MR. KLAYTON BUCKLEY (NPI# 1396141867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396141867 |
| Entity Type | Individual |
| Full Name | MR. KLAYTON BUCKLEY |
| Credential | CCP |
| Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
| Practice Telephone | 4804126336 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 214000204 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1400 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
| 1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
| 1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
| 1225672785 | Roberta Lee Nixon | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-10-28 |
| 1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
| 1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
| 1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568931384 | Rachel Ramella | Perfusionist | 946 N Loma Vis, Mesa, AZ 85213-5425 | 2018-11-21 |
| 1689966574 | Emily Diane Hirleman | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2011-05-10 |
| 1801383054 | David Leon Moore | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2018-04-13 |
| 1700301363 | Lewis Gushue | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1548785108 | Gregory G Diede | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1922523588 | Kayleen Anin Martins | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1821541459 | Lori Bingaman | Perfusionist | 1830 S Alma School Rd, Suite 108, Mesa, AZ 85210-3056 | 2016-08-01 |
| 1447627401 | Perfusion Associates | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2015-08-25 |
| 1942689336 | Zubaidah Zahid | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2015-05-19 |
| 1811327174 | Susan Gentry | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2013-11-22 |
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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.