Active NPI
Saddouk Internal Medicine Care Assoc LLC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1144656919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SADDOUK INTERNAL MEDICINE CARE ASSOC LLC
- Practice address
- 1301 S Crismon Rd
Mesa, AZ 85209-3767 - Phone
- (480) 358-6100
- NPI assigned
- Sep 24, 2013
- 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
- Yamine Saddouk, DO
- Title
- Hospitalist
- Phone
- (480) 374-9227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1301 S Crismon Rd
Mesa, AZ 85209-3767
Mailing address
2525 W Beryl Ave
Phoenix, AZ 85021-1606
Phone (602) 424-7967
Other names 1
- Saddouk Internal Medicine Care Associates LLC
National Provider Directory
National Provider DirectoryLocations
201 W Guadalupe Rd
Ste 201
Gilbert, AZ 85233
Phone (480) 782-7705
1301 S Crismon Rd
#T
Mesa, AZ 85209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550188800000",
"number": "1144656919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211606",
"telephone_number": "602-424-7967",
"fax_number": "602-371-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093767",
"telephone_number": "480-358-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SADDOUK INTERNAL MEDICINE CARE ASSOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2019-02-15",
"status": "A",
"authorized_official_last_name": "SADDOUK",
"authorized_official_first_name": "YAMINE",
"authorized_official_title_or_position": "HOSPITALIST",
"authorized_official_telephone_number": "480-374-9227",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saddouk Internal Medicine Care Associates LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.