MR. BLAKE MARCUS HESS (NPI# 1861502643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861502643 |
| Entity Type | Individual |
| Full Name | MR. BLAKE MARCUS HESS |
| Credential | CSA |
| Practice Address |
12801 N 65th Ave Glendale AZ 85304-1648 |
| Practice Telephone | (602) 677-7958 |
| Mailing Telephone | (602) 677-7958 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
06-173 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12801 N 65TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1871962043 | Molly Ann Bailey | Physician Assistant | 6234 W Behrend Dr, Apt 3109, Glendale, AZ 85308-6905 | 2015-09-17 |
| 1538316799 | Nara Sargsian | Physician Assistant | 800 S Central Ave Ste 308, Glendale, CA 91204-4644 | 2008-08-19 |
| 1780675314 | Martha K Heer | Physician Assistant | 1501 W Frier Dr, Glendale, AZ 85312-5343 | 2005-11-02 |
| 1659865525 | Jennifer Mcgovern | Physician Assistant | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206-4140 | 2018-06-14 |
| 1265848105 | Arizona Surgical Assistants, LLC | Physician Assistant | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2014-07-10 |
| 1780982819 | Crystal Lisa Rene De Cotret | Physician Assistant | 1019 S Central Ave, Glendale, CA 91204-2210 | 2011-03-15 |
| 1568605236 | Michael Nadzhafov | Physician Assistant | 1141 N Brand Blvd, Ste. 300, Glendale, CA 91202-2511 | 2009-04-10 |
| 1477716363 | Leah Chu Lovely | Physician Assistant | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2008-07-09 |
| 1902092992 | Ezekias John Zink | Physician Assistant | 4344 W Bell Rd, Suite 102, Glendale, AZ 85308-3589 | 2007-09-24 |
| Find all providers in GLENDALE | ||||
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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.