BROOKE ETHINGTON (NPI# 1366808610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366808610 |
| Entity Type | Individual |
| Full Name | BROOKE ETHINGTON |
| Credential | PA-C |
| Practice Address |
1635 N Greenfield Rd Mesa AZ 85205-4005 |
| Mailing Address |
1250 S Clearview Ave Suite 100 Mesa AZ 85209-3378 |
| Practice Telephone | 4808403075 |
| Mailing Telephone | 4804234670 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6303 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1635 N GREENFIELD RD |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255906 | Douglas Charles Miner | Optometrist | 1635 N Greenfield Rd, Suite 136, Mesa, AZ 85205-4005 | 2006-05-24 |
| 1225416027 | Robinson Orthodontics | Dentist | 1635 N Greenfield Rd, Suite 103, Mesa, AZ 85205-4005 | 2015-05-12 |
| 1225375868 | Sanya Beronja | Nurse Practitioner | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2013-01-15 |
| 1477763498 | Elite Optical, LLC | Optometrist | 1635 N Greenfield Rd, Suite 136, Mesa, AZ 85205-4005 | 2007-05-22 |
| 1720207087 | Red Mountain Family Medicine | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205 | 2007-04-25 |
| 1275652042 | Pamela Lea Edens | Nurse Practitioner | 1635 N Greenfield Rd, #134 Red Mountain Family Medicine, Mesa, AZ 85205 | 2007-03-29 |
| 1225119159 | Mary L.a. Andrews | Family Medicine | 1635 N Greenfield Rd, Suite 134, Mesa, AZ 85205-4005 | 2006-10-18 |
| 1639101629 | Suzanne Bentz | Family Medicine | 1635 N Greenfield Rd, #134, Mesa, AZ 85205-4005 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734686 | Joshua Luke Adams | Physician Assistant | 5264 E Carol Ave, Mesa, AZ 85206-1304 | 2020-06-09 |
| 1508417957 | Joe Panelli | Physician Assistant | 524 S 88th St, Mesa, AZ 85208-8213 | 2019-09-26 |
| 1275183600 | Allie Finney | Physician Assistant | 4135 S Power Rd Ste 129, Mesa, AZ 85212-3627 | 2019-09-17 |
| 1972158459 | Jason Pearce | Physician Assistant | 8334 E Peralta Ave, Mesa, AZ 85212-1677 | 2019-08-01 |
| 1265086409 | Madison Ziser | Physician Assistant | 2604 E Downing Cir, Mesa, AZ 85213-6824 | 2019-07-25 |
| 1790341170 | Mark William Nelms | Physician Assistant | 4839 S Antonio, Mesa, AZ 85212-5191 | 2019-05-11 |
| 1235607292 | Amber Leeann Valenzuela | Physician Assistant | 2345 E Southern Ave Unit 101, Mesa, AZ 85204-5419 | 2018-11-07 |
| 1417423146 | Neda Yasmin Yanch | Physician Assistant | 2505 N Raven Cir, Mesa, AZ 85207-2063 | 2018-10-20 |
| 1336615590 | Nicholas J. Deyoung | Physician Assistant | 5058 E Southern Ave Ste 102, Mesa, AZ 85206-2771 | 2018-10-15 |
| 1417432063 | Jordan Tyler Foulger | Physician Assistant | 3248 E Jacinto Ave, Mesa, AZ 85204-7336 | 2018-09-29 |
| Find all providers in MESA | ||||
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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.