NPIMap

Organization Active NPI

Gilbert Childrens Medical Group Inc

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1427211804
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GILBERT CHILDRENS MEDICAL GROUP INC
Practice address
4540 E Baseline Rd
Suite 108
Mesa, AZ 85206-4616
Phone
(480) 892-3880
Fax
(480) 545-4551
NPI assigned
Jul 7, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Sherri Kerin
Title
Billing Manager
Phone
(480) 633-3577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4540 E Baseline Rd
Suite 108
Mesa, AZ 85206-4616

Mailing address

4540 E Baseline Rd
Suite 108
Mesa, AZ 85206-4616
Phone (480) 892-3880

National Provider Directory

National Provider Directory

Locations

4365 E Pecos Rd
Ste 123
Gilbert, AZ 85295

4540 E Baseline Rd
Ste 108
Mesa, AZ 85206
Phone (480) 892-3880

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1427211804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-892-3880",
            "fax_number": "480-545-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-892-3880",
            "fax_number": "480-545-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT CHILDRENS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KERIN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-633-3577"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Jul 7, 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.

Verify at the official NPI Registry.