CARLA BOAN (NPI# 1164904413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 7243 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5141 W LAMAR RD |
City | GLENDALE |
State | AZ |
Zip Code | 85301-3423 |
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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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 |
Find all providers in zip 85301 |
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 |
---|---|---|---|---|
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 |
Find all providers in GLENDALE |
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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.