Larissa D Wiley (NPI# 1679056147, PAC ID# 3274887955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679056147 |
| PAC ID by PECOS | 3274887955 |
| Professional Enrollment ID | I20181115001568 |
| Full Name | Larissa D Wiley |
| Organization Legal Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Address |
33 W Tamarisk St Phoenix AZ 85041-2422 |
| Phone Number | 6023446400 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688583651 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030022 | MARICOPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 950 E Van Buren St, Avondale, AZ 85323-1506 | 6233446800 | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 6233446700 | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 6023446400 | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Organization Legal Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyssa M Metas | Obstetrics/gynecology | Maricopa County Special Health Care District | 59 S Hibbert, Mesa, AZ 85210-1414 |
| Sarah L Buggle | Nurse Practitioner | Maricopa County Special Health Care District | 12428 W Thunderbird Rd, El Mirage, AZ 85335-3113 |
| Rebecca Ann Zwick | Nurse Practitioner | Maricopa County Special Health Care District | 1205 S 7th Ave, Phoenix, AZ 85007-3913 |
| Sarah B Taraborelli | Physician Assistant | Maricopa County Special Health Care District | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 |
| Srilakshmi Settipalli | Family Medicine | Maricopa County Special Health Care District | 811 S Hamilton St, Chandler, AZ 85225-6308 |
| Tina Mckenzie | Family Medicine | Maricopa County Special Health Care District | 950 E Van Buren St, Avondale, AZ 85323-1506 |
| Brittany M Divito | Nurse Practitioner | Maricopa County Special Health Care District | 5141 W Lamar Rd, Glendale, AZ 85301-3423 |
| Travis J Powell | Obstetrics/gynecology | Maricopa County Special Health Care District | 4011 N 51st Ave, Phoenix, AZ 85031-2601 |
| Caroline Olotu | Nurse Practitioner | Maricopa County Special Health Care District | 1465 W Chandler Blvd A, Chandler Fhc Ihh Swn San Tan, Chandler, AZ 85224-6237 |
| Francisco Cordova | Internal Medicine | Maricopa County Special Health Care District | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Street Address |
33 W TAMARISK ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85041-2422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roselyne T Vutien | Internal Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Michelle Tammy Harbottle | Physician Assistant | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Alexis E Sotis | Physician Assistant | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Jayakrishna Paineni | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Kevin G Lopez | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Stephanie P Yu | Physician Assistant | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Sunitha Bandlamuri | Internal Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Nathan L Delafield | Internal Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Shaghayegh H Abdollahi | Internal Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Warren D Kuipers | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy A Byers | Nurse Practitioner | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Lenore S Encinas | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Shannon E Skinner | Internal Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Jean Khara G Casillan | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Nyima Ali | Obstetrics/gynecology | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Jamie J Bohannon | Nurse Practitioner | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Rajalakshmi Cheruvu | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| April L Estes | Family Medicine | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Caitlin E Mcquarie | Physician Assistant | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Stacy Jean Sanchez | Nurse Practitioner | Maricopa County Special Health Care District | 33 W Tamarisk St, Phoenix, AZ 85041-2422 |
| Find all physicians in zip 85041 | |||
| City | PHOENIX |
| Zip Code | 85041 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PHOENIX + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Larissa D Wiley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.