TIMOTHY J KNOLL (NPI# 1205167277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205167277 |
| Entity Type | Individual |
| Full Name | TIMOTHY J KNOLL |
| Credential | PA |
| Practice Address |
6567 E Carondelet Dr Suite 415 Tucson AZ 85710-6152 |
| Mailing Address |
Po Box 13627 Tucson AZ 85732-3627 |
| Practice Telephone | 5208856701 |
| Practice Fax Number | 5208859037 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 490827 | 05 | |
| AZ | STATE LICENSE | 4581 | 01 |
| Street Address |
6567 E CARONDELET DR SUITE 415 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902800 | Fraser Richards | Specialist | 6567 E Carondelet Dr, Ste 225, Tucson, AZ 85710-6152 | 2005-06-16 |
| 1225490683 | Alisha Severson | Audiologist | 6567 E Carondelet Dr, Tucson, AZ 85710-6152 | 2016-03-24 |
| 1386002350 | Wren Winston | Nurse Practitioner | 6567 E Carondelet Dr, Ste 215, Tucson, AZ 85710-6152 | 2016-02-05 |
| 1457733206 | Sarah Laszok | Audiologist | 6567 E Carondelet Dr, Suite 515, Tucson, AZ 85710-6152 | 2015-06-28 |
| 1174941439 | Timothy Hoskins Obgyn | Obstetrics & Gynecology | 6567 E Carondelet Dr, Suite 445, Tucson, AZ 85710-6152 | 2014-04-03 |
| 1689003956 | Ashley Nicole Ryan | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-11-06 |
| 1306274790 | Western Neurosurgery. Ltd. | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-10-22 |
| 1538405386 | Chelsea Mcnally | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2012-12-26 |
| 1447527817 | Sitara Kommareddi Md Pllc | Surgery | 6567 E Carondelet Dr, Suite 435, Tucson, AZ 85710-6152 | 2011-11-29 |
| 1124265285 | Kayvaan M Mortazavi | Family Medicine | 6567 E Carondelet Dr, Suite 555, Tucson, AZ 85710-6152 | 2009-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| 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 |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.