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Active NPI 1417068248 Individual Practitioner Male Practitioner

Jack Deleonardo , PA-C

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Jack Deleonardo, PA-C is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 650 E INDIAN SCHOOL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 E Indian School Rd
Dept Veterans Affairs

Phoenix, AZ 85012

Telephone 6022775551
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MT 196

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

Commercial Insurance / Payer ID Mdcd Pin
0433296 (MT)
Commercial Insurance / Payer ID Bcbs Pin
092303 (MT)
Commercial Insurance / Payer ID Mdcd Pin
12355900 (WY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Korena Fine , RN

Registered Nurse

NPI 1003003807

Registered Nurse

NPI 1003062837

Doctor of Pharmacy (Pharm.D.)

NPI 1003225673

Certified Nursing Assistant

NPI 1003588815

Doctor of Pharmacy (Pharm.D.)

NPI 1003647314
Dr. Venu Gopal , MD

Internal Medicine - Geriatric Medicine

NPI 1003853912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at 650 E INDIAN SCHOOL RD, DEPT VETERANS AFFAIRS, PHOENIX, AZ 85012 (Tel: 6022775551)

📍
Updated Business Mailing Address November 02, 2016

Registered at 2699 S 167TH DR, GOODYEAR, AZ 853387317 (Tel: 4069272221)

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as JACK DELEONARDO, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Physician Assistant (License #196 in MT)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1417068248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: November 02, 2016
Sole Proprietor: No

Mailing Address

2699 S 167th Dr

Goodyear, AZ 853387317

Phone: 4069272221

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.