Organization Active NPI

Craig L. Mechelke, D.O., LTD.

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1043410723
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CRAIG L. MECHELKE, D.O., LTD.
Practice address
4915 E Baseline Rd
Suite 126
Gilbert, AZ 85234-2965
Phone
(480) 969-3096
Fax
(480) 969-0963
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Craig Loren Mechelke, D.O.
Title
President
Phone
(480) 969-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4915 E Baseline Rd
Suite 126
Gilbert, AZ 85234-2965

Mailing address

4915 E Baseline Rd
Suite 126
Gilbert, AZ 85234-2965
Phone (480) 969-3096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1043410723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-969-3096",
            "fax_number": "480-969-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-969-3096",
            "fax_number": "480-969-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. MECHELKE, D.O., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "MECHELKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-969-3096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.