BART TRUJILLO (NPI# 1023365665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023365665 |
| Entity Type | Individual |
| Full Name | BART TRUJILLO |
| Credential | RT(R) |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Practice Telephone | 9286693380 |
| Mailing Telephone | 9286693380 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
423717 | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922397520 | Andrew B Mapes | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247173 | Anthony Jacob Hannon | Radiologic Technologist | 8537 W Windrose Dr, Peoria, AZ 85381-8158 | 2020-05-25 |
| 1184175432 | Rene Venzon Ticsay | Radiologic Technologist | Kayenta Health Center Highway 160, Kayenta, AZ 86033 | 2016-10-21 |
| 1497205710 | Kayenta Health Center, Radiology Dept | Radiologic Technologist | Highway 160, Kayenta Health Center, Kayenta, AZ 86033 | 2016-10-11 |
| 1912382573 | Amber Diego | Radiologic Technologist | 1417 N Santa Anna Ct, Chandler, AZ 85224-8327 | 2015-07-24 |
| 1184962276 | William David Reid | Radiologic Technologist | 5535 E Button Ln, Flagstaff, AZ 86001-9705 | 2013-01-23 |
| 1447286737 | Transray of Arizona, P.C. | Radiologic Technologist | 930 N Mesa Dr, #1056, Mesa, AZ 85201-4321 | 2006-06-25 |
| 1891792552 | Robert Brian Jackson | Radiologic Technologist | 2011 W Mulberry Dr, Phoenix, AZ 85015-5720 | 2005-07-07 |
| 1922656453 | Erick Giovanni Nova Sr. | Radiologic Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1245727734 | Lynelle Zahne | Radiologic Technologist | 167 N Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1528498037 | Frank Mamola | Radiologic Technologist | 209 E Rose Ln, Phoenix, AZ 85012-1242 | 2013-11-19 |
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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.