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JDL-CTSPA
NPI 1831353382
Physician Assistant - Surgical in Laveen, AZ

Active since July 14, 2008
4521 W HOPI TRL, LAVEEN, AZ 85339(602) 795-3371 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2019, Mar 17, 2018, Dec 12, 2017 (3 updates tracked since 2017).

About Jdl-ctspa NPPES

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

JDL-CTSPA (NPI 1831353382) is a healthcare organization registered as a surgical in Laveen, Arizona and active in the NPI registry since July 2008. The organization maintains 10 additional practice locations and lists Jeanine Diane Lutgen, Manager, as its authorized official.

NPPES Registry Identity

NPI1831353382
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameJDL-CTSPA
Location Address4521 W HOPI TRLLaveen, AZ 85339-2068
Mailing AddressPo Box 436Laveen, AZ 85339-0436 · (027) 953-3716
Phone(602) 795-3371
Organization SubpartNo
Authorized OfficialJeanine Diane LutgenManager · (602) 795-3371
Enumeration DateJuly 14, 2008
Last NPPES UpdateApril 8, 20193 updates tracked since enumeration
✔ NPI 1831353382 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 · 3608
4521 W HOPI TRL, Laveen, AZ 85339
Open in Google Maps ↗

Secondary Practice Locations 10

Location 15446 W Samantha WayLaveen, AZ 85339-7160 · Phone (602) 795-3371
Location 21930 E Thomas RdPhoenix, AZ 85016-7711 · Phone (602) 532-1000
Location 318701 N 67th AveGlendale, AZ 85308-7100 · Phone (623) 561-1000
Location 410401 W Thunderbird BlvdSun City, AZ 85351-3004 · Phone (623) 977-7211
Location 513677 W McDowell RdGoodyear, AZ 85395-2635 · Phone (623) 882-1500
Location 61400 S Dobson RdMesa, AZ 85202-4707 · Phone (489) 512-3000
Location 79201 W Thomas RdPhoenix, AZ 85037-3332 · Phone (623) 327-4000
Location 85555 W Thunderbird RdGlendale, AZ 85306-4622 · Phone (602) 865-5555
Location 96750 E Baywood AveMesa, AZ 85206-1749 · Phone (480) 854-5000
Location 101955 W Frye RdChandler, AZ 85224-6282 · Phone (480) 728-3000

Other Identifiers 1

OtherZ123651AZ · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JEANINE LUTGEN PA-C
Physician Assistant (Surgical)
4521 W HOPI TRL
LAVEEN, AZ 85339
Maricopa County (602) 795-3371

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 Jdl-Ctspa's NPI number?

The NPI number for Jdl-Ctspa is 1831353382. It was assigned to this organization in the NPPES registry on July 14, 2008.

Where is Jdl-Ctspa located?

Jdl-Ctspa is located at 4521 W Hopi Trl, Laveen, AZ 85339. The listed phone number is (602) 795-3371.

What is Jdl-Ctspa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jdl-Ctspa was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.