JURRY E. VAN ARK (NPI# 1881688471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881688471 |
| Entity Type | Individual |
| Full Name | JURRY E. VAN ARK |
| Credential | PA-C |
| Practice Address |
231 South Collins Sunnyvale TX 75182-4624 |
| Mailing Address |
803 Deerlake Ct Allen TX 75002-5057 |
| Practice Telephone | 8774854474 |
| Mailing Telephone | 7603820827 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04200 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04200 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17380 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8Y1192 | 01 |
| TX | 216379202 | 05 | |
| TX | 216379203 | 05 | |
| TX | 216379204 | 05 | |
| TX | RAILROAD MCARE | P01233936 | 01 |
| TX | 216379201 | 05 | |
| CA | PA17380 | 05 | |
| CA | BLUE SHIELD | OPA173800 | 01 |
| Street Address |
231 SOUTH COLLINS |
| City | SUNNYVALE |
| State | TX |
| Zip Code | 75182-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104990712 | Myiesha D. Taylor | Emergency Medicine | 231 South Collins, Sunnyvale, TX 75182-4624 | 2006-11-17 |
| 1023188760 | Craig Reece Brockman II | Emergency Medicine | 231 South Collins, Sunnyvale, TX 75182-4624 | 2006-11-09 |
| 1467497743 | Keith Charles Rummel | Nurse Practitioner | 231 South Collins, Emergency Dept, Sunnyvale, TX 75182-4624 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141806 | Nia Liz Abraham | Student in an Organized Health Care Education/Training Program | 187 Mustang Dr., Sunnyvale, TX 75182 | 2018-10-25 |
| 1467969592 | Elizabeth Varghese | Nurse Practitioner | 284 Crossbow Drive, Sunnyvale, TX 75182 | 2018-01-10 |
| 1043744154 | Mini Iype | Nurse Practitioner | 360 Pedmore Dr., Sunnyvale, TX 75182 | 2017-04-14 |
| 1407389075 | Sal 2016 LLC | Assisted Living Facility | 301 T. C. Lupton Blvd, Sunnyvale, TX 75182 | 2017-04-10 |
| 1114465218 | Emanuela Berari | General Acute Care Hospital | 270 South Collins Rd, Suite 300, Sunnyvale, TX 75182 | 2017-02-08 |
| 1588019764 | Jessy Sebastian | Registered Nurse | 312 Wooded Glen Drive, Sunnyvale, TX 75182 | 2016-04-26 |
| 1982073045 | Jayaprakash Narayana Md Pa | Family Medicine | 347 Towneast Blvd, Sunnyvale, TX 75182 | 2015-09-18 |
| 1902234362 | Joychan Pariyarath Joseph | Nurse Practitioner | 514 E Tripp Rd, Sunnyvale, TX 75182 | 2013-10-23 |
| 1679834295 | North Star Mcd, LLC | Clinic/Center | 222 S Collins Road, Suite 101, Sunnyvale, TX 75182 | 2012-05-30 |
| 1760752869 | Reddy Pediatric Dentistry, P.C. | Dentist | 274 South Collins Road, Sunnyvale, TX 75182 | 2012-01-05 |
| Find all providers in zip 75182 | ||||
| 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 |
|---|---|---|---|---|
| 1124506407 | Zhi-fang Tsun | Physician Assistant | 1104 Lund Ter, Sunnyvale, CA 94089-4504 | 2018-07-30 |
| 1902339567 | Jennifer Sperlich | Physician Assistant | 341 Wheatfield Dr Ste 190, Sunnyvale, TX 75182-4639 | 2017-04-10 |
| 1952719882 | Gilbert Aragon | Physician Assistant | 821 Alvarado Ave, Sunnyvale, CA 94085-3403 | 2014-07-23 |
| 1316350796 | Lala Corina Rodriguez | Physician Assistant | 1030 E El Camino Real, Pmb 163, Sunnyvale, CA 94087-3759 | 2014-06-03 |
| 1255765723 | Rebecca Ann Boyle | Physician Assistant | 1705 Mackenzie Dr, Sunnyvale, CA 94087-5239 | 2013-09-03 |
| 1942209333 | Edward M Sullivan | Physician Assistant | 341 Wheatfield Dr, Suite 190, Sunnyvale, TX 75182-4638 | 2005-07-18 |
| 1104482181 | Mary Hoang | Physician Assistant | 341 Wheatfield Dr Ste 190, Sunnyvale, TX 75182-4639 | 2019-05-14 |
| 1508347147 | Paige Potter | Physician Assistant | 490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182-9212 | 2018-08-22 |
| 1376081661 | Candice M Cameron | Physician Assistant | 803 Eleventh Ave, Sunnyvale, CA 94089-4731 | 2017-02-07 |
| 1417492950 | Christine Park | Physician Assistant | 301 Old San Francisco Rd, Sunnyvale, CA 94086-6386 | 2016-12-19 |
| Find all providers in SUNNYVALE | ||||
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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.