Organization Active NPI

Mesa Health Services, LLC

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1629595756
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MESA HEALTH SERVICES, LLC
Practice address
1750 S Railroad Springs Blvd Ste 3
Flagstaff, AZ 86001-8720
Phone
(316) 882-5353
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Timothy Warren, DC
Title
Authorized Offical
Phone
(316) 882-5353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1750 S Railroad Springs Blvd Ste 3
Flagstaff, AZ 86001-8720

Mailing address

1750 S Railroad Springs Blvd Ste 3
Flagstaff, AZ 86001-8720

Other practice location 1

34406 N 27th Dr Ste 108
Phoenix, AZ 85085-7730
Phone (928) 565-7390

Other practice location 2

203 S Candy Ln Ste 9A
Cottonwood, AZ 86326-4121
Phone (928) 565-7390

Other practice location 3

1225 Hancock Rd Ste 203
Bullhead City, AZ 86442-5962
Phone (928) 565-7390

Other practice location 4

3931 N Stockton Hill Rd Ste B
Kingman, AZ 86409-2426
Phone (928) 565-7390

National Provider Directory

National Provider Directory

Locations

203 S Candy Ln
Ste 9A
Cottonwood, AZ 86326
Phone (520) 634-2251

1750 S Railroad Springs Blvd
Ste 3
Flagstaff, AZ 86001
Phone (316) 882-5353

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1629595756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S RAILROAD SPRINGS BLVD STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S RAILROAD SPRINGS BLVD STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018720",
            "telephone_number": "316-882-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34406 N 27th Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850857730",
            "country_code": "US",
            "telephone_number": "928-565-7390",
            "fax_number": "928-565-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln Ste 9A",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264121",
            "country_code": "US",
            "telephone_number": "928-565-7390",
            "fax_number": "928-565-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Hancock Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864425962",
            "country_code": "US",
            "telephone_number": "928-565-7390",
            "fax_number": "928-565-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 N Stockton Hill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864092426",
            "country_code": "US",
            "telephone_number": "928-565-7390",
            "fax_number": "928-565-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MESA HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "316-882-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.