JAMIE WYSTRACH


Address: 6127 N La Cholla Blvd Ste 101, Tucson, AZ 85741-3744
Phone: 5209900127

JAMIE WYSTRACH (NPI# 1679859920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679859920
Entity Type Individual
Full Name JAMIE WYSTRACH
Credential P.A.
Practice Address 6127 N La Cholla Blvd Ste 101
Tucson
AZ 85741-3744
Practice Telephone 5209900127
Mailing Telephone 5209900127
Enumeration Date 2011-11-01
Last Update Date 2011-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
4983 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6127 N LA CHOLLA BLVD STE 101
City TUCSON
State AZ
Zip Code 85741-3744

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1124506019 Emily Jensen Speech-Language Pathologist Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 2018-08-01
1366954703 Solterra La Cholla Operations, Lp Assisted Living Facility 6505 North La Cholla Blvd, Tucson, AZ 85741 2017-10-25
1932636123 Tucson Digestive Institute LLC Clinic/Center 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 2017-05-18
1336591437 Eugene Choi Dentist 7578 N. La Cholla Blvd, Tucson, AZ 85741 2016-07-13
1841672763 Gang Li Dentist 2242 W Distant Song St., Tucson, AZ 85741 2015-06-27
1467870378 Lisa Tucci Nurse Practitioner 7105 N. Lacholla Blvd., Tucson, AZ 85741 2014-03-29
1457639197 Vanessa Moore Speech-Language Pathologist 3400 West Massingale Road, Tucson, AZ 85741 2011-07-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1518932136 Darek Anderson Physician Assistant 1595 E River Rd Ste 201, Tucson, AZ 85718-5984 2006-02-17
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Competitor

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City TUCSON
Zip Code 85741

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Dataset Information

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.

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