Individual provider · Type 1 NPI

Jonathan Joseph Tansill, PA-C

Physician Assistant · Phoenix, AZ

NPI number 1417638552 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Fax (602) 933-1214

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9911 (AZ)

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, orde…

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About NPI 1417638552

Jonathan Joseph Tansill, PA-C's National Provider Identifier is 1417638552, issued on Jul 31, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 10, 2026.