CLINT BROCK


Address: 1823 E Hackamore St, Mesa, AZ 85203-3908
Phone: 4806200414

CLINT BROCK (NPI# 1275070369) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 194103 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1823 E HACKAMORE ST
City MESA
State AZ
Zip Code 85203-3908

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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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
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City MESA
Zip Code 85203

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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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