Active NPI
Mareesa Plaisimond, PA-C
- Physician Assistant
- Laveen, AZ
National Provider Identifier
1932731098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7692
- Practice address
- 3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042 - Phone
- (602) 635-6951
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7692 | AZ | Primary |
Addresses
Primary practice location
3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042
Mailing address
4400 N Scottsdale Rd # 560
Scottsdale, AZ 85251-3331
Phone (407) 616-1438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7692 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Architetrics PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1932731098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N SCOTTSDALE RD # 560",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513331",
"telephone_number": "407-616-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3552 W BASELINE RD STE 140",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393042",
"telephone_number": "602-635-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAISIMOND",
"first_name": "MAREESA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.