MESA GASTROINTESTINAL ASSOC PC (NPI# 1821295502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821295502 |
| Entity Type | Organization |
| Organization Name | MESA GASTROINTESTINAL ASSOC PC |
| Practice Address |
1520 S Dobson Rd Ste 302 Mesa AZ 85202 |
| Practice Telephone | 4804611088 |
| Practice Fax Number | 4804611657 |
| Mailing Telephone | 4804611088 |
| Mailing Fax Number | 4804611657 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | ALAINA M HULL (PRACTICE MANAGER) |
| Authorized Official Telephone | 4804611088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1520 S DOBSON RD STE 302 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789725 | Giridhari L Bansal | Pediatrics | 1520 S Dobson Rd, Ste 205, Mesa, AZ 85202-4726 | 2005-06-08 |
| 1689129769 | Svetlana Pedenko Md PC | Internal Medicine | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2016-08-18 |
| 1801245154 | Megan Milleen Smith | Nurse Practitioner | 1520 S Dobson Rd, Ste #203, Mesa, AZ 85202-4725 | 2016-06-07 |
| 1023476819 | Alisha Zimmer | Nurse Practitioner | 1520 S Dobson Rd, Suite 209, Mesa, AZ 85202-4725 | 2016-02-08 |
| 1043645617 | Kevin M Warren | Physician Assistant | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-09-13 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1104267780 | Jacob H Nelson | Podiatrist | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2013-07-11 |
| 1730462235 | Tamar K Gottfried Md, Plc | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-21 |
| 1871875047 | Az Obstetrics & Gynecology, LLC | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-14 |
| 1164721742 | Jigar Maheshkumar Rathod | Psychiatry & Neurology | 1520 S Dobson Rd, Ste 203, Mesa, AZ 85202-4725 | 2011-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1861734915 | Jordan Taylor Vulcano | Internal Medicine | 1801 S. Crismon Road, Suite 191, Mesa, AZ 85209 | 2013-03-26 |
| 1710145974 | Carlos Fernando Zapata Antigoni | Internal Medicine | 3638 East Southern Avenue, C-108, Mesa, AZ 85206-2563 | 2008-05-23 |
| 1548370109 | Shahbaz Qureshi | Internal Medicine | 1810 S Crismon Rd Ste 191, Mesa, AZ 85209-3900 | 2006-08-30 |
| 1063458735 | Sudhakar A Reddy | Internal Medicine | 5555 E Baseline Rd, Mesa, AZ 85206-4709 | 2006-06-21 |
| 1205878196 | Digestive Disease Consultants PC | Internal Medicine | 6020 E Arbor Avenue, Suite 101, Mesa, AZ 85206 | 2006-06-12 |
| 1790746717 | Philip Gregory Foutch | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-03-29 |
| 1295114932 | Amulya Reddy | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2015-05-27 |
| 1194142166 | Wesley Prichard | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2014-03-27 |
| 1720420557 | Sara Elizabeth Ancello | Internal Medicine | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2013-07-22 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
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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.