Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649249236 Individual Practitioner Male Practitioner

Ivan R Romero , PA

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Ivan Romero, PA is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 9305 W THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9305 W Thomas Rd
Suite 275

Phoenix, AZ 850373328

Telephone 6233274144
Fax 6233274140
Associated Practice Facility / Clinic
🏢 Dm Estrella Pharmacy Inc Facility NPI 1598721136

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 AZ 2988

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
859126 (AZ)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Legesse Mekonnen , MD

Internal Medicine - Infectious Disease

NPI 1023222619

Doctor of Medicine (M.D.)

Russell Forsberg , PA-C

Physician Assistant

NPI 1407039910

Physician Assistant (Certified)

Cassandra Prosise

Nurse Practitioner - Family

NPI 1518561117
Dr. William Brainard , MD

Orthopaedic Surgery

NPI 1720047764

Doctor of Medicine (M.D.)

Dr. Michael Simons , MD

Internal Medicine - Critical Care Medicine

NPI 1881681534

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 March 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2008

Registered at 9305 W THOMAS RD, SUITE 275, PHOENIX, AZ 850373328 (Tel: 6233274144)

📍
Updated Business Mailing Address March 17, 2008

Registered at 1010 N COUNTRY CLUB DR, MESA, AZ 852013309 (Tel: 4804612409)

👤
Provider Name / Credentials Updated March 17, 2008

Recorded as IVAN ROMERO, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2008

Physician Assistant (License #2988 in AZ)

🟢
Initial NPI Registration & Enumeration March 16, 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: 1649249236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2006
Last Update: March 17, 2008
Sole Proprietor: No

Mailing Address

1010 N Country Club Dr

Mesa, AZ 852013309

Phone: 4804612409

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.