NPIMap

Organization Active NPI

Arizona Medical Wellness Center, LLC

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1841699030
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36884 Issued in AZ
Legal business name
ARIZONA MEDICAL WELLNESS CENTER, LLC
Practice address
201 W Guadalupe Rd
#200
Gilbert, AZ 85233-3332
Phone
(480) 782-1061
Fax
(480) 813-4728
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Mohammad A AwadNPI 1699939157
Title
Proprietor
Phone
(480) 782-1061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 36884 AZ Primary

Addresses

Primary practice location

201 W Guadalupe Rd
#200
Gilbert, AZ 85233-3332

Mailing address

201 W Guadalupe Rd
#200
Gilbert, AZ 85233-3332
Phone (480) 782-1061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1841699030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "#200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-782-1061",
            "fax_number": "480-813-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "#200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-782-1061",
            "fax_number": "480-813-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "480-782-1061"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.