Afc Physical Medicine of Mesa, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

AFC PHYSICAL MEDICINE OF MESA, PLLC

Practice address

3130 E Baseline Rd
Suite 107
Mesa, AZ 85204-7290

Phone

(480) 345-1980

NPI assigned

Aug 6, 2012

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

AFC PHYSICAL MEDICINE OF MESA, PLLCAs reported in NPPES

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

Authorized official

Name

Carolann M. Farley, NP

Title

Medical Director

Phone

(480) 726-2287

Specialties & licenses 1

Addresses

Part of

Afc Physical Medicine of Mesa PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Afc Physical Medicine of Mesa, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1659645679
  NPPES parent name

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1831446111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD",
            "address_2": "SUITE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-345-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC PHYSICAL MEDICINE OF MESA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC PHYSICAL MEDICINE OF MESA, PLLC",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "CAROLANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-726-2287",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Non-Pharmacy Dispensing Site in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.