Provider Demographics
NPI:1669622502
Name:KNOCHEL, EMILY (PA-C)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:KNOCHEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SCHOENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4400 N 32ND ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3953
Mailing Address - Country:US
Mailing Address - Phone:602-956-9595
Mailing Address - Fax:602-956-3232
Practice Address - Street 1:4400 N 32ND ST
Practice Address - Street 2:SUITE 110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3953
Practice Address - Country:US
Practice Address - Phone:602-956-9595
Practice Address - Fax:602-956-3232
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217967301Medicaid
TXTXB113219Medicare PIN