CLINT BURGESS (NPI# 1447880299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447880299 |
Entity Type | Individual |
Full Name | CLINT BURGESS |
Credential | NP |
Practice Address |
3507 S Mercy Rd Ste 101 Gilbert AZ 85297-0441 |
Practice Telephone | 4809260645 |
Mailing Telephone | 4809260644 |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TEMP234960 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3507 S MERCY RD STE 101 |
City | GILBERT |
State | AZ |
Zip Code | 85297-0441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285815605 | Jimmy Diep Nguyen | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2007-11-14 |
1396378816 | Neurosin Pllc | Physical Medicine & Rehabilitation | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2020-02-13 |
1285161042 | Jonathan Edward Helman | Nurse Practitioner | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297 | 2017-05-11 |
1124409073 | Muhammad Osman Salim Khan | Neuromusculoskeletal Medicine, Sports Medicine | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2015-06-17 |
1356695894 | Paarth Shah | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297 | 2012-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
Find all providers in zip 85297 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
Find all providers in GILBERT |
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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.