Mesa Cardiovascular Research Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC Issued in AZ

Legal business name

MESA CARDIOVASCULAR RESEARCH CENTER

Practice address

4555 E Inverness Ave
BLDG 1
Mesa, AZ 85206-4630

Phone

(480) 565-1022

Fax

(480) 393-7944

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Patricia Ann Haugland

Title

Member/Owner

Phone

(480) 570-1317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1043750797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE",
            "address_2": "BLDG 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-565-1022",
            "fax_number": "480-393-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE",
            "address_2": "BLDG 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-565-1022",
            "fax_number": "480-393-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA CARDIOVASCULAR RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "HAUGLAND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "480-570-1317"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Mery II, DMD
• Georgia Ann Merz, M.A.
• Mesa Arizona SNF Healthcare, LLC
• Mesa ASC, LLC
• Mesa Az Endoscopy ASC LLC
• Mesa Center for Family Medicine
• Mesa Chiropractic and Rehabilitation Center P C
• Mesa Chiropractic Corp
• Mesa Chiropractic PLLC
• Mesa Chiropractic Rehab and Wellness LLC

• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.