M.G.T Cardiology

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

M.G.T CARDIOLOGY

Practice address

1811 S Alma School Rd Ste 234
Mesa, AZ 85210-3005

Phone

(602) 552-2930

NPI assigned

May 8, 2024

Last updated

May 8, 2024By 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

Jameelah Wilson, FNP-CNPI 1578939682

Title

Owner

Phone

(480) 430-0721

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jameelah Wilson, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1578939682
  Authorized official Same address or phone

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1245088863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 E SOUTHERN AVE UNIT 6091",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852165005",
            "telephone_number": "480-430-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S ALMA SCHOOL RD STE 234",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103005",
            "telephone_number": "602-552-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.T CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMEELAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-430-0721",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.