Organization Active NPI

Center for True Harmony Wellness & Medicine PC

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1972614592
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3135 Issued in AZ
Legal business name
CENTER FOR TRUE HARMONY WELLNESS & MEDICINE PC
Practice address
2152 S Vineyard
Suite 138
Mesa, AZ 85210-6871
Phone
(480) 539-6646
NPI assigned
Aug 31, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Sherry L Fragosa
Title
Vice-President
Phone
(480) 539-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3135 AZ Primary

Addresses

Primary practice location

2152 S Vineyard
Suite 138
Mesa, AZ 85210-6871

Mailing address

2152 S Vineyard
Suite 138
Mesa, AZ 85210-6871
Phone (480) 539-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000223 AZ Part B Supplier - Clinic/Group Practice 9739218942 Receives reassigned benefits from 4 practitioners
Practice locations: Gilbert, AZ; Mesa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1972614592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD",
            "address_2": "SUITE 138",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "480-539-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD",
            "address_2": "SUITE 138",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "480-539-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TRUE HARMONY WELLNESS & MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "FRAGOSA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "480-539-6646"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.