Mesa Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MESA MEDICAL GROUP LLC

Doing business as

Backfit Health & Spine

Practice address

5233 E Southern Ave
Suite #104
Mesa, AZ 85206-3625

Phone

(480) 820-2882

Fax

(480) 830-2881

NPI assigned

May 30, 2012

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Zitnik, DCNPI 1598836264

Title

Owner

Phone

(480) 830-2882

Specialties & licenses 2

Addresses

Other names 1

• Backfit Health & Spine Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2184/brand/1/csg/21/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Zitnik, DC

  • Rehabilitation Chiropractor
  • Mesa, AZ
  • NPI 1598836264
  Authorized official Same address or phone

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1124389770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD",
            "address_2": "SUITE #120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333042",
            "telephone_number": "480-926-7800",
            "fax_number": "480-926-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 E SOUTHERN AVE",
            "address_2": "SUITE #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063625",
            "telephone_number": "480-820-2882",
            "fax_number": "480-830-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ZITNIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-830-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7150",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Backfit Health & Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Backfit Health & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa Hospitalist PLLC
• Mesa I Enterprises, LLC (Greenfields Assisted Living Community)
• Mesa Implants & Periodontics, LLC
• Mesa Kidtastic Dental LLC
• Mesa Medical Center Inc.
• Mesa Modern Dentistry, LLP (Mesa Modern Dentistry)
• Mesa Mountain PDC PLLC
• Mesa Naturopathic, PLLC
• Mesa Obstetricians & Gynecologists, LTD
• Mesa Outpatient Treatment Center LLC

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.