JAMIE JENNETTE CORACIDES (NPI# 1073846176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073846176 |
| Entity Type | Individual |
| Full Name | JAMIE JENNETTE CORACIDES |
| Other Name | JAMIE JENNETTE |
| Credential | PA |
| Practice Address |
485 S Dobson Rd Ste 110 Chandler AZ 85224-5600 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 4807284470 |
| Practice Fax Number | 4807284499 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 459374 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3126 N Civic Center Plz, Scottsdale, AZ 852516912 | 8048742040 |
| Street Address |
485 S DOBSON RD STE 110 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604767 | Miguel A. Pirela-cruz | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2006-03-28 |
| 1417435181 | Ellayna Wiedow | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2018-08-03 |
| 1275052664 | Christian Andreen | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2017-09-17 |
| 1417316449 | Joby K Janardhanan | Nurse Practitioner | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2016-02-18 |
| 1396116992 | Vanessa Gordon | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2015-10-08 |
| 1356683924 | Ammar Karim | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2013-03-21 |
| 1215215678 | Emily Cha | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2011-08-02 |
| 1386847226 | Benjamin L. Geer | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2007-06-07 |
| 1578775748 | Roland D Benigno | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2007-05-03 |
| 1558315606 | Suzanne Mary Vienuzis | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| 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.