Kathryn Demarco, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1167 Issued in AZ

Practice address

10565 N Tatum Blvd Ste B116
Paradise Valley, AZ 85253-1095

Phone

(480) 659-0448

Fax

(480) 659-1498

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1306907100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 N TATUM BLVD STE B116",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531095",
            "telephone_number": "480-659-0448",
            "fax_number": "480-659-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 N TATUM BLVD STE B116",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531095",
            "telephone_number": "480-659-0448",
            "fax_number": "480-659-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "KATHRYN",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Crosby, BCBA
• Brandon E Dale, CPO
• Alexa Gina Darrow, DNP, CRNA
• David G. Lebowitz D.M.D., P.C.
• Alanna Decesare, ND
• Joseph Dillard, LCSW, PHD
• Jerry NA Dillon, DPT, MPA
• Jessica Dipiazza, MS
• Jason Dipoce, MD
• Diane Dodge

• Medical Physician Assistant in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.