MSK Center of Mesa

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MSK CENTER OF MESA

Practice address

8427 E Baseline Rd Ste 101
Mesa, AZ 85209-4381

Phone

(480) 357-6500

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Eric BloomNPI 1730480666

Title

Owner

Phone

(480) 357-6500

Specialties & licenses 3

Addresses

Other identifiers 4

Practitioners 1

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

• Eric James Bloom, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1730480666
  NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1114698172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094381",
            "telephone_number": "480-357-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094381",
            "telephone_number": "480-357-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK CENTER OF MESA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-357-6500"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083025423",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962819235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730480666",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710185384",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MRSC Az Mesa Master Tenant, LLC
• MRSC Az Mesa Master Tenant, LLC
• MRT Transportation LLC
• Ms Wound Care PC
• Edith Wakasa Msafiri, LAAC
• Msmancina Associates Arizona, PLLC
• Mtac Healthcare PLC
• Corrine Muccio, MS, BCBA
• Nancy Mucha, CNP
• Florence W Muchira

• Multi-Specialty Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.