MS. DENISE M BROCK (NPI# 1699184606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699184606 |
| Entity Type | Individual |
| Full Name | MS. DENISE M BROCK |
| Credential | PTA |
| Practice Address |
18969 N 83rd Ave Suite 200 Peoria AZ 85382-2844 |
| Mailing Address |
300 White Oak Dr Elyria OH 44035-4136 |
| Practice Telephone | 8882662686 |
| Mailing Telephone | 4403668314 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10565A | AZ | Other Service Providers |
| Street Address |
18969 N 83RD AVE SUITE 200 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1023495199 | Judith Woehrle | Specialist | 8721 W Tonopah Dr, Peoria, AZ 85382-6402 | 2015-04-28 |
| 1326482076 | Corpo Bello Full Service Day Spa | Specialist | 1703 W Candletree Dr, Suite B, Peoria, IL 61614-1591 | 2013-04-24 |
| 1952698573 | Rashael D. Achinivu | Specialist | 24654 N Lake Pleasant Pkwy # 103-157, Peoria, AZ 85383-1359 | 2011-07-03 |
| 1174820633 | Three Paths Massage Therapy | Specialist | 5901 N Prospect Rd Ste 102, Peoria, IL 61614-4395 | 2011-02-18 |
| 1316171739 | Associated Orthopedics Sc | Specialist | 10326 N Juliet Ct, Peoria, IL 61615-1199 | 2009-05-13 |
| 1902040124 | Comprehensive Orthopedics, P. C. | Specialist | 5401 North Knoxville Ave, Suite 400, Peoria, IL 61614-5021 | 2009-05-01 |
| 1922250414 | Amy C Watt | Specialist | 507 E Armstrong Avenue, Peoria, IL 61603 | 2008-10-16 |
| 1467634477 | Richard M. Kootman M.d.,p.c. | Specialist | 13943 N. 91st Ave Bldg G, Peoria, AZ 85381-3687 | 2007-11-30 |
| 1801006937 | Lori J. Isenstadt | Specialist | 9171 W Harmony Ln, Peoria, AZ 85382-5349 | 2007-05-24 |
| Find all providers in PEORIA | ||||
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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.