Mollen Immunization Clinics of North America, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.

Practice address

4602 N 16TH St
Suite 200
Phoenix, AZ 85016-5189

Phone

(602) 264-9806

Fax

(602) 264-9846

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly A Watts

Title

Sr. Vice President

Phone

(602) 264-9806

Specialties & licenses 1

Addresses

Other names 1

• MICONA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arthur J Mollen, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1912044579
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1487784450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165189",
            "telephone_number": "602-264-9806",
            "fax_number": "602-264-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165189",
            "telephone_number": "602-264-9806",
            "fax_number": "602-264-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "602-264-9806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICONA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Steven Molitor Jr., M.D.
• Alan G Molk, MD
• Molled Travel Vaccines, PLLC
• Molled Travel Vaccines, PLLC
• Molled Travel Vaccines, PLLC
• Claudia Molles, FNP- BC
• Kristi Mollner, RDN
• Shaida Molloy, M.D.
• Lauren Molnar, MC, LPC, CSAT
• Melissa Lynn Moltz, ACNP

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.