Active NPI
Adobe E.N.T. & Allergy
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Mesa, AZ
National Provider Identifier
1083667521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 2767
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2767 | AZ | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 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.
-
- Medical Physician Assistant
- Apache Junction, AZ
- NPI 1619915899
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.