Mesa Occupational & Sports Medicine

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MESA OCCUPATIONAL & SPORTS MEDICINE

Practice address

2700 Farmington Ave
Building F and G
Farmington, NM 87401-4559

Phone

(505) 325-1100

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Frederick Mosley

Title

Contract Manager

Phone

(505) 325-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518067446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 FARMINGTON AVE",
            "address_2": "BUILDING F AND G",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014559",
            "telephone_number": "505-325-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 FARMINGTON AVE",
            "address_2": "BUILDING F AND G",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014559",
            "telephone_number": "505-325-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA OCCUPATIONAL & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "505-325-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melania Yeats PC
• Natalia Carmen Mendez, PHARMD
• Denise Marie Mendoza
• Richard Francis Merkert, LPCC LMFT
• Mesa Family Practice PC
• Million B Mesfun, NP
• Benjamin Ray Messenger, MA, LPCC
• Michael Gruber M D PC
• Maria Michel
• Misty Miera

• Exclusive Provider Organization in Farmington, NM
• Providers in Farmington, NM by specialty
• Exclusive Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.