Maurisa O Konya, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2531 Issued in AZ

Practice address

5601 W. Eugie Ave.
Suite 204
Glendale, AZ 85304

Phone

(480) 443-8400

Fax

(480) 443-8697

NPI assigned

Nov 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maurisa.konya.p1@direct.aara.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Arthritis & Rheumatology Associates P C

  • Rheumatology Physician
  • Phoenix, AZ
  • NPI 1366489254
  Medicare reassignment NPD
• Arizona Arthritis and Rheumatology Associates

  • Rheumatology Physician
  • Glendale, AZ
  • NPI 1447730023
  NPD

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1356324834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E. BELL ROAD",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W. EUGIE AVE.",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85304",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYA",
        "first_name": "MAURISA",
        "middle_name": "O",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PA LICENSE",
            "identifier": "2531",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Kolb, LMT
• Zarin B Kolia, M.D.
• Dean Kolstad, PT, DPT
• Kona Dental
• Cheryl Lynn Koniar
• Lee D Koon, MD
• Patricia Kopren
• Lakshmi Koripella, M.D
• Kornerstone Physical Therapy LLC
• Kyle Kornowski, PT, DPT

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.