
| Credential | P.A. |
| Practice Address |
4001 E Sunrise Dr Ste 121 Tucson AZ 85718-4324 |
| Practice Telephone | 5202097000 |
| Practice Fax Number | 5202097010 |
| Mailing Telephone | 5202097000 |
| Mailing Fax Number | 5202097010 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2461 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4001 E SUNRISE DR STE 121 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456176 | Joseph Alvarado | General Practice | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2005-09-09 |
| 1811284276 | Diana Cristina Olivas | Family Medicine | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4333 | 2011-07-06 |
| 1013948504 | David W Gordon | Physician Assistant | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2006-07-05 |
| 1104856939 | Denise G Crunkleton | Family Medicine | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2006-07-04 |
| 1245260504 | Donna Colleen Stark | Family Medicine | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2006-07-03 |
| 1154351476 | Lisa M Prososki | Physician Assistant | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2006-07-03 |
| 1417901968 | Rachael L Gates | Family Medicine | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2006-05-20 |
| 1801882154 | Martin Brandt | Physician Assistant | 4001 E Sunrise Dr Ste 121, Tucson, AZ 85718-4324 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| 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 |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.