CALEB KRUSE (NPI# 1861010241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861010241 |
| Entity Type | Individual |
| Full Name | CALEB KRUSE |
| Credential | PA-C |
| Practice Address |
16940 W White Wing Rd Surprise AZ 85387-6116 |
| Practice Telephone | 6415901888 |
| Mailing Telephone | 6415901888 |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-07-11 |
| 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 |
| Street Address |
16940 W WHITE WING RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85387-6116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565708 | Jacqueline Fernandez | Physician Assistant | 16940 W White Wing Rd, Surprise, AZ 85387-6116 | 2020-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
| 1225553985 | Elmer Place for Parents | Assisted Living Facility | 25968 N.sandstone Way, Surprise, AZ 85387 | 2017-08-03 |
| 1538563143 | About Seniors Assisted Living Home, LLC | Assisted Living Facility | 17343 W Bajada Dr, Surprise, AZ 85387-1002 | 2014-10-11 |
| 1457520470 | Quality Life Arrangements | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17303 W Buckhorn Trl, Surprise, AZ 85387-1016 | 2008-02-24 |
| 1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
| 1881919009 | Courtney Burnett | Specialist/Technologist | 17667 W Red Bird Rd, Surprise, AZ 85387-1032 | 2010-03-31 |
| 1508291873 | Trace Jahner | Speech-Language Pathologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2013-09-05 |
| 1689283319 | Madison Riddick | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-28 |
| 1790303527 | Jena Rose Anaya | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-08 |
| 1366074064 | Victoria Rivera | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-02-10 |
| Find all providers in zip 85387 | ||||
| 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 |
|---|---|---|---|---|
| 1245872761 | Steven Frederick Legate | Physician Assistant | 14780 W Mountain View Blvd Ste 109, Surprise, AZ 85374-7280 | 2019-10-16 |
| 1578023040 | Morgan Anderson | Physician Assistant | 15416 N 169th Ln, Surprise, AZ 85388-1360 | 2019-03-21 |
| 1902398167 | Samantha Hawes | Physician Assistant | 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 | 2018-06-04 |
| 1306342530 | Brant Morrow | Physician Assistant | 14800 W Mountain View Blvd Ste 250, Surprise, AZ 85374-4797 | 2018-04-05 |
| 1245501873 | Michelle Diocampo Claricia | Physician Assistant | 12775 W Bell Rd, Surprise, AZ 85378-9770 | 2012-01-12 |
| 1588992440 | John M Stroh | Physician Assistant | 13755 N Litchfield Rd, Surprise, AZ 85379-4287 | 2009-12-03 |
| 1174858567 | Tiffany R Anderson | Physician Assistant | 14239 W Bell Rd Ste 112, Surprise, AZ 85374-2470 | 2009-10-02 |
| 1225296981 | Tiffani Kay Mills | Physician Assistant | 14811 W. Bell Rd., Suite 101, Surprise, AZ 85374-7602 | 2008-05-29 |
| 1295761153 | Bradley Gerald Hall | Physician Assistant | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2006-06-23 |
| 1780634204 | Jagpreet Singh | Physician Assistant | 17014 W Bell Rd, 101, Surprise, AZ 85374-2479 | 2006-05-12 |
| Find all providers in SURPRISE | ||||
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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.