Casa Grande Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22548 Issued in AZ

Legal business name

CASA GRANDE INTERNAL MEDICINE PC

Practice address

1637 E Monument Plaza Circle
Suite 1
Casa Grande, AZ 85122

Phone

(520) 426-1512

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Mohammed T Zara, M.DNPI 1770572976

Title

President

Phone

(480) 229-2443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Mohammed T Zara, M.D.

  • Internal Medicine Physician
  • Casa Grande, AZ
  • NPI 1770572976
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Louise Coby, PA-C

  • Physician Assistant
  • Casa Grande, AZ
  • NPI 1821306804
  Medicare reassignment Care Compare group
• Bradley Tanner, PA-C

  • Physician Assistant
  • Casa Grande, AZ
  • NPI 1588396964
  Medicare reassignment Care Compare group
• Vincent J Tapia, P.A

  • Physician Assistant
  • Casa Grande, AZ
  • NPI 1255560710
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1881997484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIRCLE",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-426-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIRCLE",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-426-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "ZARA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-229-2443",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casa Grande Family Physicians PC
• Casa Grande Family Practice LLC
• Casa Grande Foot & Ankle Spec
• Casa Grande Health Associates Inc
• Casa Grande Impressions II, LLC
• Casa Grande Medical Supplies Inc
• Casa Grande Mobility
• Casa Grande Oral and Maxillofacial Surgery, P.C.
• Casa Grande Pediatric Dentistry
• Casa Grande Pediatrics

• Internal Medicine Physician in Casa Grande, AZ
• Providers in Casa Grande, 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 Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.