Active NPI
Mezona Orthopaedic PA
- Orthopaedic Surgery Physician
- Gilbert, AZ
National Provider Identifier
1427124163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MEZONA ORTHOPAEDIC PA
- Practice address
- 2940 E Banner Gateway Dr
Suite 200
Gilbert, AZ 85234-2168 - Phone
- (480) 964-2908
- Fax
- (480) 833-2136
- NPI assigned
- Nov 27, 2006
- 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
- Annette Marie Procknow
- Title
- Practice Administrator
- Phone
- (480) 964-2908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2940 E Banner Gateway Dr
Suite 200
Gilbert, AZ 85234-2168
Mailing address
2940 E Banner Gateway Dr
Suite 200
Gilbert, AZ 85234-2168
Phone (480) 964-2908
National Provider Directory
National Provider Directory- Tax ID family
- Mezona Orthopaedic PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Mesa, AZ
- NPI 1336215078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1427124163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR",
"address_2": "SUITE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "480-964-2908",
"fax_number": "480-833-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR",
"address_2": "SUITE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "480-964-2908",
"fax_number": "480-833-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEZONA ORTHOPAEDIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "PROCKNOW",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "480-964-2908"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.