MS. KIMBERLY JAE CHRISMAN PA-C NPI 1487679429

NPI Information

NPI: 1487679429
Provider Name: MS. KIMBERLY JAE CHRISMAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
500 W THOMAS RD STE 400
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-3874
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MS. Kimberly Jae Chrisman, PA-C is a surgical physician assistant in Phoenix, AZ. MS. Kimberly Jae Chrisman, PA-C NPI is 1487679429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W THOMAS RD STE 400
PHOENIX, AZ
ZIP 85013-238
Phone: (602) 406-3874
Fax: (602) 406-2335

The NPI 1487679429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2922	ARIZONA	Yes

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

NPI Synchronization or Removal

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