MCKELLIPS INTERNAL MEDICINE PLLC (NPI# 1477095735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477095735 |
| Entity Type | Organization |
| Organization Name | MCKELLIPS INTERNAL MEDICINE PLLC |
| Practice Address |
3049 E Mckellips Rd Ste 5 Mesa AZ 85213-3144 |
| Mailing Address |
13840 N Northsight Blvd Ste 121 Scottsdale AZ 85260-3665 |
| Practice Telephone | 4808301553 |
| Practice Fax Number | 4809812442 |
| Mailing Telephone | 4805886924 |
| Mailing Fax Number | 4806345819 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | DR. CHARLES B EVANS II (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6027919112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | 37616 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
3049 E MCKELLIPS RD STE 5 |
| City | MESA |
| State | AZ |
| Zip Code | 85213-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912439811 | Valleywide Comprehensive Internal Medicine Specialists Pllc | Clinic/Center | 3049 E Mckellips Rd Ste 5, Mesa, AZ 85213-3144 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467914853 | Endeavor Mobile Medical, LLC | Internal Medicine | 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 | 2019-04-03 |
| 1851886329 | Alfonso A Tan Md PC | Internal Medicine | 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 | 2018-06-27 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1952849945 | Platinum Internal Medicine | Internal Medicine | 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 | 2017-02-09 |
| 1700235751 | Iora Senior Health Inc | Internal Medicine | 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 | 2016-06-10 |
| 1265811418 | Sandra Violetta Mele | Internal Medicine | 1301 S. Crimson Rd, Mesa, AZ 85209-3316 | 2015-05-20 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1760778906 | Maaz Iqbal | Internal Medicine | 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 | 2011-06-27 |
| 1326333733 | Amy Elizabeth Daliman | Internal Medicine | 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 | 2011-06-14 |
| 1396046413 | Lifecare Hospitalists Pllc | Internal Medicine | 2627 N Raven, Mesa, AZ 85207-2038 | 2010-11-04 |
| 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.