MESA EMERGENCY GROUP LLC NPI 1912000704

NPI Information

  • NPI: 1912000704
  • Provider Name: MESA EMERGENCY GROUP LLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 10501 GOLF COURSE RD NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Phone: (800) 893-9698

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NPI Details

MESA EMERGENCY GROUP LLC is an emergency medicine in Albuquerque, NM. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MESA EMERGENCY GROUP LLC NPI is 1912000704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114-019
Phone: (800) 893-9698

The provider's authorized official is William C. Schumacher .
The authorized official title is Ceo and has the following contact phone number (800) 893-9698.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency MedicineYes

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
159755270MEDICAIDNEW MEXICO

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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