MR. TRAVIS MICHAEL TIRK (NPI# 1285852962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285852962 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS MICHAEL TIRK |
| Credential | MMS, PA-C, ATC, M ED |
| Practice Address |
914 N Scottsdale Rd Ste 104 Tempe AZ 85281-2116 |
| Mailing Address |
941 N Adams Ct Chandler AZ 85225-9003 |
| Practice Telephone | 4805570241 |
| Mailing Telephone | 5098636241 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5008 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
914 N SCOTTSDALE RD STE 104 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043371826 | Nextcare Arizona LLC | Clinic/Center | 914 N Scottsdale Rd, #104, Tempe, AZ 85281-1925 | 2006-12-13 |
| 1083044176 | Catharine Parker | Physician Assistant | 914 N Scottsdale Rd, Tempe, AZ 85281-2116 | 2013-11-26 |
| 1417258914 | Brian Edward Rush | Physician Assistant | 914 N Scottsdale Rd, Tempe, AZ 85281-2116 | 2010-11-15 |
| 1780904656 | Nextcare Arizona LLC | Clinic/Center | 914 N Scottsdale Rd, Ste. 104, Tempe, AZ 85281-2116 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194246223 | Jamie Ostdiek | Physician Assistant | 7505 S Mcclintock Dr Ste 103, Tempe, AZ 85283-5042 | 2017-06-28 |
| 1356731624 | Suzanne Strickland | Physician Assistant | 3141 S Mcclintock Dr Ste 1, Tempe, AZ 85282-5682 | 2015-01-26 |
| 1053695437 | Dana Roberts Cohen | Physician Assistant | 1315 W. Southern Ave, Tempe, AZ 85282 | 2011-10-04 |
| 1548410368 | Nicole Marie Lupica | Physician Assistant | 2402 E 5th St, 1485, Tempe, AZ 85281-3390 | 2008-09-29 |
| 1730207184 | Celia R Alvarez-reeder | Physician Assistant | 2033 E Warner Rd, Suite 109, Tempe, AZ 85284-3417 | 2007-03-26 |
| 1376635581 | Carissa Dawn Colgrove | Physician Assistant | 2720 W Baseline Rd # 140, Tempe, AZ 85283 | 2006-09-28 |
| 1689666844 | Shannon E Lunders | Physician Assistant | 433 W. Broadway Road, Tempe, AZ 85281 | 2005-08-15 |
| 1992312474 | Jamie Romero | Physician Assistant | 2033 E Warner Rd Ste 109, Tempe, AZ 85284-3417 | 2020-09-28 |
| 1598238651 | Mcclintock Medical Group, LLC | Physician Assistant | 1855 E Guadalupe Rd Ste 112, Tempe, AZ 85283-3269 | 2019-01-10 |
| 1801374913 | Emma Reeve | Physician Assistant | 2127 E Baseline Rd Ste 104, Tempe, AZ 85283-1537 | 2018-07-31 |
| Find all providers in TEMPE | ||||
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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.