Mount Mederi Medicine PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28656 Issued in AZ

Legal business name

MOUNT MEDERI MEDICINE PLC

Practice address

20950 N Tatum Blvd Ste 270
Phoenix, AZ 85050-4253

Phone

(480) 488-1421

Fax

(480) 425-9810

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alberto M Guerrero, MD

Title

Member

Phone

(480) 747-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1659498087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28004",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550150",
            "telephone_number": "480-488-1421",
            "fax_number": "480-425-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504253",
            "telephone_number": "480-488-1421",
            "fax_number": "480-425-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT MEDERI MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-747-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Moulder, LCSW-R
• Aaron K Moulton, CRNA
• Kaylene Marie Moulton, DPT
• Maggie Elizabeth Moulton, PA-C
• Sandra Moultrie
• Leah Mount, PA-C
• Mountain Park Dentistry L.L.C.
• Mountain Park Health Center
• Mountain Park Health Center
• Mountain Park Health Center

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Jun 11, 2009; 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.