Provider Demographics
NPI:1285745091
Name:OROZCO, JANET E (PA-C)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:E
Last Name:OROZCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:E
Other - Last Name:COVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12510
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0026
Mailing Address - Country:US
Mailing Address - Phone:623-777-4747
Mailing Address - Fax:623-777-4748
Practice Address - Street 1:13203 N. 103RD AVENUE
Practice Address - Street 2:SUITE H4
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3032
Practice Address - Country:US
Practice Address - Phone:623-777-4747
Practice Address - Fax:623-777-4748
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3462363A00000X, 363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ133896Medicaid
AZZ111457Medicare PIN
AZP00688682OtherRR MEDICARE
AZ5550830004OtherMEDICARE NSC PV
AZ5550830007OtherMEDICARE NSC DV
AZQ72184Medicare UPIN
AZ5550830008OtherMEDICARE NSC SWV
AZ133896Medicaid
AZZ111457Medicare PIN
AZ5550830009OtherMEDICARE NSC AZ NORTH
AZ5550830003OtherMEDICARE NSC PEORIA
AZ5550830001OtherMEDICARE NSC SCW