CARLA BOAN


Address: 5141 W Lamar Rd, Glendale, AZ 85301-3423
Phone: 6233446700

CARLA BOAN (NPI# 1164904413) 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) 1164904413
Entity Type Individual
Full Name CARLA BOAN
Credential PA
Practice Address 5141 W Lamar Rd
Glendale
AZ 85301-3423
Mailing Address 2929 E Thomas Rd
Phoenix
AZ 85016-8034
Practice Telephone 6233446700
Enumeration Date 2018-09-04
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 7243 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5141 W LAMAR RD
City GLENDALE
State AZ
Zip Code 85301-3423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710922927 Maricopa County Special Health Care District Pharmacy 5141 W Lamar Rd, Glendale, AZ 85301-3423 2006-06-19
1407408537 Summer Schacht Physician Assistant 5141 W Lamar Rd, Glendale, AZ 85301-3423 2019-07-09
1679056147 Larissa Dohn Wiley Physician Assistant 5141 W Lamar Rd, Glendale, AZ 85301-3423 2018-09-11
1053811976 Nicole James Nurse Practitioner 5141 W Lamar Rd, Glendale, AZ 85301-3423 2018-02-16
1104336221 Rebecca Ann Zwick Registered Nurse 5141 W Lamar Rd, Glendale, AZ 85301-3423 2017-10-03
1023546249 Brittany Marie Divito Registered Nurse 5141 W Lamar Rd, Glendale, AZ 85301-3423 2017-06-01
1255701801 Emily Brewton Physician Assistant 5141 W Lamar Rd, Glendale, AZ 85301-3423 2015-09-25
1952720708 Maricopa County Special Health Care District General Acute Care Hospital 5141 W Lamar Rd, Glendale, AZ 85301-3423 2014-04-09
1821415902 Maricopa County Special Health Care District Clinic/Center 5141 W Lamar Rd, Glendale, AZ 85301-3423 2014-03-26
1710303938 Barbara Benincaso Nurse Practitioner 5141 W Lamar Rd, Glendale, AZ 85301-3423 2014-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164051900 Stateserv Medical of Phoenix LLC Durable Medical Equipment & Medical Supplies 5234 W. Missouri, Glendale, AZ 85301 2020-04-03
1366988933 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 5148 W. Frier Dr, Glendale, AZ 85301 2017-01-06
1306227830 Sage Counseling, Inc. Community/Behavioral Health 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 2015-06-10
1477802023 Lori Wyke Specialist/Technologist 7301 N. 58th Avenue, Glendale, AZ 85301 2012-08-29
1144581257 Jerry Harold Brue Pharmacist 7772 N 52nd Dr, Glendale, AZ 85301 2012-06-05
1558632935 Jasmine Rojas Licensed Practical Nurse 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 2012-01-18
1184950438 Victoria Joan Petti Physical Therapist 5125 N. 58th Ave, Glendale, AZ 85301 2009-10-21
1598907479 Westside Speech & Language Services Clinic/Center 7415 N. 59th Ave, Glendale, AZ 85301 2009-03-24
1992940241 Lorraine Pimentel Montes Specialist 4441 W. Bethany Home Rd, Glendale, AZ 85301 2008-12-15
1770739922 Patricia Lee Click Social Worker 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 2008-08-07
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669079109 Elizabeth Yushuva Rpac, Pllc Physician Assistant 23220 N 71st Dr, Glendale, AZ 85310-5872 2020-10-07
1033725437 Kayla Gutierrez Physician Assistant 4820 W Mcrae Way, Glendale, AZ 85308-4821 2020-09-21
1487269015 Olivia Julia Karczewski Physician Assistant 7764 76th St, Glendale, NY 11385-8239 2020-09-10
1508470923 Joseph Robert Walsh Physician Assistant 18860 N 75th Dr, Glendale, AZ 85308-5948 2020-09-02
1598384463 Josi Ann Bernal Physician Assistant 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 2020-04-10
1497385470 Elizabeth Sovakian Physician Assistant 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 2020-01-18
1689216020 Zeeshan Ahmad Physician Assistant 1101 E Broadway Ste 201, Glendale, CA 91205-1396 2019-10-16
1649821281 Paige Nelson Physician Assistant 6908 W Escuda Dr, Glendale, AZ 85308-5516 2019-09-25
1821641879 Carelinq Medical Group, Inc. Physician Assistant 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 2019-07-18
1538625405 Armen Avetisyan Physician Assistant 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 2019-02-15
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Competitor

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City GLENDALE
Zip Code 85301

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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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