Active NPI
Mercy Centre for Family Health PC
- Family Medicine Physician
- Paradise Valley, AZ
National Provider Identifier
1497065346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred Lee Goldblatt, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Marion, IA
- NPI 1427046614
-
- Acupuncturist
- Pismo Beach, CA
- NPI 1124222070
-
- Chiropractor
- Pismo Beach, CA
- NPI 1548608284
-
- Family Medicine Physician
- Pacific Grove, CA
- NPI 1376531897
-
- Family Nurse Practitioner
- Santa Maria, CA
- NPI 1871730747
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.