Organization Active NPI

El Mirage Emergency Room and Medical Center

  • General Acute Care Hospital
  • El Mirage, AZ
National Provider Identifier
1073369989
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EL MIRAGE EMERGENCY ROOM AND MEDICAL CENTER
Practice address
12000 N El Mirage Rd
El Mirage, AZ 85335
Phone
(480) 360-1853
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Meka Ezeume, MD
Title
President/Ceo
Phone
(480) 360-1853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

12000 N El Mirage Rd
El Mirage, AZ 85335

Mailing address

9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone (480) 360-1853

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2302976El Mirage ER & Medical Center12000 N El Mirage Rd, El Mirage, AZ 85335ComplianceFeb 24, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1073369989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686241",
            "telephone_number": "480-360-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 N EL MIRAGE RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "85335",
            "telephone_number": "480-360-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MIRAGE EMERGENCY ROOM AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "EZEUME",
        "authorized_official_first_name": "MEKA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "480-360-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.