MARY A BAK (NPI# 1841613494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841613494 |
| Entity Type | Individual |
| Full Name | MARY A BAK |
| Practice Address |
40388 N Parisi Pl Queen Creek AZ 85140-6826 |
| Practice Telephone | 8156711223 |
| Mailing Telephone | 8156711223 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA8701 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
40388 N PARISI PL |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85140-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323510 | Shannon Alyse Nikula | Specialist/Technologist | 21168 E Tierra Grande Dr, Queen Creek, AZ 85142-6767 | 2019-02-26 |
| 1134632193 | Stacey Bonenberger | Specialist/Technologist | 22444 S 209th Way, Queen Creek, AZ 85142-4877 | 2017-11-13 |
| 1518401157 | Andrea Rowan | Specialist/Technologist | 20898 E Saddle Way, Queen Creek, AZ 85142-6552 | 2016-12-16 |
| 1124488960 | Aimee Bustos | Specialist/Technologist | 1302 W Plane Tree Ave, Queen Creek, AZ 85140-7679 | 2016-03-06 |
| 1154705150 | Amanda Stevens | Specialist/Technologist | 40300 N Simonton Blvd, Queen Creek, AZ 85140-3164 | 2015-07-20 |
| 1619386638 | Jessica Webb | Specialist/Technologist | 19670 E Reins Rd, Queen Creek, AZ 85142-8681 | 2014-08-04 |
| 1003249533 | Michelle Marie Klym | Specialist/Technologist | 20061 E Rittenhouse Rd, Queen Creek, AZ 85142-9712 | 2013-08-20 |
| 1063792661 | Tracy B Wright | Specialist/Technologist | 21288 E Twin Acres Dr, Queen Creek, AZ 85142-6546 | 2011-08-26 |
| 1679852081 | Kylee Rai Nickerson | Specialist/Technologist | 21408 East Creosote Lane, Queen Creek, AZ 85142 | 2011-08-16 |
| 1669605531 | Jennifer Lynn Christensen | Specialist/Technologist | 21624 E Via Del Rancho, Queen Creek, AZ 85142-5362 | 2009-08-26 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on MARY A BAK.
| 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.