MATTHEW G. DATLOW (NPI# 1477024503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477024503 |
| Entity Type | Individual |
| Full Name | MATTHEW G. DATLOW |
| Credential | MSPAS, PA-C |
| Practice Address |
1701 W Saint Marys Rd Ste 100 Tucson AZ 85745-2621 |
| Mailing Address |
18000 Studebaker Rd Ste 800 Cerritos CA 90703-2671 |
| Practice Telephone | 5202762270 |
| Practice Fax Number | 5205855827 |
| Mailing Telephone | 5627353226 |
| Mailing Fax Number | 5628691281 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1358 W Orange Grove Rd, Tucson, AZ 857042901 | 5205751272 |
| Street Address |
1701 W SAINT MARYS RD STE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154432086 | Ida Heath | Registered Nurse | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2006-08-31 |
| 1689196719 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-07-11 |
| 1265962534 | Richy Agajanian M.d. A Professional Corp. | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-06-19 |
| 1558703801 | Jaspreet Chahal | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2013-07-26 |
| 1306285267 | Akshay Amaraneni | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2013-06-24 |
| 1932545746 | John Joseph Migliano | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745 | 2013-05-20 |
| 1851603674 | Christopher Chun Man Chen | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2010-07-09 |
| 1881705838 | Gino Bottino | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| 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 |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.