MR. STEFAN IACOB (NPI# 1851437503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851437503 |
| Entity Type | Individual |
| Full Name | MR. STEFAN IACOB |
| Credential | PA-C |
| Practice Address |
15468 N Civic Center Dr Surprise AZ 85374-7469 |
| Mailing Address |
21942 N 81st Dr Peoria AZ 85383-2143 |
| Practice Telephone | 6235842917 |
| Practice Fax Number | 6232986708 |
| Mailing Telephone | 6234875084 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3467 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 438998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508353590 | Stefan Cosmin Iacob | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-16 |
| Street Address |
15468 N CIVIC CENTER DR |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766533 | Mikhail A Bargan | Family Medicine | 15468 N Civic Center Dr, Surprise, AZ 85374 | 2005-11-09 |
| 1750665980 | Banner Urgent Care Arizona LLC | Clinic/Center | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2011-10-06 |
| 1205006152 | Sun Health Urgent Care Centers, LLC | Clinic/Center | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2008-03-06 |
| 1215988720 | Andreas Stiller | Nurse Practitioner | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275984288 | Ronald West | Physician Assistant | 15126 W Aster Dr, Surprise, AZ 85379-8111 | 2016-06-30 |
| 1912378548 | Whitney Benard | Physician Assistant | 13755 N Litchfield Rd Ste 105, Surprise, AZ 85379-4288 | 2015-10-08 |
| 1891028403 | Brian C Clayton | Physician Assistant | 16345 N 172nd Ln, Surprise, AZ 85388-1222 | 2009-09-14 |
| 1346453487 | Courtney A. Cahill | Physician Assistant | 14239 W. Bell Road, Suite 101, Surprise, AZ 85374 | 2007-05-07 |
| 1700835642 | Johanna M Brooks | Physician Assistant | 14239 West Bell Road, Suite 112, Surprise, AZ 85374-2469 | 2006-05-08 |
| 1346241940 | Nancy J Cooper | Physician Assistant | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2005-08-03 |
| 1225590375 | Nayla Mansoor | Physician Assistant | 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374-2708 | 2019-04-05 |
| 1659854677 | Jay Boardman | Physician Assistant | 13755 N Litchfield Rd Ste 105, Surprise, AZ 85379-4288 | 2018-09-14 |
| 1699222703 | Micaela Hilger | Physician Assistant | 12361 W Bola Dr Ste 109, Surprise, AZ 85378-9021 | 2016-09-07 |
| 1497202584 | Danyelle Dingle | Physician Assistant | 14674 W Mountain View Blvd, Surprise, AZ 85374-2706 | 2016-09-06 |
| Find all providers in SURPRISE | ||||
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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.