GERALD L ECHOLS (NPI# 1295789196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295789196 |
Entity Type | Individual |
Full Name | GERALD L ECHOLS |
Credential | C.P.O. |
Practice Address |
1241 E. Broadway #28 Mesa AZ 85204-2254 |
Practice Telephone | 4808350909 |
Practice Fax Number | 4808356501 |
Mailing Telephone | 4808350909 |
Mailing Fax Number | 4808356501 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
07-501426-Z | AZ | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BLUE CROSS BLUE SHIELD OF | AZ-0274950 | 01 |
Street Address |
1241 E. BROADWAY #28 |
City | MESA |
State | AZ |
Zip Code | 85204-2254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267346 | Chanel Gordon | Specialist | 1731 W Baseline Rd Ste 107, Mesa, AZ 85202-5730 | 2019-10-21 |
1669907150 | Tommie Foxworth | Specialist | 1616 E Main St, Suite 102-103, Mesa, AZ 85203-9071 | 2017-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
1942626486 | Sishana Janelle Gerald | Specialist | 4045 E Broadway Blvd, Tucson, AZ 85711-3454 | 2014-03-07 |
1023375516 | Edna Mae Harris | Specialist | 6970 E 22nd St, Suite #110, Tucson, AZ 85710-5121 | 2012-04-20 |
1356718480 | Margo Grant-bryan | Specialist | 19395 N John Wayne Pkwy, Maricopa, AZ 85139-2833 | 2015-08-24 |
1154338440 | Shannon Cole Winn | Specialist | 1075 S Idaho Rd, Suite 101, Apache Junction, AZ 85219-6496 | 2006-08-01 |
Please comment or provide details below to improve the information on GERALD L ECHOLS.
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.