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MESQUITE MEDICAL ASSOCIATESLTD NPI 1609876499


NPI Information

NPI: 1609876499
Provider Name: MESQUITE MEDICAL ASSOCIATES,LTD

Doing Business As: MESQUITE MEDICAL ASSOCIATES, LTD

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D2294276

Address:
1830 MESQUITE AVE
STE. A
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-8071
Get Directions

MESQUITE MEDICAL ASSOCIATES,LTD is an internal medicine in Lake Havasu City, AZ. The provider is 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. MESQUITE MEDICAL ASSOCIATES,LTD NPI is 1609876499. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mesquite Medical Associates, Ltd.

The provider's business location address is:

1830 MESQUITE AVE
STE. A
LAKE HAVASU CITY, AZ
ZIP 86403-885
Phone: (928) 855-8071
Fax: (928) 855-6869

The provider's authorized official is Walter K. Sosey .
The authorized official title is Physician/owner and has the following contact phone number (928) 855-8071.

The CLIA number assigned to this NPI record is 03D2294276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 11/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine7826ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D00352MEDICARE UPINARIZONA
2Z0000BGFFCMEDICARE ID-TYPE UNSPECIFIED
3AZ0010610OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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