MR. JOHN PROCTOR (NPI# 1932527108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932527108 |
| Entity Type | Individual |
| Full Name | MR. JOHN PROCTOR |
| Practice Address |
1210 W Shawnee Dr Chandler AZ 85224-2369 |
| Practice Telephone | 4803073941 |
| Mailing Telephone | 4803073941 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
148491 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376239 | John Hartman Proctor | Family Medicine | 6331 Glenway Ave, Cincinnati, OH 45211-6301 | 2017-06-22 |
| 1922546662 | John Proctor | Counselor | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2017-02-02 |
| 1316191588 | John Kenneth Proctor | Counselor | 6519 8th Ave, Los Angeles, CA 90043-4313 | 2008-11-13 |
| 1780749374 | John Proctor | Internal Medicine | 24681 Northwestern Hwy, Ste. 100, Southfield, MI 48075-2305 | 2006-12-26 |
| 1679511471 | John H. Proctor | Emergency Medicine | 391 Wallace Rd, Nashville, TN 37211-4851 | 2006-06-03 |
| Street Address |
1210 W SHAWNEE DR |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528439965 | Amici Surgical Assistants | Physician Assistant | 123 W Chandler Heights Rd Unit 13132, Chandler, AZ 85248-1087 | 2015-10-12 |
| 1720237431 | Advanced Surgical Assistants LLC | Physician Assistant | 2074 E Honeysuckle Pl, Chandler, AZ 85286-2315 | 2008-09-17 |
| 1528013364 | Prime Surgical Assisting, LLC | Physician Assistant | 2905 W Warner Rd Ste 1, Chandler, AZ 85224-1674 | 2006-05-23 |
| 1356305890 | Christabelle N Wong | Physician Assistant | 975 E Riggs Rd, Suite 12-268, Chandler, AZ 85249-4260 | 2006-04-13 |
| 1629032206 | Delia Bautista Tobin | Physician Assistant | 1538 E Fairview St, Chandler, AZ 85225-2222 | 2006-04-12 |
| 1861491706 | Brian E Hertel | Physician Assistant | 4424 E Virgo Pl, Chandler, AZ 85249-5898 | 2005-07-21 |
| 1417435181 | Ellayna Wiedow | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2018-08-03 |
| 1679091920 | Shane Joseph Ewalt | Physician Assistant | 525 S Chandler Village Dr, Chandler, AZ 85226-5069 | 2017-09-07 |
| 1922419191 | Advanced Surgical Physician Assistants, LLC | Physician Assistant | 2925 E Riggs Rd, Suite 8-114, Chandler, AZ 85249-3600 | 2014-05-09 |
| 1134465057 | Big Sky First Assists, LLC. | Physician Assistant | 333 N Dobson Rd, Ste.15, Chandler, AZ 85224-4412 | 2012-12-20 |
| 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.