THERDO BROOKS III (NPI# 1124490693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124490693 |
Entity Type | Individual |
Full Name | THERDO BROOKS III |
Credential | CRT |
Practice Address |
14450 W Avalon Dr Goodyear AZ 85395-8315 |
Practice Telephone | 6024664926 |
Mailing Telephone | 6024664926 |
Enumeration Date | 2015-10-23 |
Last Update Date | 2015-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 18024 | AZ | Technologists, Technicians & Other Technical Service Providers |
Street Address |
14450 W AVALON DR |
City | GOODYEAR |
State | AZ |
Zip Code | 85395-8315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
Find all providers in zip 85395 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974026 | Scottsdale Healthcare Corp | Radiologic Technologist | 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 | 2020-02-20 |
1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
1710427422 | Brad Elg | Radiologic Technologist | 641 E 25th Pl, Yuma, AZ 85365-2701 | 2017-02-28 |
1164961355 | Kathleen Brown | Radiologic Technologist | 14226 Calabasas Road, Yucca, AZ 86438 | 2017-02-21 |
1497164388 | Michael Maestas | Radiologic Technologist | 4291 N Campbell Ave, Tucson, AZ 85719 | 2014-08-05 |
1679991749 | Heather Ann Lemons | Radiologic Technologist | 167 Noth Main Street, Tuba City, AZ 86045-0600 | 2014-04-04 |
1386926798 | Ben S Stehower | Radiologic Technologist | 805 Whipple St Ste A, Prescott, AZ 86301-1617 | 2011-09-12 |
1851607675 | Sheila Diane Andrea | Radiologic Technologist | 11405 N Crestview St., Flagstaff, AZ 86004-5215 | 2010-08-31 |
1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
1891010807 | Marjorie Chinnock | Radiologic Technologist | M.p. 388 State Route 264, Polacca, AZ 86042-4000 | 2010-04-01 |
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.