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MR. MICHAEL P JUKICH C.C.P. NPI 1215971601


NPI Information

NPI: 1215971601
Provider Name: MR. MICHAEL P JUKICH, C.C.P.
Classification: Perfusionist - 242T00000X
Entity Type: Individual
Address:
5801 S MCCLINTOCK DR
110
TEMPE, AZ
ZIP 85283
Phone: (480) 777-0900
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MR. Michael P Jukich, C.C.P. is a perfusionist in Tempe, AZ. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. MR. Michael P Jukich, C.C.P. NPI is 1215971601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5801 S MCCLINTOCK DR
110
TEMPE, AZ
ZIP 85283-002
Phone: (480) 777-0900
Fax: (480) 777-1345

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1242T00000XPerfusionistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132176MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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