Mesa Center for Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MESA CENTER FOR FAMILY MEDICINE

Practice address

2034 S Alma School Road
Suite #101
Mesa, AZ 85210

Phone

(602) 525-8663

NPI assigned

Mar 26, 2020

Organization subpart

Yes

Parent organization

PRIME MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Mark Schlotterback, MD

Title

Owner

Phone

(602) 525-8663

Specialties & licenses 2

Addresses

Part of

Prime Medical Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prime Medical Group, LLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1336679414
  NPPES parent name

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1497382501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL ROAD",
            "address_2": "SUITE #101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL ROAD",
            "address_2": "SUITE #101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "602-525-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA CENTER FOR FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME MEDICAL GROUP",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHLOTTERBACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-525-8663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Ann Merz, M.A.
• Mesa Arizona SNF Healthcare, LLC (Sandridge Post Acute)
• Mesa ASC, LLC (Cardiovascular Therapeutics of Mesa)
• Mesa Az Endoscopy ASC LLC (Desert Endoscopy Center)
• Mesa Cardiovascular Research Center
• Mesa Chiropractic and Rehabilitation Center P C
• Mesa Chiropractic Corp (BackFit Chiropractic & Rehab III)
• Mesa Chiropractic PLLC
• Mesa Chiropractic Rehab and Wellness LLC (Mesa Chiropractic and Rehab)
• Mesa Clinic of Physicians and Surgeons, PLLC.

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.