Organization Active NPI

Mercy Centre for Family Health PC

  • Family Medicine Physician
  • Paradise Valley, AZ
National Provider Identifier
1497065346
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY CENTRE FOR FAMILY HEALTH PC
Practice address
10565 N Tatum Blvd
Suite D-137
Paradise Valley, AZ 85253-1095
Phone
(602) 418-5289
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Fred Lee Goldblatt, DONPI 1427046614
Title
Owner
Phone
(602) 418-5289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10565 N Tatum Blvd
Suite D-137
Paradise Valley, AZ 85253-1095

Mailing address

PO Box 090110
Milwaukee, WI 53209-0110
Phone (414) 247-9005

National Provider Directory

National Provider Directory

Locations

10565 N Tatum Blvd
Ste D137
Paradise Valley, AZ 85253
Phone (602) 418-5289

1353 Shell Beach Rd
Pismo Beach, CA 93449
Phone (805) 295-6785

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1497065346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 090110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532090110",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 N TATUM BLVD",
            "address_2": "SUITE D-137",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531095",
            "telephone_number": "602-418-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CENTRE FOR FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-418-5289",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.