MRS. BROOKE MENZIE (NPI# 1902116460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902116460 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE MENZIE |
| Credential | PA-C |
| Practice Address |
2152 S Vineyard Suite 131 Mesa AZ 85210-6871 |
| Mailing Address |
1863 S Recker Rd Mesa AZ 85206-4205 |
| Practice Telephone | 4808202533 |
| Mailing Telephone | 4802704376 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2011-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4760 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 7798445-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2152 S VINEYARD SUITE 131 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647547 | Vijay S Gill | Internal Medicine | 2152 S Vineyard, Suite 119, Mesa, AZ 85210-6871 | 2006-02-10 |
| 1295342061 | Resolve Counseling and Wellness, Pllc | Counselor | 2152 S Vineyard, Bldg #4, Suite 110, Mesa, AZ 85210 | 2020-09-25 |
| 1801333687 | Sherri Hicks | Social Worker | 2152 S Vineyard, Ste. 110, Mesa, AZ 85210-6881 | 2017-01-31 |
| 1972988939 | Christi N Gorman | Counselor | 2152 S Vineyard, Suite 131, Mesa, AZ 85210-6871 | 2015-07-20 |
| 1346632940 | Kelli A Watkins | Massage Therapist | 2152 S Vineyard, Suite 138, Mesa, AZ 85210-6871 | 2015-02-19 |
| 1407248008 | Shela C Yu | Massage Therapist | 2152 S Vineyard, Suite 138, Mesa, AZ 85210-6871 | 2015-02-19 |
| 1619371424 | Mary Petrini | Massage Therapist | 2152 S Vineyard, Mesa, AZ 85210-6871 | 2014-10-22 |
| 1467763698 | Arizona Bariatric and Family Medicine Plc | Family Medicine | 2152 S Vineyard, Suite 102, Mesa, AZ 85210-6871 | 2010-06-22 |
| 1164608550 | Stephen A. Bair, Do PC | Family Medicine | 2152 S Vineyard, #131, Mesa, AZ 85210-6871 | 2008-01-15 |
| 1528256211 | Michelle Hoppe | Naturopath | 2152 S Vineyard, Ste 111, Mesa, AZ 85210-6871 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734686 | Joshua Luke Adams | Physician Assistant | 5264 E Carol Ave, Mesa, AZ 85206-1304 | 2020-06-09 |
| 1508417957 | Joe Panelli | Physician Assistant | 524 S 88th St, Mesa, AZ 85208-8213 | 2019-09-26 |
| 1275183600 | Allie Finney | Physician Assistant | 4135 S Power Rd Ste 129, Mesa, AZ 85212-3627 | 2019-09-17 |
| 1972158459 | Jason Pearce | Physician Assistant | 8334 E Peralta Ave, Mesa, AZ 85212-1677 | 2019-08-01 |
| 1265086409 | Madison Ziser | Physician Assistant | 2604 E Downing Cir, Mesa, AZ 85213-6824 | 2019-07-25 |
| 1790341170 | Mark William Nelms | Physician Assistant | 4839 S Antonio, Mesa, AZ 85212-5191 | 2019-05-11 |
| 1235607292 | Amber Leeann Valenzuela | Physician Assistant | 2345 E Southern Ave Unit 101, Mesa, AZ 85204-5419 | 2018-11-07 |
| 1417423146 | Neda Yasmin Yanch | Physician Assistant | 2505 N Raven Cir, Mesa, AZ 85207-2063 | 2018-10-20 |
| 1336615590 | Nicholas J. Deyoung | Physician Assistant | 5058 E Southern Ave Ste 102, Mesa, AZ 85206-2771 | 2018-10-15 |
| 1417432063 | Jordan Tyler Foulger | Physician Assistant | 3248 E Jacinto Ave, Mesa, AZ 85204-7336 | 2018-09-29 |
| Find all providers in MESA | ||||
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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.