DR. KEN ERNEST ROOT JR. (NPI# 1891769360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891769360 |
| Entity Type | Individual |
| Full Name | DR. KEN ERNEST ROOT JR. |
| Credential | D.O. |
| Practice Address |
2730 S Val Vista Dr Suite # 146 Gilbert AZ 85295-1675 |
| Practice Telephone | 4809260644 |
| Practice Fax Number | 4809260645 |
| Mailing Telephone | 4809260644 |
| Mailing Fax Number | 4809260645 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
1688 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2730 S VAL VISTA DR SUITE # 146 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815605 | Jimmy Diep Nguyen | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2007-11-14 |
| 1942207477 | David Kenneth Reynolds | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2005-06-30 |
| 1447801881 | Aps Iom Professional LLC | Psychiatry & Neurology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2019-09-26 |
| 1033760392 | Aps Iom Technical LLC | Psychiatry & Neurology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2019-09-26 |
| 1356695894 | Paarth Shah | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297 | 2012-11-06 |
| 1417266305 | Gilbert Neurology Partners Pllc | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2010-09-27 |
| 1154642205 | Brian Beck | Psychiatry & Neurology | 3507 S Mercy Rd, #101, Gilbert, AZ 85297-0441 | 2010-06-11 |
| 1700106879 | Western Neurology, Pllc | Psychiatry & Neurology | 3303 S Lindsay Rd, Suite 118, Gilbert, AZ 85297-1503 | 2010-06-10 |
| 1023243813 | Michelle Louise Raphael | Psychiatry & Neurology | 1452 N Higley Rd, Gilbert, AZ 85234-1610 | 2009-05-21 |
| 1508026469 | Jaime Marie Rawson | Psychiatry & Neurology | 1452 N Higley Rd, Gilbert, AZ 85234-1610 | 2008-06-13 |
| Find all providers in GILBERT | ||||
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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.