BROCK BURRIS (NPI# 1124541057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124541057 |
| Entity Type | Individual |
| Full Name | BROCK BURRIS |
| Credential | RN |
| Practice Address |
1711 Dover Ave Dover OH 44622-2529 |
| Practice Telephone | (330) 987-6707 |
| Mailing Telephone | 3309876707 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2017-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
48411 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RN LISCENCE | 408411 | 01 |
| Street Address |
1711 DOVER AVE |
| City | DOVER |
| State | OH |
| Zip Code | 44622-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457711517 | Kimberly Whitt | Registered Nurse | 200 Banning St Ste 110, Dover, DE 19904-3486 | 2016-03-02 |
| 1083268155 | Ruth E Brown | Registered Nurse | 57 Washington St, Dover, DE 19901-3846 | 2019-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978676 | Hayley Star Westmeyer | Registered Nurse | 3170 Brightington Dr, Dublin, OH 43017-1796 | 2020-09-24 |
| 1609488592 | Rachael L Cottrill | Registered Nurse | 6859 Millers Run Fallen Timber Rd, Lucasville, OH 45648-8849 | 2020-08-20 |
| 1558983700 | Stephanie Lynn Green | Registered Nurse | 183 Marca Dr, Lucasville, OH 45648-9007 | 2020-05-11 |
| 1336708023 | Jenna Renee Lambert | Registered Nurse | 5575 Reynolds Rd N, Shiloh, OH 44878-8847 | 2019-06-06 |
| 1902462054 | Kimberly Carlene Letson | Registered Nurse | 4387 Leewood Rd, Stow, OH 44224-2520 | 2019-05-14 |
| 1174086656 | Nancy Jane Mcgraw | Registered Nurse | 981 Naces Run Rd, Stout, OH 45684-8910 | 2019-04-10 |
| 1154890085 | Lori A Jacobs | Registered Nurse | 5646 Kylie Ct, Sylvania, OH 43560-9910 | 2018-11-20 |
| 1194204594 | Keri Ammons | Registered Nurse | 12 Sychar Rd, Mount Vernon, OH 43050-1861 | 2018-08-07 |
| 1265930432 | Charlotte R Schneider | Registered Nurse | 585 Riverbend Ct, Fairfield, OH 45014-5627 | 2018-01-23 |
| 1609393818 | Justin D Laudick | Registered Nurse | 290 East 3rd Street, Ottoville, OH 45876 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROCK BURRIS.
| 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.