Mt Moriah Medical Center PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MT MORIAH MEDICAL CENTER PC

Practice address

1828 E Florence Blvd
#A111
Casa Grande, AZ 85222-4783

Phone

(520) 426-1034

Fax

(520) 423-3810

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elias A Nalli, MD

Title

Owner

Phone

(520) 426-1034

Specialties & licenses 1

Addresses

Other names 1

• Mt Moriah Medical Clinic Former legal business name

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700992260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "#A111",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224783",
            "telephone_number": "520-426-1034",
            "fax_number": "520-423-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "#A111",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224783",
            "telephone_number": "520-426-1034",
            "fax_number": "520-423-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MORIAH MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NALLI",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-426-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Moriah Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Surgery Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Surgery Physician in Arizona

• 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.

Verify at the official NPI Registry.