Active NPI
Mesa Health Services, LLC
- Family Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Therapist | 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 DirectoryLocations
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.
-
- Pain Medicine Physician
- Kingman, AZ
- NPI 1346235355
-
- Nurse Practitioner
- Woonsocket, RI
- NPI 1912121583
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.