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MINKEALE TEDLA PA-C
NPI 1033672753
Physician Assistant in Goodyear, AZ

Active since April 09, 2019
14419 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 248-1950 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 22, 2022, Apr 9, 2019 (2 updates tracked since 2019).

About Minkeale Tedla Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINKEALE TEDLA PA-C (NPI 1033672753) is an individual physician assistant in Goodyear, Arizona and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1033672753
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMINKEALE TEDLACredential: PA-C
Location Address14419 W MCDOWELL RDGoodyear, AZ 85395-2511
Mailing Address14419 W Mcdowell RdGoodyear, AZ 85395-2511 · (623) 248-1950
Phone(623) 248-1950
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1033672753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14419 W MCDOWELL RD, Goodyear, AZ 85395
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAIRA MACIAS PT, DPT
Physical Therapist
14419 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 248-1950
SAGE HEALTH LLC
Family Medicine
14419 W MCDOWELL RD, SUITE E-102
GOODYEAR, AZ 85395
Maricopa County (623) 535-3857
DR. STANLEY WEN M.D.
Family Medicine
14419 W MCDOWELL RD, SUITE E-102
GOODYEAR, AZ 85395
Maricopa County (623) 535-3857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minkeale Tedla's NPI number?

The NPI number for Minkeale Tedla is 1033672753. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Minkeale Tedla located?

Minkeale Tedla practices at 14419 W Mcdowell Rd, Goodyear, AZ 85395. The listed phone number is (623) 248-1950.

What is Minkeale Tedla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Minkeale Tedla was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.