Mesa, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MESA, LLC

Doing business as

Mesa

Practice address

2603 Bloomington Ave
Minneapolis, MN 55407-1137

Phone

(612) 501-5009

NPI assigned

Jun 26, 2020

Last updated

Jun 30, 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

Mohamud Ahmed

Title

Director

Phone

(612) 501-5009

Specialties & licenses 1

Addresses

Other names 1

• MESA Doing business as

Locations

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1215554225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 UNIVERSITY AVE SE APT 504",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144434",
            "telephone_number": "612-501-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071137",
            "telephone_number": "612-501-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-501-5009"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MESA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Lee Mertens, PA-C
• Merwin Broadway Pharmacy
• Kenneth Michael Merwin, MS, RN, BSN, PHN
• Irene Merz
• Roxana Merz, MD
• Noah Mesa, DMD
• Ryan Mesaros, PHARMD
• Saba Mesfin-Negash
• Meshbesher Chiropractic Center PA
• Stacy Jo Meshbesher, D.C.

• Durable Medical Equipment & Medical Supplies in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.