George J Jicha, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2388 Issued in AZ

Practice address

1800 E Florence Blvd
Casa Grande, AZ 85222-5303

Phone

(520) 381-6300

Fax

(520) 381-6618

NPI assigned

Feb 2, 2006

Last updated

Aug 20, 2012By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Emergency Group of Arizona Professional Corporation

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1215275433
  Medicare reassignment
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752
  Medicare reassignment
• Casa Grande Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Casa Grande, AZ
  • NPI 1871589051
  NPD (past)
• Emergency Medicine Physicians of Pinal County, PLLC

  • Emergency Medicine Physician
  • Casa Grande, AZ
  • NPI 1831497700
  NPD (past)
• Exigence Arizona LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1558311506
  NPD (past)
• Prairie Schooner Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Porterville, CA
  • NPI 1205035581

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1962474361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 MAIN STREET",
            "address_2": "THE EXIGENCE GROUP C O JANENE FARLEY",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-817-2932",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225303",
            "telephone_number": "520-381-6300",
            "fax_number": "520-381-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JICHA",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548745",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haisheba Pacifica Jenness
• James Allen Jennings, DDS
• Jentilly Healthcare LLC (Agape Hospice Pinal County)
• Kimberly Randolph Jes, D.C.
• Jessie Solis (Greyhouse Transportation)
• Augustina O Joel
• Jacquelin Joann Johll, RDH
• Eric Johnson, PT, DPT
• Georgette Annette Johnson, SOCIAL WORKER
• Olusola Omotunde Jolaogun

• Physician Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.