MR. RICHARD JON MORTENSON


Address: 167 N. Main St, Tuba City, AZ 86045
Phone: 9282832957

MR. RICHARD JON MORTENSON (NPI# 1801002423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801002423
Entity Type Individual
Full Name MR. RICHARD JON MORTENSON
Credential R.T.
Practice Address 167 N. Main St
Tuba City
AZ 86045
Mailing Address 1000 W Forest Meadows St
Ste 253
Flagstaff
AZ 86001-2910
Practice Telephone 9282832957
Mailing Telephone 9286400327
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
CRT-4456 AZ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 167 N. MAIN ST
City TUBA CITY
State AZ
Zip Code 86045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710096706 Richard C. Tatum Jr. Dentist 167 N. Main St, Tuba City, AZ 86045 2006-08-30
1386187672 Wai Tsang Pharmacist 167 N. Main St, Tuba City, AZ 86045 2016-11-18
1750794392 Myles Joseph Stone Family Medicine 167 N. Main St, Tuba City, AZ 86045-0600 2014-06-10
1871860866 Julie Ann Richards Registered Nurse 167 N. Main St, Tuba City, AZ 86045-0600 2011-11-19
1972805323 Lorrie Ann Lake Registered Nurse 167 N. Main St, Tuba City, AZ 86045-0600 2010-11-17
1669773024 Valerie Nicolato Registered Nurse 167 N. Main St, Tuba City, AZ 86045-0600 2010-11-16
1447551361 Calsey Jinnie Richardson Nurse's Aide 167 N. Main St, Tuba City, AZ 86045 2010-11-09
1255632188 Norma Jean Acothley Nurse's Aide 167 N. Main St, Tuba City, AZ 86045-0600 2010-11-09
1346472727 Katarzyna Luiza Zak Pharmacist 167 N. Main St, Tuba City, AZ 86045 2009-08-18
1629203807 Janet Kaye Mullins Registered Nurse 167 N. Main St, Tuba City, AZ 86045-0600 2009-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205434206 Ambrielle Grace Begay Specialist/Technologist 48 Turquoise Drive, Tuba City, AZ 86045 2020-10-12
1063028124 Fresenius Medical Care Tuba City, LLC Clinic/Center 50 S. Main Street, Ste 108, Tuba City, AZ 86045 2020-09-23
1609422484 Rebekah Lee Pharmacist 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 2019-08-16
1861977050 Kyle C Nguyen Pharmacist 3008 E. Birch Ave, Tuba City, AZ 86045 2018-10-03
1518419845 John Glenn Ives Pharmacist 167 N, Main St, Tuba City, AZ 86045 2016-11-03
1497208433 Toweringrock Non-emergency Medical Transport, LLC Non-emergency Medical Transport (VAN) 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 2016-07-26
1699153270 Hopi Assisted Living Facility Inc. Point of Service 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 2015-05-14
1306223870 Mia Seimy Driver Adair Avenue Space #5, Tuba City, AZ 86045 2015-05-04
1033507587 Tari Carroll Home Health Aide Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 2015-01-07
1023452984 Amanda Bancroft Burrage Pediatrics 167 Main St., Tuba City, AZ 86045 2013-04-23
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225431984 Kerry R Karhuse Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2014-10-08
1427337260 Jamie Lynn Marbut Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2011-08-10
1902190622 Erin Marie Williams Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2011-05-31
1639473481 Davina Starling Radiologic Technologist 167 North Main St, Tuba City, AZ 86045-0600 2011-01-07
1639486905 Maria E Sanchez Radiologic Technologist 167 N Main, Tuba City, AZ 86045-0600 2010-09-08
1790003556 Jan Viken Radiologic Technologist 167 North Main, Tuba City, AZ 86045-0600 2010-05-04
1356570402 Carol Perisho Radiologic Technologist 167 N Main St, Tuba City, AZ 86045 2009-07-10
1619110236 Donna C Olenik Radiologic Technologist 167 N Main St, Tuba City, AZ 86045 2009-04-13
1275748600 Linda Larson Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045 2007-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396209300 Brendan J Berthold Radiologic Technologist 14791 E 54th Dr, Yuma, AZ 85367-9210 2019-01-23
1194257758 Angela Bazemore Quaye Radiologic Technologist 9177 N 73rd Ln, Peoria, AZ 85345-7190 2017-03-31
1235596511 Rrmc Diagnostics Inc Radiologic Technologist 1661 N Swan Rd Ste 214, Tucson, AZ 85712-4052 2016-01-18
1790185023 Georges Douyon Radiologic Technologist 20625 W Walton Dr, Buckeye, AZ 85396-3534 2014-08-22
1275952129 Kyle Alsberry Sr. Radiologic Technologist 4870 E Placita Arenosa, Tucson, AZ 85718-5401 2014-04-08
1871822593 Alison Golden Radiologic Technologist 4085 W Laredo St, Chandler, AZ 85226-2126 2009-12-08
1235364753 Jose L Inclan Radiologic Technologist 2911 S 8th Avenue, Yuma, AZ 85364-8000 2009-05-28
1881162808 Phoenix Ultrasound Studio Radiologic Technologist 5251 W Campbell Ave Ste 209, Phoenix, AZ 85031-1719 2018-11-07
1760939268 Phoenix Medical Imaging Radiologic Technologist 2601 N 3rd St, Suite 308, Phoenix, AZ 85004-1104 2016-09-01
1174927891 Pure Image Mobile Ultrasound Group LLC Radiologic Technologist 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 2014-10-09
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Competitor

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City TUBA CITY
Zip Code 86045

Improve Information

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Dataset Information

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.

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