DOUG MAREADY MD PLLC


Address: 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625
Phone: 4806262444

DOUG MAREADY MD PLLC (NPI# 1255860342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255860342
Entity Type Organization
Organization Name DOUG MAREADY MD PLLC
Other Organization Name MAREADY MEDICAL
Practice Address 4135 S Power Rd Ste 113
Mesa
AZ 85212-3625
Practice Telephone 4806262444
Practice Fax Number 4804092987
Mailing Telephone 4806262444
Mailing Fax Number 4804092987
Enumeration Date 2017-06-12
Last Update Date 2019-06-11
Authorized Official Name DOUGLAS MILAN MAREADY (OWNER)
Authorized Official Telephone 4359949135
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 342714-1205 UT Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 54000 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 331408 05

Other Provider/Organization Names

Other Name Type Code
Maready Medical Doing Business As Name - Organization

Office Location

Street Address 4135 S POWER RD STE 113
City MESA
State AZ
Zip Code 85212-3625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689876252 Douglas Milan Maready Internal Medicine 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2007-06-05
1598235665 Phoenix Addiction Recovery LLC Clinic/Center 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2018-11-30
1528578515 Bret L. Lopez Internal Medicine 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2017-10-04
1043608052 Karen Louise Wilsman Nurse Practitioner 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2014-12-27

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NPI Name Taxonomy Address Enumeration
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1194371526 Safeway Inc Durable Medical Equipment & Medical Supplies 4316 S Signal Butte Rd, Mesa, AZ 85212 2019-08-12
1194200980 Highbury Dental Management, LLC Dentist 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 2018-09-27
1033623541 Latanya Olivia Edenburgs Case Manager/Care Coordinator 10436 E Radiant Ave., Mesa, AZ 85212 2017-11-20
1205355880 Linda Okafor Nurse Practitioner 4719 S Calderon Circle, Mesa, AZ 85212 2017-09-14
1689121188 Agh Mesa LLC General Acute Care Hospital 9130 East Elliot Road, Mesa, AZ 85212 2016-09-01
1861841918 Ryan Blake Dentist 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 2016-06-09
1083089460 White Glove Health Nurse Practitioner 2906 S Lynch Cr, Mesa, AZ 85212 2015-12-10
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467914853 Endeavor Mobile Medical, LLC Internal Medicine 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 2019-04-03
1851886329 Alfonso A Tan Md PC Internal Medicine 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 2018-06-27
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1952849945 Platinum Internal Medicine Internal Medicine 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 2017-02-09
1700235751 Iora Senior Health Inc Internal Medicine 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 2016-06-10
1265811418 Sandra Violetta Mele Internal Medicine 1301 S. Crimson Rd, Mesa, AZ 85209-3316 2015-05-20
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1760778906 Maaz Iqbal Internal Medicine 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 2011-06-27
1326333733 Amy Elizabeth Daliman Internal Medicine 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 2011-06-14
1396046413 Lifecare Hospitalists Pllc Internal Medicine 2627 N Raven, Mesa, AZ 85207-2038 2010-11-04
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Competitor

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City MESA
Zip Code 85212

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Dataset Information

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.

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