JENNIFER JOHNSTAD LLC
NPI 1316182926
Physician Assistant - Surgical in Tempe, AZ

Active since December 10, 2008
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282(480) 485-2158(480) 839-4727 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Johnstad Llc NPPES

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

JENNIFER JOHNSTAD LLC (NPI 1316182926) is a healthcare organization registered as a surgical in Tempe, Arizona and active in the NPI registry since December 2008. The organization lists Jennifer Anne Johnstad, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1316182926
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameJENNIFER JOHNSTAD LLC
Location Address2421 E SOUTHERN AVE, SUITE 1Tempe, AZ 85282-7612
Mailing Address2421 E Southern Ave, Suite 1Tempe, AZ 85282-7612 · (480) 485-2158 · Fax (480) 839-4727
Fax(480) 839-4727
Organization SubpartNo
Authorized OfficialJennifer Anne JohnstadPhysician Assistant · (480) 512-3970
Enumeration DateDecember 10, 2008
Last NPPES UpdateAugust 21, 2009
NPI 1316182926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 2492
2421 E SOUTHERN AVE, Tempe, AZ 85282

Other Identifiers 1

Medicare UPINP82782AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Chiropractor
2421 E SOUTHERN AVE, SUITE #5
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282
Anesthesiology
2421 E SOUTHERN AVE, SUITE 1
TEMPE, AZ 85282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316182926, enumerated as an "organization" on December 10, 2008.

The provider is located at 2421 E SOUTHERN AVE SUITE 1 TEMPE, AZ 85282 and the phone number is (480) 485-2158.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.