NPIMap

Organization Active NPI

Judy M Pinsonneault, D.O., P.C.

  • Primary Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1013035211
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JUDY M PINSONNEAULT, D.O., P.C.
Practice address
6106 E Brown Rd Ste 102
Mesa, AZ 85205-4954
Phone
(480) 641-4646
Fax
(480) 641-2270
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul J Tackett
Title
Administrator
Phone
(480) 629-5287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6106 E Brown Rd Ste 102
Mesa, AZ 85205-4954

Mailing address

6106 E Brown Rd Ste 102
Mesa, AZ 85205-4954
Phone (480) 641-4646

National Provider Directory

National Provider Directory

Locations

6106 E Brown Rd
Ste 102
Mesa, AZ 85205
Phone (480) 641-4646

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1013035211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054954",
            "telephone_number": "480-641-4646",
            "fax_number": "480-641-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054954",
            "telephone_number": "480-641-4646",
            "fax_number": "480-641-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY M PINSONNEAULT, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-629-5287"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.