SHELLY HARFORD X (NPI# 1972927440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972927440 |
| Entity Type | Individual |
| Full Name | SHELLY HARFORD X |
| Practice Address |
3645 S Rome St Ste 204 Gilbert AZ 85297 |
| Mailing Address |
13203 N 103rd Ave Ste H5 Sun City AZ 85351-3032 |
| Practice Telephone | 4807714400 |
| Mailing Telephone | 6237774747 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2472 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14200 W Celebrate Life Way, Goodyear, AZ 853383007 | 6232073824 |
| Street Address |
3645 S ROME ST STE 204 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043491988 | David Kee Tom | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2007-11-20 |
| 1871085902 | Ocotillo Treatment Center, LLC | Clinic/Center | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2018-06-04 |
| 1356896138 | Novaspine Pain Institute, Plc | Specialist | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2016-08-22 |
| 1659781771 | Novaspine Pain Institute Plc | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2014-04-28 |
| 1144645656 | Integrated Anesthesia Consultants Plc | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2014-02-20 |
| 1053756403 | Melissa Marie Pannell | Registered Nurse | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2013-04-29 |
| 1225377898 | Joycelyn Ann Connet | Nurse Practitioner | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2013-02-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1427687953 | Zachary Scott | Physician Assistant | 562 E Campbell Ave, Gilbert, AZ 85234-4612 | 2020-04-06 |
| 1912539511 | Amber Lee Price | Physician Assistant | 428 S Gilbert Rd Ste 114, Gilbert, AZ 85296-2262 | 2020-02-11 |
| 1912549379 | Brooke Elizabeth Lopez | Physician Assistant | 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 | 2019-10-16 |
| 1477118180 | Mai Thai | Physician Assistant | 1725 S Coronado Rd Apt 1035, Gilbert, AZ 85295-0080 | 2019-05-08 |
| 1356800924 | Kirstin Lampi Tymkew | Physician Assistant | 4255 E Pecos Rd Apt 3011, Gilbert, AZ 85295-7842 | 2019-03-13 |
| 1033685763 | Jocelyn Lucita Ore | Physician Assistant | 3011 S Lindsay Rd Ste 105, Gilbert, AZ 85295-4333 | 2018-10-20 |
| 1003381633 | Samuel Dean Fox | Physician Assistant | 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234-2966 | 2018-10-10 |
| 1598240731 | Sylvia Phommalinh | Physician Assistant | 1309 S Minneola Ln, Gilbert, AZ 85296-7824 | 2018-10-03 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1144703257 | Annie Celeste Hart | Physician Assistant | 610 W Sereno Dr, Gilbert, AZ 85233-7251 | 2018-09-13 |
| 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.