Organization Active NPI

M&M Powell Inc.

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1063414860
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
M&M POWELL INC.
Practice address
7525 E Broadway Rd
Ste 8
Mesa, AZ 85208-2002
Phone
(480) 967-6500
Fax
(480) 967-6540
NPI assigned
Aug 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maria Castillo-Powell, P.A.-C
Title
Owner
Phone
(480) 967-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

7525 E Broadway Rd
Ste 8
Mesa, AZ 85208-2002

Mailing address

PO Box 27514
Tempe, AZ 85285-7514
Phone (480) 967-6500

National Provider Directory

National Provider Directory

Locations

7525 E Broadway Rd
Ste 8
Mesa, AZ 85208
Phone (480) 854-8124

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063414860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27514",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857514",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082002",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M POWELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO-POWELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-967-6540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "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 Aug 22, 2020; 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.