BRANDI EKSTROM (NPI# 1114308426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114308426 |
| Entity Type | Individual |
| Full Name | BRANDI EKSTROM |
| Credential | C.O.A., S.T. |
| Practice Address |
1750 E Glendale Ave Phoenix AZ 85020-5505 |
| Practice Telephone | 6022424928 |
| Practice Fax Number | 6022494813 |
| Mailing Telephone | 6022424928 |
| Mailing Fax Number | 6022494813 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | JCAHPO | 159165 | 01 |
| Street Address |
1750 E GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959287 | Alan J Gordon | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2005-08-18 |
| 1922501196 | Jodi Ann Matheny | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2018-03-14 |
| 1801259361 | Setu Patel | Student in an Organized Health Care Education/Training Program | 1750 E Glendale Ave, Phoenix, AZ 85020-4328 | 2016-04-01 |
| 1821453689 | Renee Odell | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-12-22 |
| 1427434935 | Jane Nathaly Vega Escobar | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-08-06 |
| 1811371958 | Associated Retina Consultants | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-07-18 |
| 1225417348 | Associated Retina Consultants | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-05-21 |
| 1255759981 | Reda Issa | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020 | 2014-03-31 |
| 1962828632 | Laura P Reyes | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2014-03-05 |
| 1336576982 | Yousef J Cruz-inigo | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963894 | Arizona Surgical Affiliates Pllc | Specialist/Technologist, Other | Arizona Surgical Affiliates Pllc, 2222 E Highland Ave, Suite 222, Phoenix, AZ 85016-4876 | 2020-08-18 |
| 1336788777 | Rajan Lazar Paul | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
| 1700429057 | Alicia Renee Jennings | Specialist/Technologist, Other | 4624 E Sands Dr, Phoenix, AZ 85050-6862 | 2019-10-18 |
| 1073976775 | Rana Codrean | Specialist/Technologist, Other | 20435 N 7th St, Apt 1036, Phoenix, AZ 85024-6024 | 2016-03-30 |
| 1992172803 | Kelly Ann Madeline Connors | Specialist/Technologist, Other | 3940 E Crittenden Ln, Phoenix, AZ 85018-3660 | 2015-08-26 |
| 1144625245 | Raylene Knight | Specialist/Technologist, Other | 4322 E Janice Way, Phoenix, AZ 85032-8101 | 2014-10-31 |
| 1609119304 | Daniel Kullukian | Specialist/Technologist, Other | 4626 E. Sheena Dr., Phoenix, AZ 85032 | 2013-04-01 |
| 1649315805 | James E Feltman | Specialist/Technologist, Other | 1715 E Aurelius Ave, Phoenix, AZ 85020-5507 | 2007-02-21 |
| 1790820058 | Michael Lawrance Jones | Specialist/Technologist, Other | 3961 E Chandler Blvd, Ste 111-385, Phoenix, AZ 85048-0303 | 2007-02-21 |
| 1982243325 | Phoenix First Assist LLC | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on BRANDI EKSTROM.
| 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.