Active NPI
Arizona Gastro Care PLLC
- Gastroenterology Physician
- Mesa, AZ
National Provider Identifier
1164775698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 40783
- Legal business name
- ARIZONA GASTRO CARE PLLC
- Practice address
- 10238 E Hampton Ave
#305
Mesa, AZ 85209-3316 - Phone
- (480) 553-9277
- Fax
- (866) 630-8347
- NPI assigned
- Oct 22, 2012
- Last updated
- Jul 11, 2023
- 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
- Shabaz A. Qureshi, MD
- Title
- Proprietor
- Phone
- (480) 553-9277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 40783 | AZ | Primary |
Addresses
Primary practice location
10238 E Hampton Ave
#305
Mesa, AZ 85209-3316
Mailing address
11445 E Via Linda
#2139
Scottsdale, AZ 85259-2655
Phone (480) 553-9277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375234 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
11445 E Via Linda
#2139
Scottsdale, AZ 85259
11445 E Via Linda
Ste 2139
Scottsdale, AZ 85259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1164775698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11445 E VIA LINDA",
"address_2": "#2139",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852592655",
"telephone_number": "480-553-9277",
"fax_number": "866-630-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE",
"address_2": "#305",
"city": "MESA",
"state": "AZ",
"postal_code": "852093316",
"telephone_number": "480-553-9277",
"fax_number": "866-630-8347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA GASTRO CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-22",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "QURESHI",
"authorized_official_first_name": "SHABAZ",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "480-553-9277",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "40783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375234",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Arizona Family Care Network Inc.
- Arizona Family Health & Rehab Center, P C.
- Arizona Family Institute
- Arizona Family Institute
- Arizona Foot and Ankle Medicine and Surgery, PLC
- Arizona Glaucoma Specialists - Mesa PLLC
- Arizona Healing Hearts PLLC
- Arizona Health & Rehab LLC (On the Mend Physical Therapy)
- Arizona Health Care Contract Management Services Inc. (Quail Creek)
- Arizona Heart and Arrhythmia Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.