CLINT BROCK (NPI# 1275070369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275070369 |
Entity Type | Individual |
Full Name | CLINT BROCK |
Practice Address |
1823 E Hackamore St Mesa AZ 85203-3908 |
Practice Telephone | 4806200414 |
Mailing Telephone | 4806200414 |
Enumeration Date | 2017-01-26 |
Last Update Date | 2017-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 194103 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1823 E HACKAMORE ST |
City | MESA |
State | AZ |
Zip Code | 85203-3908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376182758 | Native Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2747 E University Dr, Mesa, AZ 85213-8437 | 2020-01-02 |
1134654874 | Stuart Russell | Nurse Anesthetist, Certified Registered | 2330 E Jasmine St, Mesa, AZ 85213-2922 | 2017-05-01 |
1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
1942662374 | Todd Cook | Nurse Anesthetist, Certified Registered | 3828 E Omega Cir, Mesa, AZ 85215-9792 | 2016-03-24 |
1700273018 | Justin Kitaro Burton | Nurse Anesthetist, Certified Registered | 4838 E.baseline Road, Suite 108, Mesa, AZ 85206-4672 | 2015-04-24 |
1649696576 | Ryan Scott Jensen | Nurse Anesthetist, Certified Registered | 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206-4672 | 2014-03-17 |
1184975476 | Cardiac Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 1301 S Crimson Rd, Mesa, AZ 85209-3767 | 2012-09-26 |
1528313798 | John Dyorich | Nurse Anesthetist, Certified Registered | 1265 S Aaron Unit 292, Mesa, AZ 85209-3795 | 2012-07-13 |
1659559722 | Anthony Stewart Collins | Nurse Anesthetist, Certified Registered | 8960 E Nora Cir, Mesa, AZ 85207-1441 | 2008-01-31 |
1154500163 | Valerie A Soler | Nurse Anesthetist, Certified Registered | 7260 E Eagle Crest Dr, #50, Mesa, AZ 85207-7100 | 2007-10-25 |
Find all providers in MESA |
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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.