Individual provider · Type 1 NPI

Tatum Thomas Komenda, PA-C

Physician Assistant · Gilbert, AZ

NPI number 1457085565 Active

Practice location

3420 S Mercy Rd Ste 200
Gilbert, AZ 85297-0423

Call (480) 909-3788 Map

Fax (480) 728-8191

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Other practice locations

  • 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 · (602) 406-1234

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10067 (AZ)
Surgical Physician Assistant 363AS0400X10067 (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 1457085565

Tatum Thomas Komenda, PA-C's National Provider Identifier is 1457085565, issued on Jul 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 15, 2026.