Pinal Mountain Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14119 Issued in AZ

Legal business name

PINAL MOUNTAIN INTERNAL MEDICINE PC

Practice address

5884 S Hospital Drive
Suite #1
Globe, AZ 85501

Phone

(928) 402-0096

Fax

(928) 402-0098

NPI assigned

Apr 6, 2006

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Jay Layton, MDNPI 1861454530

Title

President

Phone

(928) 402-0096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Brent J Layton, MD

  • Internal Medicine Physician
  • Globe, AZ
  • NPI 1861454530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1487616157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2260",
            "city": "CLAYPOOL",
            "state": "AZ",
            "postal_code": "855322260",
            "telephone_number": "928-402-0096",
            "fax_number": "928-402-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5884 S HOSPITAL DRIVE",
            "address_2": "SUITE #1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "928-402-0096",
            "fax_number": "928-402-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINAL MOUNTAIN INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-402-0096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "14119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B. Peifer, PA-C
• Nicholas Perez, PTA
• Michelle Pettitt
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• Phoenix Vamc
• Premier Nemt of Arizona LLC
• Prescott Healthcare Solutions LLC (Optima Medical)
• Progressions Therapy @ Copper Mountain Inn, Inc
• Micah David Pullins, D.O.
• Red Rock Healthcare LLC

• Internal Medicine Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.