Active NPI
Clinic of Physicians and Surgeons
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1841473857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.