Organization Active NPI

Adobe E.N.T. & Allergy

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Mesa, AZ
National Provider Identifier
1083667521
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
2767 Issued in AZ
Legal business name
ADOBE E.N.T. & ALLERGY
Practice address
116 N. Lindsay Rd
Ste. #2
Mesa, AZ 85213
Phone
(480) 649-8150
Fax
(480) 649-9905
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Richard Alan Mickle, D.O.
Title
Owner
Phone
(480) 649-8150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 2767 AZ
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X 2767 AZ Primary

Addresses

Primary practice location

116 N. Lindsay Rd
Ste. #2
Mesa, AZ 85213

Mailing address

116 N. Lindsay Rd.
Ste #2
Mesa, AZ 85213
Phone (480) 649-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

440 N Camino Mercado
Ste 1A
Casa Grande, AZ 85122
Phone (520) 316-0677

1134 E University Dr
Ste 120
Mesa, AZ 85203
Phone (480) 649-8150

1134 E University Dr
Ste 102
Mesa, AZ 85203
Phone (480) 649-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1083667521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N. LINDSAY RD.",
            "address_2": "STE #2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-649-8150",
            "fax_number": "480-649-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N. LINDSAY RD",
            "address_2": "STE. #2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-649-8150",
            "fax_number": "480-649-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE E.N.T. & ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "MICKLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-649-8150",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "2767",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "AZ",
            "license": "2767",
            "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 Oct 25, 2011; 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.