Organization Active NPI

Associated Geriatric Clinics of Arizona Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Mesa, AZ
National Provider Identifier
1093760936
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ASSOCIATED GERIATRIC CLINICS OF ARIZONA INC
Practice address
5602 E Main St
Mesa, AZ 85205-8813
Phone
(480) 854-9004
Fax
(480) 854-8543
NPI assigned
May 22, 2006
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
R Dean Seeman, M.D.
Title
Physician President
Phone
(480) 854-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

5602 E Main St
Mesa, AZ 85205-8813

Mailing address

5602 E Main St
Mesa, AZ 85205-8813
Phone (480) 854-9004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1093760936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058813",
            "telephone_number": "480-854-9004",
            "fax_number": "480-854-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058813",
            "telephone_number": "480-854-9004",
            "fax_number": "480-854-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED GERIATRIC CLINICS OF ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SEEMAN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "480-854-9004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "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 Oct 31, 2012; 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.