JASA DEFAZIO (NPI# 1740766567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740766567 |
Entity Type | Individual |
Full Name | JASA DEFAZIO |
Credential | COTA/L |
Practice Address |
2175 N Alma School Rd Ste A106 Chandler AZ 85224-2882 |
Mailing Address |
7340 E Legacy Blvd Unit H4005 Scottsdale AZ 85255-6531 |
Practice Telephone | 4808550474 |
Mailing Telephone | 4844001342 |
Enumeration Date | 2018-07-15 |
Last Update Date | 2018-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
OTA-046588 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | UNITED HEALTH CARE | 946932790 | 01 |
Street Address |
2175 N ALMA SCHOOL RD STE A106 |
City | CHANDLER |
State | AZ |
Zip Code | 85224-2882 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174620751 | Richard Stanley Randall | Physical Therapist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2802 | 2006-09-17 |
1134720378 | Jolene Marie Martinez | Occupational Therapy Assistant | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2020-11-04 |
1215549696 | Taylor Michelle Urtel | Physical Therapist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2020-08-18 |
1083248439 | Kylee Ware | Occupational Therapist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2020-02-25 |
1063053106 | Amy Carr | Occupational Therapist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2019-09-30 |
1467911503 | Lauren Courtney Gobble | Occupational Therapist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2019-03-18 |
1831669688 | Deandra De Los Santos | Specialist/Technologist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-12-04 |
1710460035 | Stephanie Vanessa Ramirez | Occupational Therapy Assistant | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-09-12 |
1578040028 | Kelly Anne Allen | Speech-Language Pathologist | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-07-26 |
1598255424 | Paige Luetkemeyer | Clinic/Center | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
Find all providers in zip 85224 |
Taxonomy Code | 2080P0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neurodevelopmental Disabilities |
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518167733 | David Hirsch | Pediatrics | 602 W Ocotillo Rd, Phoenix, AZ 85013-1137 | 2007-07-25 |
1518931070 | Theodore John Tarby | Pediatrics | 7710 N Hummingbird Ln, Paradise Valley, AZ 85253-3064 | 2006-02-13 |
1013405497 | Benjmamin Thomas Carlson | Pediatrics | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-05-01 |
1962638254 | Tamara Zach | Pediatrics | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2009-06-01 |
1952364150 | Elaine M Ellis | Pediatrics | 10210 N 92nd St, Suite 207, Scottsdale, AZ 85258-4509 | 2006-04-10 |
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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.