CHRIS BROOKS (NPI# 1023072121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023072121 |
Entity Type | Individual |
Full Name | CHRIS BROOKS |
Credential | CRNFA |
Practice Address |
1150 W Sherri Dr Gilbert AZ 85233-7944 |
Practice Telephone | 4806345521 |
Practice Fax Number | 4802489011 |
Mailing Telephone | 4806345521 |
Mailing Fax Number | 4802489011 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2014-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
RN078229 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | HEALTHNET OF AZ | 1Z5694 | 01 |
AZ | BCBS AZ | AZ0148910 | 01 |
AZ | 557465 | 05 |
Street Address |
1150 W SHERRI DR |
City | GILBERT |
State | AZ |
Zip Code | 85233-7944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
Find all providers in zip 85233 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
1144658022 | Nicole Freeze | Physician Assistant | Bmda-banner Gateway Medical Center, 1900 N. Higley Road, Gilbert, AZ 85234 | 2013-10-31 |
1235349168 | Debra K Hatton | Physician Assistant | 3684 E Sierra Madre Ave, Gilbert, AZ 85296-1883 | 2007-05-22 |
1831115690 | Evans Surgical Associates PC | Physician Assistant | 1325 N Fiesta Blvd Ste 3, Gilbert, AZ 85233-1609 | 2006-07-14 |
1649229006 | Richard A Lease | Physician Assistant | 2966 E Warbler Rd, Gilbert, AZ 85297-8145 | 2006-05-10 |
1649233040 | Jose Luis Guzman | Physician Assistant | 1325 N Fiesta Blvd, Suite 3, Gilbert, AZ 85233-1609 | 2006-04-08 |
1194785535 | Aaron Allen | Physician Assistant | 1094 S Gilbert Rd, Suite 203, Gilbert, AZ 85296-3445 | 2006-03-27 |
1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
1114558491 | Colby Rhel Horton | Physician Assistant | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2020-01-27 |
1154896058 | Jamie Lee Boma | Physician Assistant | 2946 E Banner Gateway Dr, Gilbert, AZ 85234 | 2018-10-06 |
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.