Tyler W Chavez (NPI# 1245586106, PAC ID# 4385893361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245586106 |
| PAC ID by PECOS | 4385893361 |
| Professional Enrollment ID | I20131119000207 |
| Full Name | Tyler W Chavez |
| Organization Legal Name | ACADEMIC UROLOGY AND UROGYNECOLOGY OF ARIZONA PC |
| Address |
14044 W Camelback Rd Suites 118 And Suite 216 Litchfield Park AZ 85340-9428 |
| Phone Number | 6235472600 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002989423 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031300 | WICKENBURG COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14044 W Camelback Rd Suites 118 And, Suite 216, Litchfield Park, AZ 85340-9428 | 6235472600 | ACADEMIC UROLOGY AND UROGYNECOLOGY OF ARIZONA PC |
| 14044 W Camelback Rd Suites 118 And, Litchfield Park, AZ 85340-9428 | 6235472600 | ACADEMIC UROLOGY AND UROGYNECOLOGY OF ARIZONA PC |
| Organization Legal Name | ACADEMIC UROLOGY AND UROGYNECOLOGY OF ARIZONA PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madison L Palmer | Physician Assistant | Academic Urology and Urogynecology of Arizona PC | 14044 W Camelback Rd Suites 118 And, Suite 216, Litchfield Park, AZ 85340-9428 |
| Street Address |
14044 W CAMELBACK RD SUITES 118 AND SUITE 216 |
| City | LITCHFIELD PARK |
| State | AZ |
| Zip | 85340-9428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madison L Palmer | Physician Assistant | Academic Urology and Urogynecology of Arizona PC | 14044 W Camelback Rd Suites 118 And, Suite 216, Litchfield Park, AZ 85340-9428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles J Dolce | General Surgery | 14404 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340 | |
| Justin E Gehling | Chiropractic | 5115 N Dysart Rd, Suite 212, Litchfield Park, AZ 85340-3032 | |
| Scott T Manecke | Physical Therapy | Foothills Sports Medicine and Rehabilitation Litchfield Park, Inc | 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3062 |
| Russell C Semmler | Physical Therapy | Foothills Sports Medicine and Rehabilitation Litchfield Park, Inc | 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3062 |
| Jamie R Miller | Physical Therapy | Foothills Sports Medicine and Rehabilitation Litchfield Park, Inc | 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3062 |
| Travis O Neuhaus | Physical Therapy | Foothills Sports Medicine and Rehabilitation Litchfield Park, Inc | 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3062 |
| Lynne Kate Mctaggart | Nurse Practitioner | The Little Clinic of Arizona LLC | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 |
| Richard A Parker | Family Medicine | Urgent Care Centers of Arizona, LLC | 13840 W Camelback Rd, Litchfield Park, AZ 85340-3072 |
| Carole Eaton Wagner | Nurse Practitioner | The Little Clinic of Arizona LLC | 13830 W Camelback Rd, Litchfield Park, AZ 85340-3072 |
| Kevin D Hurley | Clinical Psychologist | 5511 N 128th Dr, Litchfield Park, AZ 85340-4116 | |
| Find all physicians in zip 85340 | |||
| City | LITCHFIELD PARK |
| Zip Code | 85340 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITCHFIELD PARK + PHYSICIAN ASSISTANT |
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| 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.