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SUSAN GENTRY CCP
NPI 1811327174
Perfusionist in Mesa, AZ

Active since November 22, 2013
2753 E BROADWAY RD # 101-454, MESA, AZ 85204(480) 659-6964(480) 659-6791 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Gentry Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN GENTRY CCP (NPI 1811327174) is an individual perfusionist provider in Mesa, Arizona and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1811327174
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameSUSAN GENTRYCredential: CCP
Location Address2753 E BROADWAY RD # 101-454Mesa, AZ 85204-1579
Mailing Address2753 E Broadway Rd # 101-454Mesa, AZ 85204-1579 · (480) 659-6964 · Fax (480) 659-6791
Phone(480) 659-6964
Fax(480) 659-6791
Sole ProprietorNo
Enumeration DateNovember 22, 2013
✔ NPI 1811327174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
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.
2753 E BROADWAY RD # 101-454, Mesa, AZ 85204
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERFUSION ASSOCIATES
Perfusionist
2753 E BROADWAY RD # 101-454
MESA, AZ 85204
Maricopa County (480) 659-6964
EMILY DIANE HIRLEMAN CCP
Perfusionist
2753 E BROADWAY RD # 101-454
MESA, AZ 85204
Maricopa County (480) 659-6964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Gentry's NPI number?

The NPI number for Susan Gentry is 1811327174. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Susan Gentry located?

Susan Gentry practices at 2753 E Broadway Rd # 101-454, Mesa, AZ 85204. The listed phone number is (480) 659-6964.

What is Susan Gentry's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Susan Gentry was last updated on November 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.