DAREK ANDERSON (NPI# 1518932136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518932136 |
Entity Type | Individual |
Full Name | DAREK ANDERSON |
Credential | P.A.-C |
Practice Address |
1595 E River Rd Ste 201 Tucson AZ 85718-5984 |
Practice Telephone | 5202935757 |
Practice Fax Number | 5202937358 |
Mailing Telephone | 5202935757 |
Mailing Fax Number | 5202937358 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2019-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2857 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENCE NUMBER | 52422 | 01 |
Street Address |
1595 E RIVER RD STE 201 |
City | TUCSON |
State | AZ |
Zip Code | 85718-5984 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
Find all providers in zip 85718 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
1013499599 | Jeremy Robert Thomas | Physician Assistant | 5230 E Farness Dr Ste 100, Tucson, AZ 85712-2141 | 2018-08-31 |
1679859920 | Jamie Wystrach | Physician Assistant | 6127 N La Cholla Blvd Ste 101, Tucson, AZ 85741-3744 | 2011-11-01 |
1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
1366692238 | Judith Kaye Jones | Physician Assistant | 501 N Park Ave, 110, Tucson, AZ 85719-5034 | 2008-09-26 |
1316146681 | Britni Reann Mcbryde | Physician Assistant | 2260 W. Orange Grove Rd, Tucson, AZ 85741 | 2007-07-16 |
1275614786 | Amy Vinik | Physician Assistant | 1601 W St. Mary's Road, Tucson, AZ 85745 | 2006-10-18 |
1689611956 | Cushing Street Family Practice PC | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-06-02 |
1639132301 | Justin Thomas Decker | Physician Assistant | 501 N Park Ave Ste 120, Tucson, AZ 85719-5034 | 2006-04-11 |
1477520484 | Carlos Martin Aguilar | Physician Assistant | 1460 W Valencia Rd Ste 141, Tucson, AZ 85746-6001 | 2006-03-08 |
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.