MS. MINDY STADLER HENDRICKSON (NPI# 1245429414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245429414 |
| Entity Type | Individual |
| Full Name | MS. MINDY STADLER HENDRICKSON |
| Credential | PA-C |
| Practice Address |
15215 S 48th St Suite 120 Phoenix AZ 85044-9142 |
| Practice Telephone | 4807066580 |
| Practice Fax Number | 4807068157 |
| Mailing Telephone | 4807066580 |
| Mailing Fax Number | 4807068157 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3725 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15215 S 48TH ST SUITE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561270 | Mark Joseph Page | Optometrist | 15215 S 48th St, Suite # 180, Phoenix, AZ 85044-9142 | 2005-07-07 |
| 1316313661 | Jeffery Arthur Kohler | Dentist | 15215 S 48th St, Suite 190, Phoenix, AZ 85044-9142 | 2015-08-20 |
| 1245659432 | English Dermatology PC | Dermatology | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9142 | 2014-04-15 |
| 1316375611 | Alcohol Recovery Solutions, Inc. | Community/Behavioral Health | 15215 S 48th St, Suite 150, Phoenix, AZ 85044-9142 | 2013-10-23 |
| 1538503032 | Megan Marie Shoen | Physician Assistant | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9142 | 2013-04-26 |
| 1356689772 | Arizona Progressive Medical Centers | Chiropractor | 15215 S 48th St, Bldg 5 Suite 156, Phoenix, AZ 85044-9142 | 2013-01-18 |
| 1629325378 | Active Kids Pediatrics, PC | Clinic/Center | 15215 S 48th St, Suite 110, Phoenix, AZ 85044-9142 | 2012-08-13 |
| 1558690313 | Sleepmed Phoenix, LLC | Clinic/Center | 15215 S 48th St, Suite 133, Phoenix, AZ 85044-9142 | 2009-12-08 |
| 1891930632 | Britt Erika Brennan | Marriage & Family Therapist | 15215 S 48th St, Suite 116, Phoenix, AZ 85044-9142 | 2008-12-08 |
| 1457516338 | Insight Health Corp | Radiology | 15215 S 48th St, Bldg 1, Ste 110, Phoenix, AZ 85044-9142 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| 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 |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.