MARVIN T RACOWSKY (NPI# 1871567461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871567461 |
| Entity Type | Individual |
| Full Name | MARVIN T RACOWSKY |
| Credential | PA |
| Practice Address |
8260 W Indian School Rd Phoenix AZ 85033 |
| Mailing Address |
Po Box 32950 Phoenix AZ 85064-2950 |
| Practice Telephone | 6328467122 |
| Practice Fax Number | 6238467027 |
| Mailing Telephone | 6024331822 |
| Mailing Fax Number | 6022467060 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1229 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PIN # | 67566 | 01 |
| AZ | 154873 | 05 |
| Street Address |
8260 W INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631883 | Med 97 LLC | Clinic/Center | 8260 W Indian School Rd, Ste 1 & 2, Phoenix, AZ 85033 | 2005-12-27 |
| 1679990212 | Tri-city Express Care, Pllc | Clinic/Center | 8260 W Indian School Rd, Suite 1, Phoenix, AZ 85033-2980 | 2014-03-20 |
| 1962565549 | Barbara Jean Benson | Nurse Practitioner | 8260 W Indian School Rd, #4, Phoenix, AZ 85033-2980 | 2006-12-18 |
| 1881661940 | Carlos Moe | Family Medicine | 8260 W Indian School Rd, Ste 1 and 2, Phoenix, AZ 85033 | 2006-03-07 |
| 1750354981 | Bellene E Racowsky | Physician Assistant | 8260 W Indian School Rd, Suite 1 and 2, Phoenix, AZ 85033-2980 | 2006-02-08 |
| 1891767133 | Darryl Joseph Mohr | Family Medicine | 8260 W Indian School Rd, 4, Phoenix, AZ 85033-2980 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
| 1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
| 1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
| 1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
| 1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
| 1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
| 1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
| 1801955067 | Reva Mae Mckenzie | Technician | 4615 No 82nd Lane, Phoenix, AZ 85033 | 2006-12-06 |
| Find all providers in zip 85033 | ||||
| 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 |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.