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NPI 1336491968ActiveOrganization· Physician Assistant· Gilbert, AZ

Physician Assistant in Gilbert, Arizona, registered in NPPES in October 2012. The authorized official on file is Trudy James, Credentialing Specialist.

Overview

NPI1336491968
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2012
Last updated in NPPESOct 5, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X—AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Gilbert

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