Active NPI
Statclinix PLC
Doing business as Statclinix - Mesa
- Urgent Care Clinic/Center
- Mesa, AZ
National Provider Identifier
1952403834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- OTC3604
- Legal business name
- STATCLINIX PLC
- Doing business as
- Statclinix - Mesa
- Practice address
- 1151 N Gilbert Rd
Mesa, AZ 85203-5127 - Phone
- (480) 610-0688
- Fax
- (480) 969-6132
- NPI assigned
- Sep 2, 2006
- Last updated
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary McGuire, MBA, RN
- Title
- Coo
- Phone
- (480) 516-7058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | OTC3604 | AZ | Primary |
Addresses
Primary practice location
1151 N Gilbert Rd
Mesa, AZ 85203-5127
Mailing address
9382 E Bahia Dr
Suite B103
Scottsdale, AZ 85260-1579
Phone (480) 682-4118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 933996 | Medicaid | AZ |
Other names 1
- Statclinix - Mesa
National Provider Directory
National Provider DirectoryLocations
15223 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 682-4100
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1740509181
-
- Medical Physician Assistant
- Gilbert, AZ
- NPI 1548226566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1952403834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9382 E BAHIA DR",
"address_2": "SUITE B103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601579",
"telephone_number": "480-682-4118",
"fax_number": "480-374-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N GILBERT RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852035127",
"telephone_number": "480-610-0688",
"fax_number": "480-969-6132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATCLINIX PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "MCGUIRE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "480-516-7058",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA, RN"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "AZ",
"license": "OTC3604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "933996",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Statclinix - Mesa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.