Organization Active NPI

Southwest Medical Associates LTD.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1275620486
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2291 Issued in AZ
Legal business name
SOUTHWEST MEDICAL ASSOCIATES LTD.
Practice address
455 E 4TH PL
Mesa, AZ 85203-7101
Phone
(480) 964-0080
Fax
(480) 644-0931
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Frank J Metzger, D. O.
Title
President
Phone
(480) 964-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2291 AZ Primary

Addresses

Primary practice location

455 E 4TH PL
Mesa, AZ 85203-7101

Mailing address

455 E 4TH PL
Mesa, AZ 85203-7101
Phone (480) 964-0080

Other identifiers 2

IdentifierTypeStateIssuer
AZ02216OtherAZBCBS AZ GROUP-SW MEDICAL
516213OtherAZAHCCCS MEDICARE

National Provider Directory

National Provider Directory

Locations

455 E 4th Pl
Mesa, AZ 85203
Phone (480) 964-0080

4360 E Brown Rd
Ste 114
Mesa, AZ 85205
Phone (480) 964-0080

Practitioners & affiliated clinicians

Practitioners 2

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275620486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037101",
            "telephone_number": "480-964-0080",
            "fax_number": "480-644-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037101",
            "telephone_number": "480-964-0080",
            "fax_number": "480-644-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL ASSOCIATES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-964-0080",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ GROUP-SW MEDICAL",
            "identifier": "AZ02216",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS  MEDICARE",
            "identifier": "516213",
            "state": "AZ"
        }
    ],
    "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 Jul 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.