PHYSICIAN ASSISTANT - SURGICAL ASSIST, LLC (NPI# 1942579750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942579750 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSISTANT - SURGICAL ASSIST, LLC |
| Practice Address |
4980 S Alma School Rd A2-130 Chandler AZ 85248-5545 |
| Practice Telephone | 4802153035 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | MS. NICOLE VINCELETTE (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4802153035 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2841 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4980 S ALMA SCHOOL RD A2-130 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215955059 | Nicole Elizabeth Vincelette | Physician Assistant | 4980 S Alma School Rd, Suite A2-130, Chandler, AZ 85248-5545 | 2006-07-18 |
| 1316306749 | Strategies for Success Consulting, PC | Nurse Practitioner | 4980 S Alma School Rd, Suite A-242, Chandler, AZ 85248-5545 | 2016-02-12 |
| 1881915502 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 4980 S Alma School Rd, Ste. A-3, Chandler, AZ 85248-5545 | 2010-06-16 |
| 1043548886 | East Valley Medicine Plc | Hospitalist | 4980 S Alma School Rd, Suite A2 #194, Chandler, AZ 85248-5545 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528439965 | Amici Surgical Assistants | Physician Assistant | 123 W Chandler Heights Rd Unit 13132, Chandler, AZ 85248-1087 | 2015-10-12 |
| 1932527108 | John Proctor | Physician Assistant | 1210 W Shawnee Dr, Chandler, AZ 85224-2369 | 2014-04-03 |
| 1720237431 | Advanced Surgical Assistants LLC | Physician Assistant | 2074 E Honeysuckle Pl, Chandler, AZ 85286-2315 | 2008-09-17 |
| 1528013364 | Prime Surgical Assisting, LLC | Physician Assistant | 2905 W Warner Rd Ste 1, Chandler, AZ 85224-1674 | 2006-05-23 |
| 1356305890 | Christabelle N Wong | Physician Assistant | 975 E Riggs Rd, Suite 12-268, Chandler, AZ 85249-4260 | 2006-04-13 |
| 1629032206 | Delia Bautista Tobin | Physician Assistant | 1538 E Fairview St, Chandler, AZ 85225-2222 | 2006-04-12 |
| 1861491706 | Brian E Hertel | Physician Assistant | 4424 E Virgo Pl, Chandler, AZ 85249-5898 | 2005-07-21 |
| 1417435181 | Ellayna Wiedow | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2018-08-03 |
| 1679091920 | Shane Joseph Ewalt | Physician Assistant | 525 S Chandler Village Dr, Chandler, AZ 85226-5069 | 2017-09-07 |
| 1922419191 | Advanced Surgical Physician Assistants, LLC | Physician Assistant | 2925 E Riggs Rd, Suite 8-114, Chandler, AZ 85249-3600 | 2014-05-09 |
| Find all providers in CHANDLER | ||||
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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.