Valleywide Comprehensive Internal Medicine Specialists PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VALLEYWIDE COMPREHENSIVE INTERNAL MEDICINE SPECIALISTS PLLC

Practice address

3049 E McKellips Rd Ste 5
Mesa, AZ 85213-3144

Phone

(480) 830-1553

Fax

(480) 981-2442

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Joel Salter, N.P.

Title

Nurse Practitioner

Phone

(480) 830-1553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1912439811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 E MCKELLIPS RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133144",
            "telephone_number": "480-830-1553",
            "fax_number": "480-981-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 E MCKELLIPS RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133144",
            "telephone_number": "480-830-1553",
            "fax_number": "480-981-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYWIDE COMPREHENSIVE INTERNAL MEDICINE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-830-1553",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.