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Active NPI 1164646857 Individual Practitioner Male Practitioner

Donald T Innes , PA

Physician Assistant • Ajo, AZ

Professional Overview & Biography Verified Profile Summary

Donald Innes, PA is a registered healthcare professional specializing in Physician Assistant in Ajo, AZ. Practice services are available at 410 N MALACATE ST under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 N Malacate St

Ajo, AZ 853212254

Telephone 5203875651
Fax 5203875347
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ajo, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Ajo, AZ (3711 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
65 32 $70.40 $9.52

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 3617

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Ellen Pritchett , RD

Dietitian, Registered

NPI 1003999426

Registered Dietitian

Dr. Jeffrey Lavoy , MD

Family Medicine

NPI 1013002518

Doctor of Medicine (M.D.)

Dr. Aleksandra Barrett , MD

Student in an Organized Health Care Education/Training Program

NPI 1013873942

Doctor of Medicine (M.D.)

Mary Kehl , PA-C

Physician Assistant

NPI 1225110224

Physician Assistant (Certified)

NPI 1225862402

MDPHD

Dr. Sue Moler , PsyD

Psychologist - Clinical

NPI 1265000384

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 24, 2019

Registered at 410 N MALACATE ST, AJO, AZ 853212254 (Tel: 5203875651)

📍
Updated Business Mailing Address October 24, 2019

Registered at 410 N MALACATE ST, AJO, AZ 853212254 (Tel: 5203875651)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1600 S 20TH AVE, SAFFORD, AZ 855464011 (Tel: 9283484021)

📍
Updated Business Mailing Address July 08, 2007

Registered at 630 N 1ST AVE, THATCHER, AZ 855525404 (Tel: 9284280534)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DONALD INNES, P.A.

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

Physician Assistant (License #3617 in AZ)

🟢
Initial NPI Registration & Enumeration April 12, 2007

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: 1164646857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: October 24, 2019
Sole Proprietor: No

Mailing Address

410 N Malacate St

Ajo, AZ 853212254

Phone: 5203875651

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.