Mark H Amols, M.D.
Individual provider Active NPI Reproductive Endocrinology Physician · Mesa, AZ
NPI 1528048006 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1528048006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reproductive Endocrinology Physician 207VE0102X
- License
- 47602 (MN)
- Practice address
- 4824 E Baseline Rd
Suite 132
Mesa, AZ 85206-4676 - Phone
- (480) 351-8222
- Fax
- (480) 351-8221
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 47602 | MN | |
| Reproductive Endocrinology Physician | 207VE0102X | 47602 | MN | Yes |
Addresses
Primary practice location
4824 E Baseline Rd
Suite 132
Mesa, AZ 85206-4676
Mailing address
4824 E Baseline Rd
Suite 132
Mesa, AZ 85206-4676
Phone (480) 351-8222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998170500 | Medicaid | MN |
Other providers in Mesa, AZ
- Kayla Amin
- Emily Aminov
- Hebah Amireh
- Nader A. Ammar
- Ayodele Sunday Amodu
- Amp Healthcare Consulting, PLLC
- Nancy Ampadu
- Angelica Christina Amparo
- Ams Living, LLC
- Kerry M Amstutz
All providers in Mesa, AZ · Reproductive Endocrinology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.