Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316729288 Individual Practitioner Female Practitioner

Mckenna Tammo , PA-C

Physician Assistant • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Mckenna Tammo, PA-C is a registered healthcare professional specializing in Physician Assistant in Mesa, AZ. Practice services are available at 5131 E SOUTHERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5131 E Southern Ave

Mesa, AZ 852062799

Telephone 6029330002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% 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: 2024-07-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 10069

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
186052 (AZ)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023470457

Doctor of Osteopathic Medicine (D.O.)

NPI 1285040816

Doctor of Medicine (M.D.)

Carrie First , CPNP

Nurse Practitioner - Pediatrics

NPI 1588008700

Certified Pediatric Nurse Practitioner

Dr. Sanjay Shah , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1740263474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 16, 2024

Registered at 5131 E SOUTHERN AVE, MESA, AZ 852062799 (Tel: 6029330002)

📍
Updated Business Mailing Address July 16, 2024

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029333124)

NPI Profile Active October 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2023

Registered at 862 W ARMSTRONG WAY, CHANDLER, AZ 852867025 (Tel: 4806369981)

📍
Updated Business Mailing Address October 16, 2023

Registered at 862 W ARMSTRONG WAY, CHANDLER, AZ 852867025 (Tel: 4806369981)

👤
Provider Name / Credentials Updated October 16, 2023

Recorded as MCKENNA TAMMO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Physician Assistant (License #10069 in AZ)

🟢
Initial NPI Registration & Enumeration October 16, 2023

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: 1316729288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2023
Last Update: July 16, 2024
Sole Proprietor: Yes

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029333124

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.