MESA EAR NOSE AND THROAT PC (NPI# 1770640930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770640930 |
| Entity Type | Organization |
| Organization Name | MESA EAR NOSE AND THROAT PC |
| Practice Address |
726 N Greenfield Rd # 101 Gilbert AZ 85234-5012 |
| Practice Telephone | 4808338620 |
| Mailing Telephone | 4808338620 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS JAMES KETTERER (PRESIDENT) |
| Authorized Official Telephone | 4808338620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD18540 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
726 N GREENFIELD RD # 101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821155086 | Dean R Gambino Md PC | Otolaryngology | 726 N Greenfield Rd # 101, Gilbert, AZ 85234-5012 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255750162 | John Stanton Hamblin | Otolaryngology | 726 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5062 | 2014-04-08 |
| 1831177500 | Dean R Gambino | Otolaryngology | 726 N Greenfield Rd, Suite 101, Gilbert, AZ 85234-5061 | 2006-01-04 |
| 1730407784 | Christopher Charles Vanison | Otolaryngology | Banner Md Anderson Cancer Center, 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2010-05-13 |
| 1821155086 | Dean R Gambino Md PC | Otolaryngology | 726 N Greenfield Rd # 101, Gilbert, AZ 85234-5012 | 2007-01-03 |
| 1184713430 | Desert Valley Ent, PC | Otolaryngology | 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476195 | Arizona Breathe Free Sinus & Allergy Centers | Otolaryngology | 9377 E Bell Rd Ste 207, Scottsdale, AZ 85260-1504 | 2020-04-22 |
| 1114546660 | Claire Marguerite Eileen Gleadhill | Otolaryngology | 1501 N Campell Ave, Tucson, AZ 85724-0001 | 2020-04-15 |
| 1861020703 | Southwest Ear, Nose & Throat, Pllc | Otolaryngology | 1760 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6559 | 2020-03-27 |
| 1093348096 | Southwest Ear, Nose, & Throat Specialists | Otolaryngology | 1760 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6559 | 2020-02-18 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1285178756 | Herbert Wong | Otolaryngology | 5505 E Mclellan Rd Unit 118, Mesa, AZ 85205-3409 | 2016-12-18 |
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1316280142 | Shilpa Sindhu Vishwanath | Otolaryngology | 2051 W Chandler Blvd Ste 5, Chandler, AZ 85224-6239 | 2013-03-29 |
| Find all providers with the same taxonomy | ||||
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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.