East Mesa Family Doctors PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST MESA FAMILY DOCTORS PLLC

Practice address

7165 E University Dr Ste 101
Mesa, AZ 85207-6400

Phone

(480) 999-0049

Fax

(866) 918-8525

NPI assigned

Aug 6, 2016

Organization subpart

No

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

Authorized official

Name

Stacy Deann Veldhuizen Mickey

Title

MD/Owner

Phone

(480) 999-0049

Specialties & licenses 1

Addresses

Other names 1

• Medical Mall of Arizona Family Practice PLLC Former legal business name

Locations

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1508310665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076400",
            "telephone_number": "480-999-0049",
            "fax_number": "866-918-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 E UNIVERSITY DR STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076400",
            "telephone_number": "480-999-0049",
            "fax_number": "866-918-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8035 E Brown Rd Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852073902",
            "country_code": "US",
            "telephone_number": "480-999-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST MESA FAMILY DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "VELDHUIZEN MICKEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "480-999-0049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Mall of Arizona Family Practice PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Medical Mall of Arizona Family Practice PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zachary Earhart, PHARMD
• Earl P. Duffy DDS PC
• Kellie M Earle P.a., PA
• Darcy Rae Easley
• East Mesa Dental Partners, LLP
• East Mesa Medical Center
• East Mesa Pediatrics, Inc
• East Mesa Physical Therapy and Rehab Specialists
• East Southern Medical Group, LLC
• East Valley Adult Resources

• 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 Dec 14, 2022; 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.