Active NPI 1184647034 Individual Practitioner Male Practitioner

Thomas Bryan Wiggins , CSA

Physician Assistant - Surgical • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Thomas Wiggins, CSA is a registered healthcare professional specializing in Physician Assistant - Surgical in Mesa, AZ. Practice services are available at 4320 E. PRESIDIO STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4320 E. Presidio Street
#101

Mesa, AZ 852151165

Telephone 4807069430

Fax 4804611785

Associated Practice Facility / Clinic

🏢 Valleywide Surgical Services, Llc Facility NPI 1912116633

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Mesa, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.4 Yrs

State Avg: 15.2 Yrs

Regional Practice Density

46 Specialists

Practicing in Mesa, AZ (431 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-21

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License AZ 1453

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. William Cohen , MD

Surgery

NPI 1043287683

Doctor of Medicine (M.D.)

Derek Taylor , PA-C

Physician Assistant

NPI 1093111304

Physician Assistant (Certified)

Dr. Richard De Rosa , MD

Surgery

NPI 1124002308

Doctor of Medicine (M.D.)

Dorota Dietz , PA-C

Physician Assistant

NPI 1164708111

Physician Assistant (Certified)

Leigh Pavlik , PA-C

Physician Assistant - Surgical

NPI 1184015497

Physician Assistant (Certified)

Caryn Lee , CSA CFA

Physician Assistant - Surgical

NPI 1205852266

CSACFA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 21, 2021

Registered at 4320 E. PRESIDIO STREET, #101, MESA, AZ 852151165 (Tel: 4807069430)

📍

Updated Business Mailing Address July 21, 2021

Registered at 5155 E. EAGLE DRIVE, #20730, MESA, AZ 852773031 (Tel: 4807069430)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2852 S CARRIAGE LANE, VALLEYWIDE SURGICAL SERVICES, MESA, AZ 85202 (Tel: 4807069430)

📍

Updated Business Mailing Address July 08, 2007

Registered at 14264 S 43RD PL, PHOENIX, AZ 85044 (Tel: 4807042690)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS WIGGINS, CSA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1453 in AZ)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184647034

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2006

Last Update: July 21, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5155 E. Eagle Drive, #20730

Mesa, AZ 852773031

Phone: 4807069430

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.