JENNIFER ROSE WATRY (NPI# 1295003374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295003374 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE WATRY |
| Credential | PA-C |
| Practice Address |
9735 N 90th Pl Scottsdale AZ 85258 |
| Mailing Address |
9735 N 90th Pl Scottsdale AZ 85258-5067 |
| Practice Telephone | 4802224954 |
| Practice Fax Number | 6022976556 |
| Mailing Telephone | 4802224954 |
| Mailing Fax Number | 6022976556 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5013 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9735 N 90TH PL |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962776 | Edward John Dohring | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2005-09-14 |
| 1821601147 | Arizona Spine Care Specialists, LLC | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2020-08-26 |
| 1982217626 | Surgery Neuromonitoring Services, LLC | Electrodiagnostic Medicine | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2020-08-24 |
| 1023491230 | Andrew Thomas Henderson | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2015-07-07 |
| 1427444173 | Ryan Martyn | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2015-04-09 |
| 1760802565 | Peter Mccunniff | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2014-04-18 |
| 1568807022 | Keven Scott Burns | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258 | 2013-05-09 |
| 1295091213 | Ryan James Godinsky | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2012-04-03 |
| 1164734422 | John H. Faryna | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2010-07-02 |
| 1871708255 | Paul R Gause | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1831582204 | Kelly Jackson | Physician Assistant | 9345 E Voltaire Ave, Scottsdale, AZ 85260-7432 | 2015-03-10 |
| 1336577188 | Elizabeth L Vito Pllc | Physician Assistant | 10055 E Mountainview Lake Dr Unit 1012, Scottsdale, AZ 85258-5268 | 2013-10-14 |
| 1053667600 | Neurological Surgical Assisting, LLC | Physician Assistant | 5204 E Wallace Ave, Scottsdale, AZ 85254 | 2012-08-01 |
| 1215231196 | Megan M Conover | Physician Assistant | 8841 E Bell Rd Ste 201, Scottsdale, AZ 85260 | 2011-01-06 |
| 1144364795 | Emprise Surgical Associate Pllc | Physician Assistant | 7846 E Vista Bonita Dr, Scottsdale, AZ 85255-4123 | 2007-02-16 |
| 1568539716 | Scott C Smith | Physician Assistant | 11221 N 89th Way, Scottsdale, AZ 85260-6180 | 2006-11-30 |
| 1063448389 | Kavita Saggar | Physician Assistant | 8888 E Raintree Dr, Suite 170, Scottsdale, AZ 85260-3951 | 2006-06-26 |
| 1386692572 | Steven M Gabaldon | Physician Assistant | 10213 N 92nd St, Suite 101, Scottsdale, AZ 85258-4561 | 2006-05-04 |
| 1558349134 | Elizabeth L Vito | Physician Assistant | 1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252-3616 | 2006-01-04 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
Please comment or provide details below to improve the information on JENNIFER ROSE WATRY.
| 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.