EAST VALLEY MEDICAL GROUP, INC. (NPI# 1134473838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134473838 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY MEDICAL GROUP, INC. |
| Practice Address |
10238 E Hampton Ave Suite 212 Mesa AZ 85209-3316 |
| Practice Telephone | 4806322004 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MR. RICHARD A. WEST (CHIEF HEALTHCARE ADMINISTRATOR) |
| Authorized Official Telephone | 4808453132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
10238 E HAMPTON AVE SUITE 212 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494551 | Santina Carminati Taddei | Internal Medicine | 10238 E Hampton Ave, Suite 305, Mesa, AZ 85209-3316 | 2005-08-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1154874790 | Carissa Noriega | Nurse Practitioner | 10238 E Hampton Ave, #507, Mesa, AZ 85209-3316 | 2016-08-01 |
| 1336500198 | Mountain Vista Medical Group Pllc | Specialist | 10238 E Hampton Ave, Suite 205, Mesa, AZ 85209 | 2016-03-08 |
| 1750789079 | Jasmine Turner | Nurse Practitioner | 10238 E Hampton Ave, 508, Mesa, AZ 85209-3316 | 2014-12-18 |
| 1881012144 | Arizona Hospital Specialists, Pllc | Family Medicine | 10238 E Hampton Ave, 205, Mesa, AZ 85209-3316 | 2014-04-03 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1265716344 | Jaclyn Bacon | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2011-10-06 |
| 1477872786 | Michelle Leigh Pande | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2010-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1831757152 | Jamie Todd | General Practice | 1140 N Higley Rd, Mesa, AZ 85205-5386 | 2019-06-01 |
| 1760969190 | Provider Provider PC | General Practice | 841 W 11th St, Mesa, AZ 85201-3109 | 2018-07-28 |
| 1538533799 | Feliz Care Centers Pllc | General Practice | 1345 E Main St Ste 100, Mesa, AZ 85203-8950 | 2015-11-25 |
| 1457755514 | Svelte LLC | General Practice | 6344 E Broadway Rd Ste 101, Mesa, AZ 85206-1634 | 2014-10-20 |
| 1336583186 | Chelsea Alexandra Roberts | General Practice | 4111 E Valley Auto Dr Ste 209, Mesa, AZ 85206-4609 | 2013-04-23 |
| 1194001198 | Keith Krein | General Practice | 3227 N 88th St, Mesa, AZ 85207-9782 | 2011-10-24 |
| 1396934402 | James S Cerneka Do Pllc | General Practice | 500 W 10th Pl Ste 120, Mesa, AZ 85201-3218 | 2007-10-15 |
| 1730390691 | Quirino B Valeros | General Practice | 2104 E Enid Ave, Mesa, AZ 85204-4512 | 2007-05-24 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on EAST VALLEY MEDICAL GROUP, INC..
| 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.