DUSTIN MARLEY (NPI# 1114335353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114335353 |
| Entity Type | Individual |
| Full Name | DUSTIN MARLEY |
| Credential | PA-C |
| Practice Address |
13055 W Mcdowell Rd Building E, Ste 109 Avondale AZ 85392-6449 |
| Mailing Address |
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0872 |
| Practice Telephone | 8882206432 |
| Mailing Telephone | 8882206432 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 941934 | 05 | |
| AZ | MEDICARE PTAN | Z169943 | 01 |
| Street Address |
13055 W MCDOWELL RD BUILDING E, STE 109 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-6449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171760 | Jennifer O'neill | Surgery | 13055 W Mcdowell Rd, Building E Suite E-101, Avondale, AZ 85392 | 2005-08-16 |
| 1508303082 | Lauren Best | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2017-01-23 |
| 1467818153 | Martha Mason | Counselor | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2016-01-11 |
| 1588039531 | Allyson Barry | Marriage & Family Therapist | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2015-12-02 |
| 1295070076 | Rebekah Suzanne Gibbs | Physical Therapist | 13055 W Mcdowell Rd, #g-107, Avondale, AZ 85392-6449 | 2012-12-04 |
| 1730432188 | Kidscope LLC | Clinic/Center | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2012-10-23 |
| 1144503699 | Dialysis Newco Inc | Clinic/Center | 13055 W Mcdowell Rd, Suite 101f, Avondale, AZ 85392-6449 | 2011-09-21 |
| 1013204460 | Aaron Michael Spivey | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2011-07-06 |
| 1841444734 | Miranda Gruenberg | Physician Assistant | 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ 85392-6449 | 2008-11-05 |
| 1154532927 | Madhu Kiran H Murthy | Internal Medicine | 13055 W Mcdowell Rd, Building E, Ste 109, Avondale, AZ 85392-6449 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376794446 | Suzanne Renee Russell | Physician Assistant | 13075 W Mcdowell Ste D106, Nextcare Urgent Care, Avondale, AZ 85323 | 2008-10-07 |
| 1649431099 | Paul Bratcher | Physician Assistant | 13065 W Mcdowell Rd Ste A105, Avondale, AZ 85392 | 2008-06-18 |
| 1992979355 | James Lee Lamunyon | Physician Assistant | 2352 N 123rd Dr, Avondale, AZ 85392-6501 | 2008-04-16 |
| 1396747044 | Bethanie B. Sorensen | Physician Assistant | 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392-5010 | 2005-08-12 |
| 1942762000 | Bryan R Chavez Garcia | Physician Assistant | 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392-4901 | 2019-04-05 |
| 1285156117 | Lindsay Ann Rose Mcclure | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392 | 2017-07-12 |
| 1366991853 | Angela Doan | Physician Assistant | 13065 W Mcdowell Rd Ste A105, Avondale, AZ 85392 | 2016-09-26 |
| 1730636689 | Katelyn Rose Sherbondy | Physician Assistant | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392-6437 | 2016-09-08 |
| 1851760276 | Tayler Auriel Sartorius | Physician Assistant | 3400 N Dysart Rd, Suite G127, Avondale, AZ 85392-1003 | 2015-09-15 |
| 1396055216 | Suzanne Schlacks | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392-6436 | 2010-10-13 |
| Find all providers in AVONDALE | ||||
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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.