ROBERT C WAKEFIELD (NPI# 1881716967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881716967 |
| Entity Type | Individual |
| Full Name | ROBERT C WAKEFIELD |
| Credential | PA-C |
| Practice Address |
822 E Saguaro St Florence AZ 85132 |
| Mailing Address |
10110 E Hay Loft Rd Florence AZ 85232-7441 |
| Practice Telephone | 4802358545 |
| Mailing Telephone | 4802358545 |
| Mailing Fax Number | 5202336114 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 3005 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 3005 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
822 E SAGUARO ST |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285643809 | Barefoot Doctors Healthcare Florence Pllc | Internal Medicine | 822 E Saguaro St, Florence, AZ 85232 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| 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 |
|---|---|---|---|---|
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1922625185 | Michael O'brien | Physician Assistant | 70 Acrebrook Dr, Florence, MA 01062-3421 | 2020-07-02 |
| 1669099677 | Brittany Nicole Rafferty | Physician Assistant | 903 Schisler Dr, Florence, NJ 08518-2803 | 2020-06-26 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1538715784 | Jeffre Rogers Mccutcheon | Physician Assistant | 200 W Evans St, Florence, SC 29501-3469 | 2019-08-14 |
| 1992272470 | Hope Lee | Physician Assistant | 800 E Cheves Street Ste 350, Florence, SC 29506-4765 | 2018-11-01 |
| 1982062642 | Andrew Coleman | Physician Assistant | 205 Marengo St., Eliza Coffee Memorial Hospital, Florence, AL 35636 | 2016-02-09 |
| 1619352259 | Jordan Mcclure | Physician Assistant | 7683 Mall Rd Unit B, Florence, KY 41042-1590 | 2015-07-24 |
| 1134460561 | Julie Marie Clement | Physician Assistant | 971 Jason Lopez Cir Stop B, Florence, AZ 85132-2502 | 2013-03-11 |
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| Find all providers in FLORENCE | ||||
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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.