Active NPI
Mesa Urologists PC
- Urology Physician
- Mesa, AZ
National Provider Identifier
1700850351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MESA UROLOGISTS PC
- Practice address
- 6553 E Baywood Ave
#209
Mesa, AZ 85206-1752 - Phone
- (480) 985-8478
- Fax
- (480) 985-0175
- NPI assigned
- Feb 13, 2006
- 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. Peter J. Matthews, M.D.
- Title
- Partner
- Phone
- (480) 985-8478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
6553 E Baywood Ave
#209
Mesa, AZ 85206-1752
Mailing address
6553 E Baywood Ave
#209
Mesa, AZ 85206-1752
Phone (480) 985-8478
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184625832 | Other | AZ | NPI |
| 1730180431 | Other | AZ | NPI |
| 1902807514 | Other | AZ | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700850351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6553 E BAYWOOD AVE",
"address_2": "#209",
"city": "MESA",
"state": "AZ",
"postal_code": "852061752",
"telephone_number": "480-985-8478",
"fax_number": "480-985-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6553 E BAYWOOD AVE",
"address_2": "#209",
"city": "MESA",
"state": "AZ",
"postal_code": "852061752",
"telephone_number": "480-985-8478",
"fax_number": "480-985-0175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA UROLOGISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "480-985-8478",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1184625832",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730180431",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1902807514",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.