NPIMap

Organization Active NPI

Mesa Family Care

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1326343740
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MESA FAMILY CARE
Practice address
1242 E McKellips Rd
103
Mesa, AZ 85203-2763
Phone
(480) 280-1134
NPI assigned
Jan 15, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
William Marlo Levison
Title
Owner/Manager
Phone
(480) 280-1134

Specialties & licenses 1

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

Addresses

Primary practice location

1242 E McKellips Rd
103
Mesa, AZ 85203-2763

Mailing address

1242 E McKellips Rd
103
Mesa, AZ 85203-2763
Phone (480) 280-1134

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1326343740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 E MCKELLIPS RD",
            "address_2": "103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032763",
            "telephone_number": "480-280-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 E MCKELLIPS RD",
            "address_2": "103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032763",
            "telephone_number": "480-280-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "LEVISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-280-1134"
    },
    "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 Feb 23, 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.