ARIZONA FAMILY & GERIATRIC MEDICINE PLLC (NPI# 1740596733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740596733 |
| Entity Type | Organization |
| Organization Name | ARIZONA FAMILY & GERIATRIC MEDICINE PLLC |
| Practice Address |
5602 E. Main St. Mesa AZ 85205 |
| Practice Telephone | 4808549004 |
| Practice Fax Number | 4808321858 |
| Mailing Telephone | 4808549004 |
| Mailing Fax Number | 4808321858 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | MINH LUONG (PHYSICIAN, CO-OWNER) |
| Authorized Official Telephone | 4808549004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
41809 | AZ | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AZ | Ambulatory Health Care Facilities |
| Street Address |
5602 E. MAIN ST. |
| City | MESA |
| State | AZ |
| Zip Code | 85205 |
| 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 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| 1942511555 | Erin L Seymour | Physician Assistant | 3940 E. University Dr., Mesa, AZ 85205 | 2010-06-29 |
| Find all providers in zip 85205 | ||||
| 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 |
| 1073803508 | Mikel W Skousen Do Ltd | Clinic/Center | 457 E 4th Pl, Mesa, AZ 85203-7154 | 2011-04-18 |
| 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 | ||||
Please comment or provide details below to improve the information on ARIZONA FAMILY & GERIATRIC MEDICINE PLLC.
| 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.