Organization Active NPI

Medipro Medical Staffing LLC

  • Nursing Care Agency
  • Mesa, AZ
National Provider Identifier
1083916969
Registry record updated Nov 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MEDIPRO MEDICAL STAFFING LLC
Practice address
2651 W Guadalupe Rd
Mesa, AZ 85202-7249
Phone
(480) 398-4777
NPI assigned
Nov 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2010

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

Authorized official

Name
Alexander R Malcolm
Title
Cfo
Phone
(480) 678-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2651 W Guadalupe Rd
Mesa, AZ 85202-7249

Mailing address

4205 E Chaparosa Way
Cave Creek, AZ 85331-3817

National Provider Directory

National Provider Directory

Locations

2651 W Guadalupe Rd
Mesa, AZ 85202
Phone (480) 398-4777

NPI Registry JSON

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

{
    "created_epoch": "1290643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290643200000",
    "number": "1083916969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 E CHAPAROSA WAY",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 W GUADALUPE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027249",
            "telephone_number": "480-398-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPRO MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-25",
        "last_updated": "2010-11-25",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-678-2593"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "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 Nov 25, 2010; 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.