Mesa Clinic of Physicians and Surgeons, PLLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.

Practice address

606 N Country Club Dr
#1
Mesa, AZ 85201

Phone

(480) 969-3511

Fax

(480) 969-0976

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Bake

Title

Administrator

Phone

(480) 733-4401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1063603470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-733-4432",
            "fax_number": "480-733-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-969-3511",
            "fax_number": "480-969-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BAKE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-733-4401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesa Center for Family Medicine
• Mesa Chiropractic and Rehabilitation Center P C
• Mesa Chiropractic Corp (BackFit Chiropractic & Rehab III)
• Mesa Chiropractic PLLC
• Mesa Chiropractic Rehab and Wellness LLC (Mesa Chiropractic and Rehab)
• Mesa CT Al MC Care Properties, LLC (Courtyard Towers)
• Mesa Dental Arizona LLC
• Mesa Dental Care
• Mesa Dental Group LLC (Gilbert Road Dental Care)
• Mesa Dental Health

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.