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MESA FAMILY PHYSICIANS PLC NPI 1174723274


NPI Information

NPI: 1174723274
Provider Name: MESA FAMILY PHYSICIANS, PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D0682242

Address:
1440 S COUNTRY CLUB DR
SUITE #30
MESA, AZ
ZIP 85210
Phone: (480) 964-5800
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MESA FAMILY PHYSICIANS, PLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MESA FAMILY PHYSICIANS, PLC NPI is 1174723274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1440 S COUNTRY CLUB DR
SUITE #30
MESA, AZ
ZIP 85210-701
Phone: (480) 964-5800
Fax: (480) 644-1372

The provider's authorized official is David E. Benton .
The authorized official title is Partner and has the following contact phone number (480) 964-5800.

The CLIA number assigned to this NPI record is 03D0682242 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2007 and was last updated on 8/6/2009.


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
1207Q00000XFamily Medicine14219ARIZONANo
2207Q00000XFamily Medicine13293ARIZONANo
3207Q00000XFamily Medicine21891ARIZONANo
4207Q00000XFamily Medicine10054ARIZONAYes

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
1G17872MEDICARE UPINARIZONA
2D86735MEDICARE UPINARIZONA
3D44390MEDICARE UPINARIZONA
4D37085MEDICARE UPINARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.