JENNELLE LYNNE SUAREZ (NPI# 1295233997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295233997 |
| Entity Type | Individual |
| Full Name | JENNELLE LYNNE SUAREZ |
| Credential | PA-C |
| Practice Address |
15396 N 83rd Ave Ste C101 Peoria AZ 85381 |
| Mailing Address |
32305 N 23rd Ave Phoenix AZ 85085-8027 |
| Practice Telephone | 6238897398 |
| Practice Fax Number | 6238897411 |
| Mailing Telephone | 5616729209 |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
7105 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
7105 | AZ | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
7105 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 S Military Trl Ste 10, Deerfield Beach, FL 334423031 | 9544269600 |
| Street Address |
15396 N 83RD AVE STE C101 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215099973 | Jacob Daly | Chiropractor | 15396 N 83rd Ave Ste C101, Peoria, AZ 85381-5627 | 2006-12-15 |
| 1689071581 | Wendy Voyer | Chiropractor | 15396 N 83rd Ave Ste C101, Peoria, AZ 85381-5627 | 2014-11-21 |
| 1831521871 | Dwf Chiro Care LLC | Chiropractor | 15396 N 83rd Ave Ste C101, Peoria, AZ 85381-5627 | 2013-08-01 |
| 1720420276 | David Anthony Voyer | Chiropractor | 15396 N 83rd Ave Ste C101, Peoria, AZ 85381-5627 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801390885 | Melissa Abellanida | Physical Medicine & Rehabilitation | 9127 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4887 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233785 | Tara Anne Condon | Physical Medicine & Rehabilitation | 3300 W Camelback Rd Bldg 12, Phoenix, AZ 85017-3030 | 2019-06-12 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1386173748 | Aliesje Nichole Thrower | Physical Medicine & Rehabilitation | 8465 E Hodgman Pl, Tucson, AZ 85747 | 2017-06-08 |
| 1194167858 | Rejuv Medical Southwest Corp | Physical Medicine & Rehabilitation | 7790 N Oracle Rd, Suite 150, Tucson, AZ 85704-6579 | 2013-07-23 |
| 1366622466 | Jonathan David Tait | Physical Medicine & Rehabilitation | 7790 N Oracle Rd Ste 150, Suite 150, Oro Valley, AZ 85704-6589 | 2007-11-06 |
| 1245455666 | David Iannicca | Physical Medicine & Rehabilitation | 15946 N Bullard Ave, Surprise, AZ 85374-8844 | 2007-04-13 |
| 1659402998 | East Valley Spine and Sports Medicine Center, Plc | Physical Medicine & Rehabilitation | 4858 E Baseline Rd, Suite 107, Mesa, AZ 85206-4638 | 2007-03-08 |
| 1821141250 | Sholom Gootzeit | Physical Medicine & Rehabilitation | 17233 N Holmes Blvd Ste 1640, 13761 W. Bell Road, Suite 203, Surprise, Az 85374, Phoenix, AZ 85053-2020 | 2007-01-19 |
| 1497728372 | Michael G. Crincoli | Physical Medicine & Rehabilitation | 1012 East Willetta Street, Phoenix, AZ 85006 | 2006-02-09 |
| 1457910416 | George Hackett | Physical Medicine & Rehabilitation | 3300 W Camelback Rd, Phoenix, AZ 85017-1097 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
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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.