Erin E Stutz
Physician Assistant (Medical)

Address: 5777 E Mayo Blvd, Phoenix, AZ 85054-4502
Phone: 4803421387

Erin E Stutz (NPI# 1174774400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1174774400
Entity Type Individual
Full Name Erin E Stutz
Credential PA-C
Gender Female
Practice Address 5777 E Mayo Blvd
Phoenix
AZ 85054-4502
Practice Telephone 4803421387
Practice Fax Number 4803421387
Mailing Address 5777 E Mayo Blvd
Phoenix
AZ 85054-4502
Mailing Telephone 4803421387
Mailing Fax Number 4803421388
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-10-06
Last Update Date 2016-04-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 4273 AZ

Other Provider Identifier

State Identifier Issuer Type Code
AZ P00882972 OTHER RAILROAD MEDICARE
AZ 373973 MEDICAID

Other Providers ERIN STUTZ

NPI Name Taxonomy Address Enumeration
1972001279 Erin Stutz Behavior Analyst 1 Forest Ct, Morris Plains, NJ 07950-2514 2018-02-01

Physician Overview

NPI 1174774400
PAC ID by PECOS 3971661786
Professional Enrollment ID I20160624000996
Full Name Erin E Stutz
Organization Legal Name PULMONARY DISEASE CLINICAL GROUP
Phone Number 5857587691
Gender F
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 6608821657
Number of Group Practice Members 42
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330285 STRONG MEMORIAL HOSPITAL

Office Location

Street Address 5777 E MAYO BLVD
City PHOENIX
State AZ
Zip Code 85054-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740283878 Charles J Manak Internal Medicine 5777 E Mayo Blvd, Phoenix, AZ 85054 2005-05-23
1245710219 Cayley R Mcdowell Student in an Organized Health Care Education/Training Program 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2018-08-18
1063991818 Emily Sepper Physician Assistant 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2018-08-13
1730685009 Kade Soren Mcquivey Student in an Organized Health Care Education/Training Program 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2018-04-04
1992200828 Stephanie Kerr Occupational Therapist 5777 E Mayo Blvd, Phoenix, AZ 85054 2018-03-23
1487161733 Melissa Younkins Student in an Organized Health Care Education/Training Program 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2018-01-09
1083121511 Margaret Mccallen Pharmacist 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2018-01-05
1225556780 Stephen James Mcmahan Physician Assistant 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2017-09-05
1578085064 Daniel Iliev Angelov Student in an Organized Health Care Education/Training Program 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2017-07-17
1902329485 Conor Moran Student in an Organized Health Care Education/Training Program 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2017-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992255301 Stephanie Gamber Registered Nurse 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 2016-10-10
1811176860 Desert Ridge Pediatric Dentistry Clinic/Center 5315 E. High Street, Suite 115, Phoenix, AZ 85054 2007-10-26
1528121266 Adam L Schwartz Physician Assistant 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054 2006-12-17
1902968639 Ryan David Schulze Chiropractor 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 2006-12-16
1477517423 Gary Betz II Md PC Internal Medicine 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 2006-04-14
1700863875 Thomas B Daniels Radiology 5881 E. Mayo Blvd, Phoenix, AZ 85054 2005-12-29
1770576241 Michelle Renee Kuhn Physician Assistant 6950 E Chauncey Ln, Phoenix, AZ 85054 2005-08-30
1609869981 Jeffrey Alan Smith Optometrist 18325 N Allied Way Ste 100, Phoenix, AZ 85054 2005-08-23
1043219389 Hasan Khamash Internal Medicine 5779 E Mayo Blvd, Phoenix, AZ 85054 2005-07-19
1497753750 Rajeev Agarwal Pediatrics 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 2005-07-11
Find all providers in zip 85054

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730651951 Lauren Spano Physician Assistant 3805 E Bell Rd Ste 5800, Phoenix, AZ 85032-2190 2018-12-28
1659848208 Pds Foundation Dentists for Special Needs Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1124502372 Amanda Rose Jones Physician Assistant 36427 N 14th St, Phoenix, AZ 85086-7506 2018-09-23
1639681745 Martha Lopez Physician Assistant 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 2017-10-30
1386153674 Emily Meredith Eoff Physician Assistant 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 2017-09-29
1528586641 Renae Sniegowski Physician Assistant 19646 N 27th Ave Ste 305, Phoenix, AZ 85027-4027 2017-09-08
1215480637 Katherine M. Stewart Physician Assistant 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 2016-08-02
1174996870 Jyoti Sharma Physician Assistant 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 2015-11-04
1457723538 Seth E. Gillespie Physician Assistant 1533 E. Willetta St, Phoenix, AZ 85006 2015-10-28
1487025086 Shaye Harrel Physician Assistant 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 2015-10-08
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Competitor

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City PHOENIX
Zip Code 85054

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Dataset Information

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.

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