Mesquite Medical Associates,LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7826 Issued in AZ

Legal business name

MESQUITE MEDICAL ASSOCIATES,LTD

Practice address

1830 Mesquite Ave
Ste. a
Lake Havasu City, AZ 86403-5885

Phone

(928) 855-8071

Fax

(928) 855-6869

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Walter K. Sosey, M.D.

Title

Physician/Owner

Phone

(928) 855-8071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mesquite Medical Associates, Ltd Doing business as

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1609876499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVE",
            "address_2": "STE. A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035885",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVE",
            "address_2": "STE. A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035885",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE MEDICAL ASSOCIATES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SOSEY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "928-855-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "7826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0010610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesquite Medical Associates, Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.