AMY DAWN BROCKMEYER (NPI# 1891959862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891959862 |
| Entity Type | Individual |
| Full Name | AMY DAWN BROCKMEYER |
| Credential | MD |
| Practice Address |
2949 E Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
1100 9th Ave Ms X8-gyn Seattle WA 98108-2756 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802564734 |
| Mailing Telephone | 2062236191 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD60087847 | WA | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
A95508 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | AK DSHS | MD9927W | 01 |
| Street Address |
2949 E BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790878726 | Judith K. Wolf | Obstetrics & Gynecology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1679635981 | Leon A. Asadourian | Obstetrics & Gynecology | 36431 N Peaceful Place, Carefree, AZ 85377 | 2006-12-14 |
| 1972613727 | Shana Nicolle Wingo | Obstetrics & Gynecology | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2006-08-30 |
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1891764502 | Joseph Buscema | Obstetrics & Gynecology | 603 N Wilmot Rd Ste 151, Tucson, AZ 85711-2701 | 2006-03-15 |
| 1639171754 | Mike Franz Janicek | Obstetrics & Gynecology | 10197 N 92nd St, Suite 101, Scottsdale, AZ 85258-4560 | 2005-08-10 |
| 1114183977 | Ivor Benjamin | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2008-07-31 |
| 1033373139 | Heather Dalton | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2008-07-17 |
| 1912167313 | Vanna L Zanagnolo | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2008-06-10 |
| 1174731046 | Sayeema Daudi | Obstetrics & Gynecology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
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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.