Gilbert Complete Medical Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GILBERT COMPLETE MEDICAL CLINIC LLC

Practice address

201 W Guadalupe Rd Ste 102
Gilbert, AZ 85233-3318

Phone

(480) 297-3703

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi Lester

Title

Credentialing Manager

Phone

(480) 219-6631

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Nancy Mucha, CNP

  • Adult Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1063814879

  Single Specialty

  Medicare reassignment NPD
• Mohammad A Awad, D.C.

  • Chiropractor
  • Gilbert, AZ
  • NPI 1699939157
  NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1598324733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333318",
            "telephone_number": "480-297-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT COMPLETE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-219-6631"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "emr",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "201 W Guadalupe Rd Ste 102",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852333318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherri L. Giguere, MT-BC
• Gilbert Al MC Care Properties, LLC (Eternal Springs of Gilbert)
• Gilbert Al Partners, LP (Mariposa Point of Gilbert)
• Gilbert Anesthesia Services PLLC
• Gilbert Chandler Psychiatrists Inc
• Gilbert Counselors, LLC
• Gilbert Crossroads Kids' Dentists and Orthodontics, LLP (Dentists of Gilbert Crossroads)
• Gilbert Dental Center
• Gilbert Dental Professionals (Smile Clinique)
• Gilbert Dental Smiles LLC (Riggs Family Dental)

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, 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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.