ALEXANDRA R KOOLMEES


Address: 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818
Phone: 5627167677

ALEXANDRA R KOOLMEES (NPI# 1073121505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073121505
Entity Type Individual
Full Name ALEXANDRA R KOOLMEES
Credential PA
Practice Address 1141 E Village Circle Dr S
Phoenix
AZ 85022-4818
Practice Telephone 5627167677
Mailing Telephone 5627167677
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1141 E VILLAGE CIRCLE DR S
City PHOENIX
State AZ
Zip Code 85022-4818

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1639681745 Martha Lopez Physician Assistant 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 2017-10-30
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1174996870 Jyoti Sharma Physician Assistant 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 2015-11-04
1487025086 Shaye Harrel Physician Assistant 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 2015-10-08
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Competitor

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City PHOENIX
Zip Code 85022

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Dataset Information

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.

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