SUSAN GENTRY (NPI# 1811327174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811327174 |
| Entity Type | Individual |
| Full Name | SUSAN GENTRY |
| Credential | CCP |
| Practice Address |
2753 E Broadway Rd # 101-454 Mesa AZ 85204-1579 |
| Practice Telephone | 4806596964 |
| Practice Fax Number | 4806596791 |
| Mailing Telephone | 4806596964 |
| Mailing Fax Number | 4806596791 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891752846 | Susan Carole Gentry | Social Worker | 23 Surrey Ct, Columbia, SC 29212-3139 | 2006-04-26 |
| 1952575193 | Susan E Gentry | Nurse Practitioner | 4 Willow Pt, Suite 50, Hattiesburg, MS 39402-1150 | 2008-04-18 |
| 1942246608 | Susan E Gentry | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-21 |
| Street Address |
2753 E BROADWAY RD # 101-454 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-1579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689966574 | Emily Diane Hirleman | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2011-05-10 |
| 1447627401 | Perfusion Associates | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 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 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 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 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568931384 | Rachel Ramella | Perfusionist | 946 N Loma Vis, Mesa, AZ 85213-5425 | 2018-11-21 |
| 1689966574 | Emily Diane Hirleman | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2011-05-10 |
| 1801383054 | David Leon Moore | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2018-04-13 |
| 1700301363 | Lewis Gushue | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1548785108 | Gregory G Diede | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1922523588 | Kayleen Anin Martins | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2017-08-04 |
| 1821541459 | Lori Bingaman | Perfusionist | 1830 S Alma School Rd, Suite 108, Mesa, AZ 85210-3056 | 2016-08-01 |
| 1447627401 | Perfusion Associates | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2015-08-25 |
| 1942689336 | Zubaidah Zahid | Perfusionist | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2015-05-19 |
| 1396141867 | Klayton Buckley | Perfusionist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2014-11-11 |
| 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.