TYLER KNUDSEN (NPI# 1902389273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902389273 |
| Entity Type | Individual |
| Full Name | TYLER KNUDSEN |
| Credential | PA-C |
| Practice Address |
3420 S Mercy Rd Ste 200 Gilbert AZ 85297-0423 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3420 S MERCY RD STE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-0423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1942840335 | Tanner Olsen | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2020-01-13 |
| 1235639428 | Alexis Anne Brouse | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2018-02-14 |
| 1619407616 | Kristin Mihalcin | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2017-06-13 |
| 1578981601 | Kirsten Sumner | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2014-04-05 |
| 1700148731 | Nicholas Kurt Wischmeier | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 | 2012-06-14 |
| 1447559216 | Brandon Paul Hirsch | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 | 2011-03-19 |
| 1043452196 | Anuj Prakash Daftari | Physical Medicine & Rehabilitation | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1144658022 | Nicole Freeze | Physician Assistant | Bmda-banner Gateway Medical Center, 1900 N. Higley Road, Gilbert, AZ 85234 | 2013-10-31 |
| 1235349168 | Debra K Hatton | Physician Assistant | 3684 E Sierra Madre Ave, Gilbert, AZ 85296-1883 | 2007-05-22 |
| 1831115690 | Evans Surgical Associates PC | Physician Assistant | 1325 N Fiesta Blvd Ste 3, Gilbert, AZ 85233-1609 | 2006-07-14 |
| 1649229006 | Richard A Lease | Physician Assistant | 2966 E Warbler Rd, Gilbert, AZ 85297-8145 | 2006-05-10 |
| 1023072121 | Chris Brooks | Physician Assistant | 1150 W Sherri Dr, Gilbert, AZ 85233-7944 | 2006-04-14 |
| 1649233040 | Jose Luis Guzman | Physician Assistant | 1325 N Fiesta Blvd, Suite 3, Gilbert, AZ 85233-1609 | 2006-04-08 |
| 1194785535 | Aaron Allen | Physician Assistant | 1094 S Gilbert Rd, Suite 203, Gilbert, AZ 85296-3445 | 2006-03-27 |
| 1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
| 1114558491 | Colby Rhel Horton | Physician Assistant | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2020-01-27 |
| Find all providers in GILBERT | ||||
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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.