Organization Active NPI

Clinic of Physicians and Surgeons

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1841473857
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINIC OF PHYSICIANS AND SURGEONS
Practice address
606 N Country Club Dr
Ste 1
Mesa, AZ 85201-5700
Phone
(480) 733-4449
Fax
(480) 733-4447
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. John Gililland, MD
Title
Director
Phone
(480) 733-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

606 N Country Club Dr
Ste 1
Mesa, AZ 85201-5700

Mailing address

606 N Country Club Dr
Ste 1
Mesa, AZ 85201-5700
Phone (480) 733-4449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1841473857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015700",
            "telephone_number": "480-733-4449",
            "fax_number": "480-733-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015700",
            "telephone_number": "480-733-4449",
            "fax_number": "480-733-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF PHYSICIANS AND SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "GILILLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-733-4449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2007; 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.