Organization Active NPI

Mesa ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
National Provider Identifier
1366917080
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Oct 9, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.