KEVIN CLANCY (NPI# 1871005140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871005140 |
| Entity Type | Individual |
| Full Name | KEVIN CLANCY |
| Credential | PA-C |
| Practice Address |
3250 W Lower Buckeye Rd Phoenix AZ 85009-6729 |
| Mailing Address |
201 S 4th Ave Phoenix AZ 85003-2138 |
| Practice Telephone | 6025793846 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6943 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823441 | Kevin C. Clancy | Psychologist | 940 Belmont St Rm C134, Brockton, MA 02301-5596 | 2006-10-11 |
| 1710348594 | Kevin Clancy | Case Manager/Care Coordinator | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2016-03-08 |
| 1346245149 | Kevin Clancy | Internal Medicine | 368 Lakehurst Rd, Ste 301, Toms River, NJ 08755-7339 | 2005-06-17 |
| Street Address |
3250 W LOWER BUCKEYE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85009-6729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042953 | Jeffrey J Alvarez | Family Medicine | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2005-06-10 |
| 1316430903 | Erini Constantina Braddock | Nurse Practitioner | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2018-06-08 |
| 1699278200 | Candice Kaiser | Nurse Practitioner | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009 | 2018-03-10 |
| 1336650266 | Madeline Edwards | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-10-18 |
| 1508377847 | Mattison Mccray Pearlman | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-10-13 |
| 1316466014 | Emily Christina Markle | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2017-09-13 |
| 1285987180 | Heather Winchester | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009 | 2012-10-17 |
| 1306125620 | Lindsey Chitwood Burke | Physician Assistant | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2011-08-04 |
| 1215177043 | Lawrence Edward Henry | Psychologist | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2009-03-06 |
| 1871738245 | Allan L Noble | Dentist | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2008-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
| 1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
| 1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
| 1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
| 1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
| 1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
| 1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
| 1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
| 1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
| Find all providers in zip 85009 | ||||
| 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 |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.