NPIMap

Organization Active NPI

Paragon Medical Associates

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1194907154
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARAGON MEDICAL ASSOCIATES
Practice address
3048 E. Baseline Rd
# 109
Mesa, AZ 85204
Phone
(480) 632-1117
Fax
(480) 632-1118
NPI assigned
Dec 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Janet Sue Stoykovich
Title
Office Manager
Phone
(480) 632-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3048 E. Baseline Rd
# 109
Mesa, AZ 85204

Mailing address

3048 E. Baseline Rd
# 109
Mesa, AZ 85204
Phone (480) 632-1117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1194907154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 E. BASELINE RD",
            "address_2": "# 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-632-1117",
            "fax_number": "480-632-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E. BASELINE RD",
            "address_2": "# 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-632-1117",
            "fax_number": "480-632-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "STOYKOVICH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-632-1117"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2011; 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.