MIKEL W SKOUSEN DO LTD (NPI# 1073803508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073803508 |
| Entity Type | Organization |
| Organization Name | MIKEL W SKOUSEN DO LTD |
| Practice Address |
457 E 4th Pl Mesa AZ 85203-7154 |
| Practice Telephone | 4808335383 |
| Practice Fax Number | 4808335385 |
| Mailing Telephone | 4808335383 |
| Mailing Fax Number | 4808335385 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-09-09 |
| Authorized Official Name | DR. MIKEL WILLARD SKOUSEN (PHYSICIAN) |
| Authorized Official Telephone | 4808335383 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1213 | AZ | Ambulatory Health Care Facilities |
| Street Address |
457 E 4TH PL |
| City | MESA |
| State | AZ |
| Zip Code | 85203-7154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1538653787 | Vijay S Gill Md PC | Clinic/Center | 2152 S Vineyard Ste 119, Mesa, AZ 85210-6881 | 2018-06-20 |
| 1881944619 | Concentra Primary Care of Arizona, Pa | Clinic/Center | 1345 E. Mckellips Road, Suite 106, Mesa, AZ 85203 | 2012-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1013035211 | Judy M Pinsonneault, D.o., P.C. | Clinic/Center | 6106 E Brown Rd Ste 102, Mesa, AZ 85205-4954 | 2007-03-26 |
| 1578181822 | Seitz Medical Pllc | Clinic/Center | 2424 E Ivy St, Mesa, AZ 85213-3513 | 2020-07-13 |
| 1922567817 | A New Leaf, Inc. | Clinic/Center | 2254 W Main St, Mesa, AZ 85201-6847 | 2019-03-19 |
| 1124518204 | Community Bridges, Inc. | Clinic/Center | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-05-15 |
| 1750898714 | Shannon Gray | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2017-12-29 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.