Mariolga Mercado, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005084 Issued in AZ

Practice address

3130 E Baseline Rd BLDG 2
Mesa, AZ 85204-7290

Phone

(480) 497-5933

NPI assigned

Mar 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mariolga Mercado DO PC

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1114125911
  NPD (past) Authorized official
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)
• Red Mountain Family Medicine

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1720207087
  NPD (past)
• Dr Theresa Ann Cooper PC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1902003379
  NPD (past)
• King'S Court Family Medicine

  • Family Medicine Physician
  • Jenks, OK
  • NPI 1235468745
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1861452575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-497-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BASELINE RD BLDG 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047290",
            "telephone_number": "480-497-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARIOLGA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Menta
• Mentis Health LLC
• Mentis Psychiatric Services LLC
• Brooke Menzie, PA-C
• Meoss Neurorehab & Wellness
• Kathryn Anna Mercer
• Matthew Mercer
• Robyn Merchant, LPC
• Ava Mergen
• Landon Merkley

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.