EAST VALLEY NEUROLOGY P C (NPI# 1619941184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619941184 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY NEUROLOGY P C |
| Practice Address |
2730 S Val Vista Dr Suite #146 Gilbert AZ 85296-6675 |
| Mailing Address |
6532 E Bronco Dr Paradise Valley AZ 85253-3100 |
| Practice Telephone | 4809260644 |
| Practice Fax Number | 4809260645 |
| Mailing Telephone | 4809260644 |
| Mailing Fax Number | 4809260645 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEN ERNEST ROOT JR. (PRESIDENT) |
| Authorized Official Telephone | 4809260644 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
1688 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2730 S VAL VISTA DR SUITE #146 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-6675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815605 | Jimmy Diep Nguyen | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2007-11-14 |
| 1942207477 | David Kenneth Reynolds | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2005-06-30 |
| 1447801881 | Aps Iom Professional LLC | Psychiatry & Neurology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2019-09-26 |
| 1033760392 | Aps Iom Technical LLC | Psychiatry & Neurology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2019-09-26 |
| 1356695894 | Paarth Shah | Psychiatry & Neurology | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297 | 2012-11-06 |
| 1417266305 | Gilbert Neurology Partners Pllc | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2010-09-27 |
| 1154642205 | Brian Beck | Psychiatry & Neurology | 3507 S Mercy Rd, #101, Gilbert, AZ 85297-0441 | 2010-06-11 |
| 1700106879 | Western Neurology, Pllc | Psychiatry & Neurology | 3303 S Lindsay Rd, Suite 118, Gilbert, AZ 85297-1503 | 2010-06-10 |
| 1023243813 | Michelle Louise Raphael | Psychiatry & Neurology | 1452 N Higley Rd, Gilbert, AZ 85234-1610 | 2009-05-21 |
| 1508026469 | Jaime Marie Rawson | Psychiatry & Neurology | 1452 N Higley Rd, Gilbert, AZ 85234-1610 | 2008-06-13 |
| 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.