KELSEY SLUGOCKI (NPI# 1265988299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265988299 |
| Entity Type | Individual |
| Full Name | KELSEY SLUGOCKI |
| Credential | PA-C |
| Practice Address |
10930 N Tatum Blvd Ste 103 Phoenix AZ 85028-6069 |
| Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | 6022637600 |
| Practice Fax Number | 6022120365 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6509 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13400 E Shea Blvd, Scottsdale, AZ 852595452 | 4803018000 |
| Street Address |
10930 N TATUM BLVD STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214172 | Kenneth A Ashton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-06 |
| 1043602444 | Jordanna Newberger | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-23 |
| 1801287354 | Rachel Armenta | Nurse Practitioner | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-05 |
| 1174929129 | Jessica Russ | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2014-11-18 |
| 1396184602 | Malia Goozen-suor | Perfusionist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2013-06-19 |
| 1396970182 | Meghan Kirksey | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2009-05-21 |
| 1528284478 | Desert Surgical Assistants, LLC | Physician Assistant | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-04-18 |
| 1245364702 | Michelle D Carey-caskey | Registered Nurse | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-03-15 |
| 1902934342 | Vicki Larson | Specialist | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-02-28 |
| 1659409001 | Robert Harrison | Specialist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on KELSEY SLUGOCKI.
| 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.