GERALD L ECHOLS


Address: 1241 E. Broadway #28, Mesa, AZ 85204-2254
Phone: 4808350909

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
07-501426-Z AZ Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ BLUE CROSS BLUE SHIELD OF AZ-0274950 01

Office Location

Street Address 1241 E. BROADWAY #28
City MESA
State AZ
Zip Code 85204-2254

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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
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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
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1073932513 Naomi Devine Nurse Practitioner 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 2014-04-14
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MESA
Zip Code 85204

Improve Information

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Dataset Information

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.

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