East Valley Vaccination and Examination Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP4435 Issued in AZ

Legal business name

EAST VALLEY VACCINATION AND EXAMINATION CENTER

Practice address

110 S Mesa Dr
Suite 2
Mesa, AZ 85210

Phone

(480) 833-0554

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard T Kuhn

Title

Administrator

Phone

(480) 833-0554

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pearl Anne Maurer, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1639167174
  NPD (past)

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1063751204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MESA DR",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-833-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MESA DR",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-833-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY VACCINATION AND EXAMINATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-833-0554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "AP4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Spine and Sports Medicine Center, PLC
• East Valley Surgical Assisting (Evsa)
• East Valley Urgent Care,LLC (Urgent Care Extra-Southern)
• East Valley Urology Center PLC
• East Valley Urology, P.C.
• Joann Eastman, FNP-BC
• Aphrodite Easton, MSW
• Eastridge Family Dentistry, Inc.
• Erika M Eastwood, M.S., CCC-SLP
• Jake Eastwood, COTA/L

• Health Service Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.