MR. GARY FREDERICK MANDILE


Address: 5801 S Mcclintock Dr, Suite 110, Tempe, AZ 85283-6002
Phone: 4807770607

MR. GARY FREDERICK MANDILE (NPI# 1225252018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225252018
Entity Type Individual
Full Name MR. GARY FREDERICK MANDILE
Credential CCP
Practice Address 5801 S Mcclintock Dr
Suite 110
Tempe
AZ 85283-6002
Mailing Address Po Box 27341
Tempe
AZ 85285-7341
Practice Telephone 4807770607
Mailing Telephone 4807770607
Mailing Fax Number 6024807771
Enumeration Date 2007-04-12
Last Update Date 2010-04-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 5801 S MCCLINTOCK DR
SUITE 110
City TEMPE
State AZ
Zip Code 85283-6002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497757199 Perfusion Associates, Inc. Perfusionist 5801 S Mcclintock Dr, Suite 110, Tempe, AZ 85283-6002 2005-08-11
1831615038 Brooke Reed Specialist/Technologist, Other 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283 2017-08-18
1801319520 Michelle Mclean Perfusionist 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283 2017-07-25
1467849414 Aim Enterprises Inc Specialist 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283-6002 2015-04-16
1780015628 Melissa Colson Student in an Organized Health Care Education/Training Program 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283-6002 2013-12-03
1235568627 Sally Zerfas Student in an Organized Health Care Education/Training Program 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283-6002 2013-11-06
1831538313 Jordan Brimhall Perfusionist 5801 S Mcclintock Dr, #110, Tempe, AZ 85283-6002 2013-06-18
1932404050 Arizona Heart Perfusion, LLC Perfusionist 5801 S Mcclintock Dr, 110, Tempe, AZ 85283-6002 2011-01-20
1013022177 Timothy B. Diesfeld Perfusionist 5801 S Mcclintock Dr, #110, Tempe, AZ 85283-6002 2006-08-20
1356370878 Harry William Schechner Perfusionist 5801 S Mcclintock Dr, 110, Tempe, AZ 85283-6002 2006-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093373284 Odilette Trevizo Registered Nurse Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 2019-06-03
1538631981 Baseline Dental Care Pllc Dentist 1980 E Baseline Road Suite 101, Tempe, AZ 85283 2018-12-26
1912409228 Laura Lee Jones Social Worker 438 W. Seed Farm Road, Sacaton, AZ 85283 2018-03-02
1609226364 Clean Colonic LLC Public Health or Welfare 7560 S. Willow Dr, Tempe, AZ 85283 2016-06-14
1235583212 Seema Bacon Counselor 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 2016-04-15
1326436908 Dale E King Social Worker 1405 E. Guadalupe Road, Tempe, AZ 85283 2015-01-05
1194135871 Greater Phoenix Psychiatric Associate Pllc Psychiatry & Neurology 6530 S Maple Ave, Tempe, AZ 85283 2014-05-02
1639468077 Muna A Jama Pharmacist 6404 S Mcclintock Dr., Tempe, AZ 85283 2011-04-06
1649580945 Nancy A Syms Psychologist 6350 South Maple Avenue, Tempe, AZ 85283 2010-10-20
1629208400 Bonnie J Rouzaud Nurse Practitioner 1920 E Baseline Road, Tempe, AZ 85283 2009-07-15
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Taxonomy Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407098510 Steven Ricky Sowell Perfusionist 1929 E Libra Dr, Tempe, AZ 85283-3229 2009-04-03
1801931332 Brian P Smith Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2007-02-21
1497757199 Perfusion Associates, Inc. Perfusionist 5801 S Mcclintock Dr, Suite 110, Tempe, AZ 85283-6002 2005-08-11
1043826886 Megan Todd Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2020-09-17
1407409121 Michele M Nied Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2019-07-22
1568927408 Nicholas Valdez Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2019-02-05
1083193767 Qianli Yu Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2018-08-13
1649759325 Piero Cecchi Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2018-08-13
1003395054 Jason Sarnecki Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2018-08-10
1750860706 Kelly Dean Hedlund Perfusionist 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 2018-08-10
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Competitor

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City TEMPE
Zip Code 85283

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Dataset Information

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.

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