LINDA S MACCONNELL (NPI# 1124058466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124058466 |
| Entity Type | Individual |
| Full Name | LINDA S MACCONNELL |
| Other Name | LINDA PEITZMEYER |
| Credential | PA-C |
| Practice Address |
2075 S Cottonwood Dr Tempe AZ 85282-3040 |
| Practice Telephone | 4807180568 |
| Practice Fax Number | 4809994102 |
| Mailing Telephone | 4807180568 |
| Mailing Fax Number | 4809994102 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2509 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE PA LICENSE | 2509 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4350 N 19th Ave, Suite 6, Phoenix, AZ 850154602 | 6022649191 | 4806074988 |
| Street Address |
2075 S COTTONWOOD DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195612 | Ctb Az, LLC | Physical Therapist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2020-08-21 |
| 1487265278 | Derrick Kai-hung Tang | Psychiatry & Neurology | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2020-08-14 |
| 1730748435 | Next Gen Medicus | Psychologist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2019-06-07 |
| 1851950521 | Mohamed Khalil | Psychologist | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2019-06-06 |
| 1285106872 | Roxanna Donan | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-12-20 |
| 1568938280 | Shane Doty | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-10-19 |
| 1154897494 | Ashley Meghan Wanzer | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-10-14 |
| 1760962823 | Casandra Ray Hamlin | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-08-17 |
| 1972007300 | Tasha Marie Wood | Nurse Practitioner | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2018-03-20 |
| 1679090047 | Elise Carrington Terry | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2017-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
| 1609419241 | Melanie Marie Lyon | Physician Assistant | 1502 N Dorsey Ln, Tempe, AZ 85281-1657 | 2019-10-27 |
| 1093221988 | Qammer Alzubaidi | Physician Assistant | 3730 S Mill Ave Apt E207, Tempe, AZ 85282-4921 | 2017-12-14 |
| 1164973517 | Thomas Pearson | Physician Assistant | 1002 W Santa Cruz Dr, Tempe, AZ 85282-4629 | 2016-10-20 |
| 1609269778 | Stephanie Joy Ranum | Physician Assistant | 1634 S Priest Dr Ste 101, Tempe, AZ 85281-6499 | 2015-03-12 |
| 1760739916 | Kayla Marie Shelley | Physician Assistant | 2163 E Baseline Rd Ste 101, Tempe, AZ 85283-1541 | 2012-08-07 |
| 1982880068 | Kristina Ann Cieply | Physician Assistant | 1840 E Baseline Rd Ste C2, Tempe, AZ 85283-1528 | 2008-01-18 |
| 1720168883 | Heather N Starks | Physician Assistant | 960 W University Dr, Suite 111, Tempe, AZ 85281 | 2006-10-16 |
| 1912920968 | Karen Bjorn | Physician Assistant | 2034 E Southern, #4, Tempe, AZ 85282 | 2006-07-25 |
| 1629545579 | Tanner Cook | Physician Assistant | 1030 E Guadalupe Rd, Tempe, AZ 85283 | 2018-10-30 |
| Find all providers in TEMPE | ||||
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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.