Mott Haven Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOTT HAVEN MEDICAL CENTER INC

Practice address

2076 E Piedmont PL
Casa Grande, AZ 85122-6812

Phone

(716) 400-9169

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Zacaria OliveroNPI 1013639277

Title

Ceo

Phone

(716) 400-9169

Specialties & licenses 5

Addresses

Practitioners 1

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

• Zacaria Olivero

  • Student in an Organized Health Care Education/Training Program
  • Casa Grande, AZ
  • NPI 1013639277
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1194448498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E PIEDMONT PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226812",
            "telephone_number": "716-400-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E PIEDMONT PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226812",
            "telephone_number": "716-400-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT HAVEN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "ZACARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-400-9169"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Moreno
• Shannon L. Moreno, MED, BSW, LPC, LISAC
• Thomas P. Morris, N.P.
• Mitsy Dawn Morton, PMHNP-BC
• Catherine Ann Moskal, RPH
• Mountain View - Camelback, LLC
• Ramon Sabastian Mourelo, MD
• Ms. Vickie'S Healing Place, LLC
• Mt Moriah Medical Center PC
• Norman E Mudd, MA, LMFT

• Family Medicine Physician in Casa Grande, AZ
• Providers in Casa Grande, 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 Sep 21, 2022; 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.