Arizona Medical Group of Mesa, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ARIZONA MEDICAL GROUP OF MESA, PC

Practice address

9522 E San Salvador Dr
Suite 317
Scottsdale, AZ 85258-5557

Phone

(480) 725-9060

Fax

(480) 525-2501

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Ronald M Smith, M.D.

Title

Owner

Phone

(480) 725-9060

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa Louise Haddad, DPM

  • Podiatrist
  • Phoenix, AZ
  • NPI 1831184134
  NPD (past)
• Linda L Treloar, PHD, APRN, BC, NP-C

  • Gerontology Nurse Practitioner
  • Mesa, AZ
  • NPI 1689682742
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1588857486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "SUITE 317",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-725-9060",
            "fax_number": "480-525-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "SUITE 317",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-725-9060",
            "fax_number": "480-525-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL GROUP OF MESA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-725-9060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Manual Therapy Centers PLLC
• Arizona Medical Boutique LLC
• Arizona Medical Psychology, PLC
• Arizona Medsource Holdings LLC (H&L Medical)
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• Arizona Neuro Speech Therapy
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• Health Service Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.