DR. BRETT S MATHERS (NPI# 1417440785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417440785 |
| Entity Type | Individual |
| Full Name | DR. BRETT S MATHERS |
| Credential | DO |
| Practice Address |
5700 Az-90 Sierra Vista AZ 85635 |
| Mailing Address |
5821 W Libby St Glendale AZ 85308-1235 |
| Practice Telephone | 5202632000 |
| Mailing Telephone | 8017354840 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5700 AZ-90 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134553142 | John Anthony Penunuri | Nurse Practitioner | 5700 Az-90, Sierra Vista, AZ 85635-2812 | 2013-08-26 |
| 1982267449 | James Mar | Student in an Organized Health Care Education/Training Program | 5700 Az-90, Sierra Vista, AZ 85635 | 2019-04-19 |
| 1184287781 | Todd Hyrum Chapman | Nurse Anesthetist, Certified Registered | 5700 Az-90, Sierra Vista, AZ 85635 | 2019-04-18 |
| 1134575384 | Robert Babbel | General Practice | 5700 Az-90, Canyon Vista Medical Center, Sierra Vista, AZ 85635 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1528618550 | Rebecca Claire Lea | Student in an Organized Health Care Education/Training Program | 126 S Coronado Dr Ste B, Sierra Vista, AZ 85635-6300 | 2019-09-11 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1811501257 | Meredith Kocot | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-09-02 |
| 1003424631 | Maxim Fayez Kamal Abu Joudeh | Student in an Organized Health Care Education/Training Program | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2020-07-20 |
| 1649897810 | Jessica Griffin | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-07-02 |
| 1619590510 | Arielle Regier | Student in an Organized Health Care Education/Training Program | 126 S Coronado Dr Ste B, Sierra Vista, AZ 85635-6300 | 2020-05-26 |
| 1639791981 | Alexandrea Beatrice Cochran | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-05-09 |
| 1114549649 | Kathryn Meagan Seils | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-05-06 |
| 1437779238 | Catherine Khanh-an Vu | Student in an Organized Health Care Education/Training Program | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2020-04-21 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on DR. BRETT S MATHERS.
| 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.