GEOFFREY SCOTT STREETER (NPI# 1295046324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295046324 |
| Entity Type | Individual |
| Full Name | GEOFFREY SCOTT STREETER |
| Credential | PA-C |
| Practice Address |
3420 S Mercy Rd Suite 200 Gilbert AZ 85297-0419 |
| Mailing Address |
3010 W Agua Fria Fwy Suite 100 Phoenix AZ 85027-3943 |
| Practice Telephone | 6235375600 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 6235375600 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4594 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4594 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3420 S MERCY RD SUITE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-0419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867383 | Nabil Dib | Internal Medicine | 3420 S Mercy Rd, Suite 312, Gilbert, AZ 85297-0419 | 2005-08-03 |
| 1619582046 | Meg Magdaleno | Counselor | 3420 S Mercy Rd, Gilbert, AZ 85297-0419 | 2020-09-11 |
| 1861944399 | Jeffrey Bauer | Physician Assistant | 3420 S Mercy Rd, Suite 200, Gilbert, AZ 85297 | 2016-11-01 |
| 1376944298 | Phoenix Children's Hospital | Clinic/Center | 3420 S Mercy Rd, Ste 121, Gilbert, AZ 85297-0419 | 2014-09-10 |
| 1669871810 | Laura T Sullivan | Physical Therapist | 3420 S Mercy Rd, 200, Gilbert, AZ 85297-0419 | 2014-08-13 |
| 1184049959 | Kalynn Burrows | Physician Assistant | 3420 S Mercy Rd, Suite 200, Gilbert, AZ 85297-0419 | 2014-03-03 |
| 1659703650 | Aloha Cardiology P.C. | Specialist | 3420 S Mercy Rd, Suite 312, Gilbert, AZ 85297-0419 | 2013-08-01 |
| 1558605923 | Leah Paiz Mcculley | Dietitian, Registered | 3420 S Mercy Rd, Suite 312, Gilbert, AZ 85297-0419 | 2012-11-24 |
| 1821372970 | Christina Schofield | Physical Therapist | 3420 S Mercy Rd, Suite 200, Gilbert, AZ 85297-0419 | 2011-10-07 |
| 1700103371 | Theresa Chu | Obstetrics & Gynecology | 3420 S Mercy Rd, Gilbert, AZ 85297-0419 | 2010-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1427687953 | Zachary Scott | Physician Assistant | 562 E Campbell Ave, Gilbert, AZ 85234-4612 | 2020-04-06 |
| 1912539511 | Amber Lee Price | Physician Assistant | 428 S Gilbert Rd Ste 114, Gilbert, AZ 85296-2262 | 2020-02-11 |
| 1912549379 | Brooke Elizabeth Lopez | Physician Assistant | 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 | 2019-10-16 |
| 1477118180 | Mai Thai | Physician Assistant | 1725 S Coronado Rd Apt 1035, Gilbert, AZ 85295-0080 | 2019-05-08 |
| 1356800924 | Kirstin Lampi Tymkew | Physician Assistant | 4255 E Pecos Rd Apt 3011, Gilbert, AZ 85295-7842 | 2019-03-13 |
| 1033685763 | Jocelyn Lucita Ore | Physician Assistant | 3011 S Lindsay Rd Ste 105, Gilbert, AZ 85295-4333 | 2018-10-20 |
| 1003381633 | Samuel Dean Fox | Physician Assistant | 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234-2966 | 2018-10-10 |
| 1598240731 | Sylvia Phommalinh | Physician Assistant | 1309 S Minneola Ln, Gilbert, AZ 85296-7824 | 2018-10-03 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1144703257 | Annie Celeste Hart | Physician Assistant | 610 W Sereno Dr, Gilbert, AZ 85233-7251 | 2018-09-13 |
| Find all providers in GILBERT | ||||
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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.