Mesa Verde Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MESA VERDE MEDICAL GROUP PC

Practice address

395 N Silverbell Rd
Suite #265
Tucson, AZ 85745-2675

Phone

(520) 624-2194

Fax

(520) 624-2193

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Armando Gonzalez, M.D.

Title

President

Phone

(520) 624-2194

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Elyse Hammett, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1831103159
  NPD
• Rizwan Safdar, M.D.

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1982651857

  Internal Medicine

  NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1265637888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-624-2194",
            "fax_number": "520-624-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "SUITE #265",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452675",
            "telephone_number": "520-624-2194",
            "fax_number": "520-624-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA VERDE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-624-2194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "24499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Merritt
• Elizabeth Merritt, DPT
• Laura Ellen Merritt, LMSW
• Roger Mertens, D.D.S.
• Cassandra Marie Mertz, L.AC., MACOM
• Sheyda Mesgarzadeh
• Rambod Meshgi
• Vivian Mesi
• Mesquite Counseling Services P.L.L.C.
• Mesquite Gastroenterology LLC

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.