Black Mesa Medical LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

33774 Issued in AZ

Legal business name

BLACK MESA MEDICAL LLC

Practice address

20701 N Scottsdale Rd
#107240
Scottsdale, AZ 85255-6413

Phone

(602) 677-2712

NPI assigned

Feb 22, 2013

Last updated

Feb 22, 2013By 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

Martin B Ainbinder, M.D.NPI 1407814825

Title

President

Phone

(602) 677-2712

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin B Ainbinder, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1407814825
  Authorized official Same address or phone

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1932449238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15070",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675070",
            "telephone_number": "480-421-9700",
            "fax_number": "480-421-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 N SCOTTSDALE RD",
            "address_2": "#107240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556413",
            "telephone_number": "602-677-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MESA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "AINBINDER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-677-2712",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "33774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman J Bizon, PA
• Amy B Bjorkman, PHD
• Brent Bjornsen, MD
• BJV Medical Associates PLLC
• Bku Wound Management PLLC
• Black Mountain Behavioral Health, LLC
• Black Mountain Neuropsychology, PLLC
• Black Potatoe LLC (Better Peace of Mind Counseling)
• Elisabeth Black, MD
• Katherine Black, PA-C

• Diagnostic Radiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.