MISS MISCHELLE K JOHNSON (NPI# 1801975982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975982 |
| Entity Type | Individual |
| Full Name | MISS MISCHELLE K JOHNSON |
| Credential | PAC |
| Practice Address |
3083 S Cottonwood Ct Chandler AZ 85286-2384 |
| Practice Telephone | 4807128319 |
| Practice Fax Number | 4807121305 |
| Mailing Telephone | 4807128319 |
| Mailing Fax Number | 4807121305 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | 2421 | AZ | Emergency Medical Service Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 559346 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 853747280 | 6233747774 | 8777965302 |
| Street Address |
3083 S COTTONWOOD CT |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144783952 | Andrea Marie Kessler | Nurse Practitioner | 3083 S Cottonwood Ct, Chandler, AZ 85286-2384 | 2019-04-09 |
| 1164918124 | Athena Medical Group | Family Medicine | 3083 S Cottonwood Ct, Chandler, AZ 85286-2384 | 2018-07-02 |
| 1568835890 | Teresa Marie Gaither | Nurse Practitioner | 3083 S Cottonwood Ct, Chandler, AZ 85286 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| 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 |
|---|---|---|---|---|
| 1538719166 | Hope M Jones | Physician Assistant | 1300 N Mcclintock Dr Ste B4, Chandler, AZ 85226-7241 | 2019-09-16 |
| 1124503909 | Nina Novakovic | Physician Assistant | 604 W Warner Rd Ste E101, Chandler, AZ 85225-2909 | 2018-09-27 |
| 1497237085 | Sean Austin Eddy | Physician Assistant | 1211 E Binner Dr, Chandler, AZ 85225-1498 | 2018-08-30 |
| 1821570482 | Bethany Ann Tennyson | Physician Assistant | 875 S Dobson Rd Ste 1, Chandler, AZ 85224-5720 | 2018-08-30 |
| 1932619822 | Dorothyrose Francis Vowels | Physician Assistant | 1900 W Chandler Blvd Ste 15-255, Chandler, AZ 85224-6213 | 2017-10-04 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1801334057 | Laura Witte | Physician Assistant | 1593 W Browning Way, Chandler, AZ 85286-0908 | 2017-02-08 |
| 1164853578 | Cole Bewley | Physician Assistant | 2745 S. Alma School Rd. Ste 3, Chandler, AZ 85286 | 2013-12-10 |
| 1861726077 | Derik K Kenworthy | Physician Assistant | 1979 W Ray Rd, Chandler, AZ 85224-4007 | 2009-09-22 |
| 1528216371 | Maura Bridget Tardif | Physician Assistant | 5505 W Chandler Blvd Ste B13, Chandler, AZ 85226-3681 | 2008-09-05 |
| Find all providers in CHANDLER | ||||
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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.