EAST MESA PEDIATRICS, INC (NPI# 1447434592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447434592 |
| Entity Type | Organization |
| Organization Name | EAST MESA PEDIATRICS, INC |
| Practice Address |
6142 E Brown Rd #102 Mesa AZ 85205-4962 |
| Practice Telephone | 4803962087 |
| Practice Fax Number | 4803963973 |
| Mailing Telephone | 4803962087 |
| Mailing Fax Number | 4803963973 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | DR. KOJASTEH M GHAZIASKAR (OWNER) |
| Authorized Official Telephone | 4803962087 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
34309 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 964149 | 05 |
| Street Address |
6142 E BROWN RD #102 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663441 | Kojasteh Mahsa Ghaziaskar | Pediatrics | 6142 E Brown Rd, 102, Mesa, AZ 85205-4962 | 2006-03-16 |
| 1346424405 | Kathryn L Brushaber | Nurse Practitioner | 6142 E Brown Rd, #102, Mesa, AZ 85205-4962 | 2007-12-26 |
| 1326017971 | Mehdi Ghazi-askar | Pediatrics | 6142 E Brown Rd, 102, Mesa, AZ 85205-4962 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669679098 | Stefanie Ann Workman | Pediatrics | 2929 N Power Rd, Suite 101, Mesa, AZ 85215-1745 | 2007-06-29 |
| 1588611206 | Don K Nicolson | Pediatrics | 2058 S Dobson Rd, Mesa, AZ 85202-6454 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271798 | Kristen Marie Buchanan | Pediatrics | 4700 N 51st Ave Ste 4, Phoenix, AZ 85031-1237 | 2012-11-02 |
| 1992060222 | Patti J. Perry, M.d. PC | Pediatrics | 1832 S. 8th Avenue, Yuma, AZ 85364 | 2012-07-12 |
| 1952626053 | Joseph King Hindman | Pediatrics | 8375 Koch Field Rd, Flagstaff, AZ 86004-1255 | 2010-03-31 |
| 1295930980 | Mary Ellen Rimsza | Pediatrics | 518 S 3rd St, Phoenix, AZ 85004-2506 | 2007-06-20 |
| 1255544987 | Jeffrey Siegel | Pediatrics | 10200 N 92nd St Ste 150, Scottsdale, AZ 85258-4535 | 2007-05-08 |
| 1629296249 | Good Night Pediatrics East Valley PC | Pediatrics | 1452 N Higley Rd, Gilbert, AZ 85234-1600 | 2007-04-20 |
| 1508957101 | John Curley | Pediatrics | 4434 N 12th St, Phoenix, AZ 85014-4507 | 2006-09-27 |
| 1780775395 | Shannon Forshey | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-09-27 |
| 1194816702 | Brad Golner | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-09-27 |
| 1093733644 | Rumbha Virasoontara Bhandhusavee | Pediatrics | 13980 N 67th Ave, Suite Number 1, Glendale, AZ 85306-3715 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EAST MESA PEDIATRICS, INC.
| 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.