Active NPI
Mesa ASC, LLC
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
National Provider Identifier
1366917080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MESA ASC, LLC
- Practice address
- 4555 E Inverness Ave Ste 1
Mesa, AZ 85206-4630 - Phone
- (713) 812-7586
- NPI assigned
- Oct 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Spellmire
- Title
- Cfo
- Phone
- (713) 812-7586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4555 E Inverness Ave Ste 1
Mesa, AZ 85206-4630
Mailing address
10000 Memorial Dr Ste 540
Houston, TX 77024-3425
Phone (713) 812-7586
Other names 1
- Cardiovascular Therapeutics of Mesa
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1366917080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 MEMORIAL DR STE 540",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770243425",
"telephone_number": "713-812-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 E INVERNESS AVE STE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852064630",
"telephone_number": "713-812-7586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "SPELLMIRE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-812-7586"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardiovascular Therapeutics of Mesa",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.