MS. CASSANDRA LYNNE SHORE (NPI# 1982958682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982958682 |
Entity Type | Individual |
Full Name | MS. CASSANDRA LYNNE SHORE |
Credential | P.A. |
Practice Address |
1100 S Dobson Rd Ste 223 Chandler AZ 85286-6160 |
Practice Telephone | 4808218888 |
Practice Fax Number | 4808210888 |
Mailing Telephone | 4808218888 |
Mailing Fax Number | 4808210888 |
Enumeration Date | 2012-11-01 |
Last Update Date | 2015-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5253 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1100 S DOBSON RD STE 223 |
City | CHANDLER |
State | AZ |
Zip Code | 85286-6160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629051917 | Katherine Kar-hwee Quan | Dermatology | 1100 S Dobson Rd Ste 223, Chandler, AZ 85286-6160 | 2005-11-21 |
1366529836 | East Valley Dermatology Center | Dermatology | 1100 S Dobson Rd Ste 223, Chandler, AZ 85286-6160 | 2006-11-01 |
1467431668 | Rosemary Janet Geary | Dermatology | 1100 S Dobson Rd Ste 223, Chandler, AZ 85286-6160 | 2006-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
Find all providers in zip 85286 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184080442 | Wayna Heidi Liu | Physician Assistant | 2950 S Alma School Rd Ste 1, Chandler, AZ 85286-8120 | 2016-01-01 |
1003288804 | Marta Rebeccah Liang | Physician Assistant | 1840 W Chandler Blvd Ste D2, Chandler, AZ 85224 | 2015-10-20 |
1730558644 | Erica Marie Neal | Physician Assistant | 2181 E Pecos Rd Ste 1, Chandler, AZ 85225-6140 | 2015-09-21 |
1427454784 | Nicole Hensey | Physician Assistant | 1940 N. Alma School Rd., Chandler, AZ 85224 | 2014-11-14 |
1861815250 | Vanessa R. Olds | Physician Assistant | 1592 E Wildhorse Pl, Chandler, AZ 85286-1187 | 2014-01-21 |
1902056708 | Robert H Stowers | Physician Assistant | 600 S Dobson Rd Ste 39, Chandler, AZ 85224-5677 | 2008-09-29 |
1508045600 | Tyler S Dennison | Physician Assistant | 595 N Dobson Rd Ste D65, Chandler, AZ 85224-4234 | 2007-10-25 |
1588705214 | David S Bone | Physician Assistant | 5000 W Chandler Blvd Bldg Ch-3, Chandler, AZ 85226-3601 | 2007-02-08 |
1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
1215543616 | Alex Wamble | Physician Assistant | 70 N Mcclintock Dr, Chandler, AZ 85226-3711 | 2020-09-21 |
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.