Pioneer Physicians, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37589 Issued in AZ

Legal business name

PIONEER PHYSICIANS, PLC

Practice address

2400 S Avenue a
Yuma, AZ 85364-7127

Phone

(928) 317-9100

Fax

(928) 317-9300

NPI assigned

Feb 23, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prof. Jayareena Mahalingam, MD

Title

Owner

Phone

(928) 317-9100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1861799108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662318",
            "telephone_number": "928-317-9100",
            "fax_number": "928-317-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-317-9100",
            "fax_number": "928-317-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MAHALINGAM",
        "authorized_official_first_name": "JAYAREENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-317-9100",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491071",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.