Suzanne Bentz, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2866 Issued in AZ

Practice address

1635 N Greenfield Rd
#134
Mesa, AZ 85205-4005

Phone

(480) 854-7123

Fax

(480) 854-7627

NPI assigned

Jul 7, 2006

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Mountain Family Medicine

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1720207087
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1639101629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD",
            "address_2": "#134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054005",
            "telephone_number": "480-854-7123",
            "fax_number": "480-854-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD",
            "address_2": "#134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054005",
            "telephone_number": "480-854-7123",
            "fax_number": "480-854-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "SUZANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6044688",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0390840",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "120947",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4656562",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080134177",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Benson, LMT
• Joseph Richard Bentley, DDS
• Amy Liane Benton, MASTER'S
• Kathy B Benton
• Rhonda Ellen Bentson Becanic, PT
• Jodi Lynn Benziger, RN
• Shoshana D. Beran, PSYD
• Alejandra Berardinelli, PNP-PC
• John Bercel, DPT
• Beatrix Berecz

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, 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 Jan 21, 2011; 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.