CNW Physician Assistant Services PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2725 Issued in AZ

Legal business name

CNW PHYSICIAN ASSISTANT SERVICES PLLC

Practice address

975 E Riggs Rd
Suite 12-268
Chandler, AZ 85249-4260

Phone

(480) 634-5521

Fax

(480) 248-9011

NPI assigned

Nov 1, 2006

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christabelle N Wong, PA-CNPI 1356305890

Title

Physician Assistant

Phone

(480) 634-5521

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christabelle N Wong, PA-C

  • Surgical Physician Assistant
  • Chandler, AZ
  • NPI 1356305890
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1356428726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E RIGGS RD",
            "address_2": "SUITE 12-268",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494260",
            "telephone_number": "480-634-5521",
            "fax_number": "480-248-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E RIGGS RD",
            "address_2": "SUITE 12-268",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494260",
            "telephone_number": "480-634-5521",
            "fax_number": "480-248-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNW PHYSICIAN ASSISTANT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHRISTABELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "480-634-5521",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872889",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doug Steven Clouse, M.D.
• Jamie N Clouse, D.C.
• Kalee Clouse
• Harrie Robert Clyde, MD
• CMB, LLC
• Henry Allen Cobb
• Breckin Coburn
• Haley Cochran
• Lexy Cochran
• Jason Cockerill, M.D.

• Surgical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.