Nathan S Jeppesen (NPI# 1306088307, PAC ID# 7719136373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1306088307 |
| PAC ID by PECOS | 7719136373 |
| Professional Enrollment ID | I20120926000231 |
| Full Name | Nathan S Jeppesen |
| Organization Legal Name | BRADLEY L NEWSWANDER, DPM PLC |
| Address |
5656 S Power Rd Suite 124 Gilbert AZ 85295-8489 |
| Phone Number | 4808403457 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4082690771 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030130 | BANNER IRONWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5656 S Power Rd, Suite 124, Gilbert, AZ 85295-8489 | 4808403457 | BRADLEY L NEWSWANDER, DPM PLC |
| Organization Legal Name | BRADLEY L NEWSWANDER, DPM PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Vella | Podiatry | Bradley L Newswander, Dpm Plc | 5656 S Power Rd, Suite 124, Gilbert, AZ 85295-8489 |
| Bradley L Newswander | Podiatry | Bradley L Newswander, Dpm Plc | 37100 N Gantzel Rd, Suite 214, San Tan Valley, AZ 85140-7353 |
| Street Address |
5656 S POWER RD SUITE 124 |
| City | GILBERT |
| State | AZ |
| Zip | 85295-8489 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bikramjit S Gill | Physician Assistant | Optimal Spine and Health Center Inc | 5656 S Power Rd, Suite 132, Gilbert, AZ 85295-8490 |
| Faith Ann Phillips | Nurse Practitioner | Heritage Technologies LLC | 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 |
| Derek S Poulson | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Craig D Ryan | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Brandon W Jones | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Trevor Page | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Joseph M Vella | Podiatry | Bradley L Newswander, Dpm Plc | 5656 S Power Rd, Suite 124, Gilbert, AZ 85295-8489 |
| Stuart M Shellenberger | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Syed Z Tahir | General Surgery | 5656 S Power Rd, B116, Gilbert, AZ 85295-8487 | |
| Crystal S Clark | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Labroff | Optometry | 2174 E Williams Field Rd, Suite 124, Gilbert, AZ 85295-0748 | |
| Morgan Lobe | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Rakeshkumar C Patel | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Olivia R Anderson | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Thomas Y Tsai | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Zachary Ortiz | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Karen M Trask | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Michelle Evelyn Gomez | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Cynthia M Armstrong | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Jenifer Clark | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Find all physicians in zip 85295 | |||
| City | GILBERT |
| Zip Code | 85295 |
| Specialty | PODIATRY |
| City + Specialty | GILBERT + PODIATRY |
Please comment or provide details below to improve the information on Nathan S Jeppesen.
| 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.