CONCENTRA PRIMARY CARE OF ARIZONA, PA (NPI# 1881944619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881944619 |
Entity Type | Organization |
Organization Name | CONCENTRA PRIMARY CARE OF ARIZONA, PA |
Other Organization Name | MESA FAMILY MEDICAL CENTER |
Practice Address |
1345 E. Mckellips Road Suite 106 Mesa AZ 85203 |
Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 |
Practice Telephone | 9723648000 |
Practice Fax Number | 2147754502 |
Mailing Telephone | 9723648000 |
Mailing Fax Number | 2147754502 |
Enumeration Date | 2012-09-19 |
Last Update Date | 2016-03-02 |
Authorized Official Name | DR. JOHN ANDERSON (PRESIDENT) |
Authorized Official Telephone | 9723648000 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mesa Family Medical Center | Doing Business As Name - Organization |
Street Address |
1345 E. MCKELLIPS ROAD SUITE 106 |
City | MESA |
State | AZ |
Zip Code | 85203 |
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 |
1073803508 | Mikel W Skousen Do Ltd | Clinic/Center | 457 E 4th Pl, Mesa, AZ 85203-7154 | 2011-04-18 |
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.