JACLYN RENE BROWN (NPI# 1396972444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396972444 |
| Entity Type | Individual |
| Full Name | JACLYN RENE BROWN |
| Credential | MD |
| Practice Address |
652 E. Warner Rd. Suite 107 Gilbert AZ 85296-3073 |
| Practice Telephone | 4805398680 |
| Practice Fax Number | 4805391763 |
| Mailing Telephone | 4805398680 |
| Mailing Fax Number | 4805391763 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46360 | AZ | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
46360 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | Z67803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610459 | Jaclyn M Brown | Specialist | 9951 Mickelberry Rd Nw Ste 225, Silverdale, WA 98383-8309 | 2006-08-23 |
| 1720538770 | Jaclyn Cory Brown | Occupational Therapist | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2016-10-13 |
| 1427415157 | Jaclyn Brown | Occupational Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2016-01-26 |
| 1891931226 | Jaclyn Brown | Physical Therapist | 12465 Lewis St, Garden Grove, CA 92840-4681 | 2009-01-07 |
| Street Address |
652 E. WARNER RD. SUITE 107 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821493 | Maria S Kenneally | Nurse Practitioner | 652 E. Warner Rd., Suite 107, Gilbert, AZ 85296-3073 | 2005-09-14 |
| 1346260833 | Patrick Leroy Flyte | Family Medicine | 652 E. Warner Rd., Suite 107, Gilbert, AZ 85296-3073 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458205 | Ruth Cover | Family Medicine | 979 N Gilbert Rd Ste 102, Gilbert, AZ 85234-3307 | 2020-05-12 |
| 1659991461 | Charles Milton Combs IIi | Family Medicine | 3035 E Vernon St, Gilbert, AZ 85298-8757 | 2020-04-22 |
| 1316502750 | Shelley Campbell | Family Medicine | 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 | 2019-05-01 |
| 1689136830 | Master Mark Np, Pllc | Family Medicine | 4287 E Michelle Ave, Gilbert, AZ 85234-0117 | 2019-04-04 |
| 1841771904 | Farzam Afshar | Family Medicine | 829 S Adam Way, Gilbert, AZ 85296-1488 | 2018-08-27 |
| 1992295000 | Wade Reynolds | Family Medicine | 3061 E Vallejo Dr, Gilbert, AZ 85298-9059 | 2018-05-14 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1366813602 | Kyle Tisi | Family Medicine | 1489 S. Higley Rd, Suite 101, Gilbert, AZ 85296-4777 | 2015-10-13 |
| 1679857825 | Good Health Medical, P.C. | Family Medicine | 428 S. Gilbert Rd., Suite # 101, Gilbert, AZ 85296-2261 | 2011-10-06 |
| 1073807202 | Punyakam Pllc | Family Medicine | 690 E Warner Rd Ste 133, Gilbert, AZ 85296 | 2011-06-06 |
| Find all providers in GILBERT | ||||
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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.