MSK CENTER OF MESA NPI 1114698172

NPI Information

  • NPI: 1114698172
  • Provider Name: MSK CENTER OF MESA
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 8427 E BASELINE RD STE 101
    MESA, AZ
    ZIP 85209
  • Phone: (480) 357-6500

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NPI Details

MSK CENTER OF MESA is a multi-specialty clinic center in Mesa, AZ. MSK CENTER OF MESA NPI is 1114698172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8427 E BASELINE RD STE 101
MESA, AZ
ZIP 85209-381
Phone: (480) 357-6500

The provider's authorized official is Eric Bloom .
The authorized official title is Owner and has the following contact phone number (480) 357-6500.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNo
22251X0800XPhysical TherapistOrthopedicNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11710185384OTHERTENNESSEENPI
21083025423OTHERARIZONANPI
31730480666OTHERARIZONANPI
41962819235OTHERNEW YORKNPI

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: 3/30/2025

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