Individual provider · Type 1 NPI
Jackson Taravine
Medical Physician Assistant · Surprise, AZ
NPI number
1811770910
Active
Practice location
14239 W Bell Rd Ste 108
Surprise, AZ 85374-2470
Mailing address
1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Other practice locations
- 270 E Hunt Hwy Ste A-2, San Tan Valley, AZ 85143-4962 · (480) 882-2222
- 15256 N 75th Ave Ste 360, Peoria, AZ 85381-4761 · (623) 486-2424
- 3130 E Baseline Rd Ste 107, Mesa, AZ 85204-7290 · (480) 345-1980
- 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295-4333 · (480) 726-2500
- 2919 S Ellsworth Rd Ste 111, Mesa, AZ 85212-2165 · (480) 564-1185
- 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 · (480) 563-1144
- 1277 E Missouri Ave Ste 101, Phoenix, AZ 85014-2916 · (602) 296-4060
- 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 · (480) 664-9443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 70349500001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7939960001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 704516001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8220410001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 (AZ) |
| Medical Physician Assistant Primary | 363AM0700X | 10227 (AZ) |
Medical Physician Assistant: Definition to come...
7 other providers at this address
- Afc of Surprise, PLLCPhysical Medicine & Rehabilitation Physician Surprise, AZ NPI 1255912721
- Amanda GregoryMedical Physician Assistant Surprise, AZ NPI 1346892056
- Jessica Kala Turner Lopez, DCChiropractor Surprise, AZ NPI 1003228933
- Sogol Elam, PA-CPhysician Assistant Surprise, AZ NPI 1437452430
- Stefan Iacob, PA-CMedical Physician Assistant Surprise, AZ NPI 1851437503
- Teresa Lynne Slager, PA-CMedical Physician Assistant Surprise, AZ NPI 1508015009
- Zachary Michael Bartlett, PA-CMedical Physician Assistant Surprise, AZ NPI 1457435703
Other medical physician assistant providers in Surprise
- Jamie Brockman, PACMedical Physician Assistant Surprise, AZ NPI 1053075820
- April S. Bass, PAMedical Physician Assistant Surprise, AZ NPI 1164524211
- R West, PAMedical Physician Assistant Surprise, AZ NPI 1275984288
- Victoria PhanMedical Physician Assistant Surprise, AZ NPI 1306440011
- Nancy J. Cooper, PAMedical Physician Assistant Surprise, AZ NPI 1346241940
- Courtney A. Cahill, PA-CMedical Physician Assistant Surprise, AZ NPI 1346453487
- Amanda GregoryMedical Physician Assistant Surprise, AZ NPI 1346892056
- Zachary Michael Bartlett, PA-CMedical Physician Assistant Surprise, AZ NPI 1457435703
About NPI 1811770910
Jackson Taravine's National Provider Identifier is 1811770910, issued on Aug 14, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Surprise, AZ. The record was last updated on May 21, 2024.