MS. CAROL PERISHO (NPI# 1356570402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356570402 |
| Entity Type | Individual |
| Full Name | MS. CAROL PERISHO |
| Practice Address |
167 N Main St Tuba City AZ 86045 |
| Mailing Address |
167 N Main Street Tuba City AZ 86045 |
| Practice Telephone | 9282832646 |
| Mailing Telephone | 9282832646 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
5729 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
167 N MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751125 | Henry John Leonard Van Dyk | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2006-06-20 |
| 1013529510 | Kristen Marie Becenti | Physical Therapist | 167 N Main St, Tuba City, AZ 86045-0600 | 2020-08-18 |
| 1063023539 | Emily Beskar | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2020-08-10 |
| 1831713957 | Taylor Rae Erhardt | Optometrist | 167 N Main St, Tuba City, AZ 86045 | 2020-06-04 |
| 1922651355 | Ashley Benford | Occupational Therapist | 167 N Main St, Tuba City, AZ 86045 | 2019-07-24 |
| 1053970715 | Emi Yamashita | Dietitian, Registered | 167 N Main St, Tuba City, AZ 86045 | 2019-06-06 |
| 1710444831 | Hayden Verl Poulson | Podiatrist | 167 N Main St, Tuba City, AZ 86045 | 2019-02-25 |
| 1841766847 | Eric Spears | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2018-10-17 |
| 1730696287 | Dominique Emmanuel Browne | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2018-01-05 |
| 1093256208 | Karen Yin-chieh Jong | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2017-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
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| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225431984 | Kerry R Karhuse | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2014-10-08 |
| 1427337260 | Jamie Lynn Marbut | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-08-10 |
| 1902190622 | Erin Marie Williams | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-05-31 |
| 1639473481 | Davina Starling | Radiologic Technologist | 167 North Main St, Tuba City, AZ 86045-0600 | 2011-01-07 |
| 1639486905 | Maria E Sanchez | Radiologic Technologist | 167 N Main, Tuba City, AZ 86045-0600 | 2010-09-08 |
| 1790003556 | Jan Viken | Radiologic Technologist | 167 North Main, Tuba City, AZ 86045-0600 | 2010-05-04 |
| 1619110236 | Donna C Olenik | Radiologic Technologist | 167 N Main St, Tuba City, AZ 86045 | 2009-04-13 |
| 1801002423 | Richard Jon Mortenson | Radiologic Technologist | 167 N. Main St, Tuba City, AZ 86045 | 2007-05-14 |
| 1275748600 | Linda Larson | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209300 | Brendan J Berthold | Radiologic Technologist | 14791 E 54th Dr, Yuma, AZ 85367-9210 | 2019-01-23 |
| 1194257758 | Angela Bazemore Quaye | Radiologic Technologist | 9177 N 73rd Ln, Peoria, AZ 85345-7190 | 2017-03-31 |
| 1235596511 | Rrmc Diagnostics Inc | Radiologic Technologist | 1661 N Swan Rd Ste 214, Tucson, AZ 85712-4052 | 2016-01-18 |
| 1790185023 | Georges Douyon | Radiologic Technologist | 20625 W Walton Dr, Buckeye, AZ 85396-3534 | 2014-08-22 |
| 1275952129 | Kyle Alsberry Sr. | Radiologic Technologist | 4870 E Placita Arenosa, Tucson, AZ 85718-5401 | 2014-04-08 |
| 1871822593 | Alison Golden | Radiologic Technologist | 4085 W Laredo St, Chandler, AZ 85226-2126 | 2009-12-08 |
| 1235364753 | Jose L Inclan | Radiologic Technologist | 2911 S 8th Avenue, Yuma, AZ 85364-8000 | 2009-05-28 |
| 1881162808 | Phoenix Ultrasound Studio | Radiologic Technologist | 5251 W Campbell Ave Ste 209, Phoenix, AZ 85031-1719 | 2018-11-07 |
| 1760939268 | Phoenix Medical Imaging | Radiologic Technologist | 2601 N 3rd St, Suite 308, Phoenix, AZ 85004-1104 | 2016-09-01 |
| 1174927891 | Pure Image Mobile Ultrasound Group LLC | Radiologic Technologist | 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 | 2014-10-09 |
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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.