CHARLY M CONNORS (NPI# 1023624863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023624863 |
| Entity Type | Individual |
| Full Name | CHARLY M CONNORS |
| Practice Address |
5801 S Mcclintock Dr Ste 110 Tempe AZ 85283-6002 |
| Practice Telephone | 4807770607 |
| Mailing Telephone | 4807770607 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5801 S MCCLINTOCK DR STE 110 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801931332 | Brian P Smith | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2007-02-21 |
| 1043826886 | Megan Todd | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2020-09-17 |
| 1407409121 | Michele M Nied | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2019-07-22 |
| 1568927408 | Nicholas Valdez | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2019-02-05 |
| 1932663531 | Spencer Worthen | Specialist/Technologist, Other | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2019-01-28 |
| 1083193767 | Qianli Yu | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-13 |
| 1649759325 | Piero Cecchi | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-13 |
| 1003395054 | Jason Sarnecki | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-10 |
| 1750860706 | Kelly Dean Hedlund | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-10 |
| 1801375860 | Timothy Shrensberry | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881829158 | Elaine Mary Oconnor | Specialist/Technologist, Other | 1232 E Baker Dr, Tempe, AZ 85282-7283 | 2009-05-15 |
| 1932663531 | Spencer Worthen | Specialist/Technologist, Other | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2019-01-28 |
| 1730668815 | Nicole Sandoval | Specialist/Technologist, Other | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-09 |
| 1043799257 | Razhane Vargas | Specialist/Technologist, Other | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-08 |
| 1831615038 | Brooke Reed | Specialist/Technologist, Other | 5801 S Mcclintock Dr, Ste 110, Tempe, AZ 85283 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834591 | Candice Mason | Specialist/Technologist, Other | 340 N Hilton Dr, Vail, AZ 85641-9428 | 2020-06-01 |
| 1225663727 | Lasonia Brown | Specialist/Technologist, Other | 4410 W Union Hills Dr # 108, Glendale, AZ 85308-1660 | 2020-03-05 |
| 1669985552 | Az Pro Billing LLC | Specialist/Technologist, Other | 14631 N Cave Creek Rd Ste 106, Phoenix, AZ 85022-4100 | 2017-11-14 |
| 1407278468 | Iom | Specialist/Technologist, Other | 7544 E Phantom Way Ste 9, Scottsdale, AZ 85255-4620 | 2014-01-10 |
| 1083848915 | Rachell Hall | Specialist/Technologist, Other | 8320 N Hayden Rd # A106, Scottsdale, AZ 85258-2474 | 2009-05-06 |
| 1306092333 | Michall Alan Moore | Specialist/Technologist, Other | 2843 S 48th Way, Yuma, AZ 85364-9611 | 2008-08-11 |
| 1659578631 | Austin Collin Tracy | Specialist/Technologist, Other | 6801 E Belleview St, Scottsdale, AZ 85257-3208 | 2007-07-02 |
| 1417151465 | Troy D Sebastian | Specialist/Technologist, Other | 382 Forest Rd., Sedona, AZ 86336 | 2007-06-13 |
| 1457564643 | Charles Heber Ingle | Specialist/Technologist, Other | 1501 W Vernon Ave, #c, Phoenix, AZ 85007-1200 | 2007-05-07 |
| 1679612196 | Janele Therese Roche | Specialist/Technologist, Other | 125 W Yavapai Rd, Tucson, AZ 85705-3531 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
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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.