MAURISA O KONYA (NPI# 1356324834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356324834 |
| Entity Type | Individual |
| Full Name | MAURISA O KONYA |
| Credential | P.A. |
| Practice Address |
5601 W. Eugie Ave. Suite 204 Glendale AZ 85304 |
| Mailing Address |
4550 E. Bell Road Suite 170 Phoenix AZ 85032 |
| Practice Telephone | 4804438400 |
| Practice Fax Number | 4804438697 |
| Mailing Telephone | 4804438400 |
| Mailing Fax Number | 4804438697 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2531 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA PA LICENSE | 2531 | 01 |
| Street Address |
5601 W. EUGIE AVE. SUITE 204 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538337555 | Candace Lynn Ryan | Physician Assistant | 5601 W. Eugie Ave., Suite 204, Glendale, AZ 85304 | 2008-02-12 |
| 1265557060 | Shawna Renee Carbonniere | Physician Assistant | 5601 W. Eugie Ave., Suite 204, Glendale, AZ 85304 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| 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 |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.