MR. JOHN LEGRAND HADLOCK (NPI# 1588714158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588714158 |
| Entity Type | Individual |
| Full Name | MR. JOHN LEGRAND HADLOCK |
| Credential | B.C.O. |
| Practice Address |
1450 S Dobson Rd #a206 Mesa AZ 85202-4712 |
| Practice Telephone | 4809625841 |
| Practice Fax Number | 4806499975 |
| Mailing Telephone | 4809625841 |
| Mailing Fax Number | 4806499975 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 8115599 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 034265001 | 05 |
| Street Address |
1450 S DOBSON RD #A206 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256548 | Heather E. Mangam | Specialist | 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 | 2005-09-25 |
| 1164875373 | Jonathan Munns | Physician Assistant | 1450 S Dobson Rd, B122, Mesa, AZ 85202-4712 | 2016-07-22 |
| 1558717447 | Center for Orthopedic Research and Education, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2016-05-10 |
| 1255732558 | Robert Steinmeyer | Physical Therapist | 1450 S Dobson Rd, Mesa, Mesa, AZ 85202-4712 | 2014-09-06 |
| 1760812770 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 1450 S Dobson Rd, Suite A-203, Mesa, AZ 85202-4712 | 2013-11-13 |
| 1275967408 | Center for Orthopedic Research and Educatoin | Occupational Therapist | 1450 S Dobson Rd, Ste A302, Mesa, AZ 85202-4712 | 2013-08-23 |
| 1023358223 | John D Holmes Md PC | Obstetrics & Gynecology | 1450 S Dobson Rd, A207, Mesa, AZ 85202-4712 | 2013-02-25 |
| 1427308899 | Brook David Rogers | Physician Assistant | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2012-09-13 |
| 1487900817 | Center for Orthopedic Research and Education, LLC | Durable Medical Equipment & Medical Supplies | 1450 S Dobson Rd, Suite B122, Mesa, AZ 85202-4712 | 2012-08-03 |
| 1225314115 | April Marie Hofmann | Physician Assistant | 1450 S Dobson Rd, #320b, Mesa, AZ 85202-4712 | 2011-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810833 | Modern Sports Medicine LLC | Specialist | 6242 E Arbor Ave Unit 1, Mesa, AZ 85206-1309 | 2020-08-05 |
| 1366920910 | Haleys Designer Wigs | Specialist | 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 | 2018-08-04 |
| 1831604990 | Shanna Kay Parker | Specialist | 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 | 2017-12-11 |
| 1558884866 | Affiliated Pro Monitoring, LLC | Specialist | 6424 E Broadway Rd Ste 120, Mesa, AZ 85206-1750 | 2017-07-18 |
| 1861863011 | Christina Wright | Specialist | 11033 E Abilene Ave, Mesa, AZ 85208-8645 | 2015-10-14 |
| 1821465584 | Arizona Medical Associates Inc | Specialist | 1301 South Rismon Road, Mesa, AZ 85209-3767 | 2015-08-28 |
| 1174926794 | Breast Ink Plc | Specialist | 2321 S Alta Vista Cir, Mesa, AZ 85202-6474 | 2014-09-28 |
| 1780957985 | Clear Choice Physicians, LLC | Specialist | 6328 E Brown Rd Ste 106, Mesa, AZ 85205-4841 | 2012-02-17 |
| 1538445812 | Modocurogyn, Pllc | Specialist | 6632 E. Baseline Rd, Ste 101, Mesa, AZ 85206 | 2011-10-31 |
| 1508140005 | Janice A Spears | Specialist | 1840 W Emelita Ave, #1144, Mesa, AZ 85202-4035 | 2011-10-03 |
| 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.