MARK WESBROCK (NPI# 1003293606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003293606 |
| Entity Type | Individual |
| Full Name | MARK WESBROCK |
| Credential | PMHNP |
| Practice Address |
2730 S Val Vista Dr Suite 137 Gilbert AZ 85295-1675 |
| Practice Telephone | 4804718560 |
| Mailing Telephone | 4804718560 |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2015-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
AP7776 | AZ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP7776 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2730 S VAL VISTA DR SUITE 137 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1356728513 | Amanda Dewbray | Psychologist | 2730 S Val Vista Dr, Ste 146, Gilbert, AZ 85295-1675 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1407475999 | Amanda Lowry | Nurse Practitioner | 3634 E Leslie Dr, Gilbert, AZ 85296-2862 | 2020-04-14 |
| 1780243295 | June Elizabeth Rolph | Nurse Practitioner | 1400 N Gilbert Rd Ste G-2, Gilbert, AZ 85234-2321 | 2019-06-08 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1194946012 | Joan Ili | Nurse Practitioner | 1240 E Century Ave, Gilbert, AZ 85296-1304 | 2007-05-01 |
| 1619993458 | Elizabeth A. Mcmorran | Nurse Practitioner | 690 E Warner Rd Ste 127, Gilbert, AZ 85296-3057 | 2006-07-14 |
| 1689271645 | Melinda Marra | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-10-02 |
| 1376160978 | Landis Brook Stokum | Nurse Practitioner | 2730 S Val Vista Dr Ste 146, Gilbert, AZ 85295-1679 | 2020-06-30 |
| 1073142386 | Amber Valerie Leonhardt | Nurse Practitioner | 3271 E Queen Creek Rd Ste 101, Gilbert, AZ 85297-8511 | 2020-04-07 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.