Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Demiana Marie Kolta, PA

Individual provider Physician Assistant · NPI 1821709833

Demiana Marie Kolta, PA is a Physician Assistant in Goodyear, Arizona. Qualified in 2023, 3 years ago. Practices with Innovative Pain and Wellness PLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518
Phone: (480) 561-5000
Fax: (480) 984-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6320 W Union Hills Dr Ste A270, Glendale, AZ 85308-7175 — (480) 561-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9992 (AZ)

Record details

NPI number1821709833
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Innovative Pain And Wellness Plc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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