JASA DEFAZIO


Address: 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882
Phone: 4808550474

JASA DEFAZIO (NPI# 1740766567) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
OTA-046588 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA UNITED HEALTH CARE 946932790 01

Office Location

Street Address 2175 N ALMA SCHOOL RD STE A106
City CHANDLER
State AZ
Zip Code 85224-2882

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City CHANDLER
Zip Code 85224

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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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