| Mr Ethan Eli Meyer, PA-C | |
|
1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252-3616 | |
| (480) 201-5264 | |
| (480) 393-1970 |
| Full Name | Mr Ethan Eli Meyer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1776 N Scottsdale Rd Unit 368, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932532322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (NU) | Primary |
| 208600000X | Surgery | 5499 (Arizona) | Secondary |
| Entity Name | Vhs Outpatient Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Entity Name | Honorhealth Ambulatory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449 |
| Entity Name | Tucson Physician Group Holdings LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan Eli Meyer, PA-C 1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252-3616 Ph: (480) 201-5264 | Mr Ethan Eli Meyer, PA-C 1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252-3616 Ph: (480) 201-5264 |
Brandon Paige, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040 |
Abigail Cottrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Mr. Roberto Bobby Alexander Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040 Fax: 480-874-2041 |
Ms. Jessica Irene Sazdoff, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9700 N 91st St, Suite C-200, Scottsdale, AZ 85258 Phone: 480-425-5063 Fax: 480-425-5010 |
Amber N Brooks-gumbert, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Orland Kenton Boucher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Lori L Gushue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |