Individual provider Active NPI

Tamera A Townsend-Cook, PA

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1487983920
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4514 Issued in AZ
Practice address
3505 S Mercy Rd
Gilbert, AZ 85297-0440
Phone
(480) 786-9100
Fax
(480) 861-2780
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4514 AZ Primary

Addresses

Primary practice location

3505 S Mercy Rd
Gilbert, AZ 85297-0440

Mailing address

3505 S Mercy Rd
Gilbert, AZ 85297-0440
Phone (480) 786-9100

Other names 1

  • Miss Tamera A Townsend Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100303000818 AZ Practitioner - Physician Assistant 4587709415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

17688 W Elliot Rd
Goodyear, AZ 85338-9009
Phone (623) 889-6823

5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zaki Lababidi MD SC CurrentSince Feb 1, 2010 Accepting new patients

Locations

3505 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 786-9100

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

Interoperability endpoints

  • Direct secure messaging: tamera.townsendcookpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1487983920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970440",
            "telephone_number": "480-786-9100",
            "fax_number": "480-861-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970440",
            "telephone_number": "480-786-9100",
            "fax_number": "480-861-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND-COOK",
        "first_name": "TAMERA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "TOWNSEND",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.