AFC PHYSICAL MEDICINE OF MESA, PLLC (NPI# 1831446111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831446111 |
| Entity Type | Organization |
| Organization Name | AFC PHYSICAL MEDICINE OF MESA, PLLC |
| Practice Address |
3130 E Baseline Rd Suite 107 Mesa AZ 85204-7290 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 4803451980 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | CAROLANN M. FARLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4807262287 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | AFC PHYSICAL MEDICINE OF MESA, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659645679 | Afc Physical Medicine of Mesa, Pllc | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd, Suite 107, Mesa, AZ 85204-7290 | 2012-03-08 |
| Street Address |
3130 E BASELINE RD SUITE 107 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302143 | Charles Smith Peterson | Family Medicine | 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | 2005-08-10 |
| 1396093852 | Josie Aubrey Hunt | Physician Assistant | 3130 E Baseline Rd, Ste. 103 & 104, Mesa, AZ 85204-7290 | 2012-08-15 |
| 1659645679 | Afc Physical Medicine of Mesa, Pllc | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd, Suite 107, Mesa, AZ 85204-7290 | 2012-03-08 |
| 1295055226 | Nextcare Arizona LLC | Clinic/Center | 3130 E Baseline Rd, Ste. 105, Mesa, AZ 85204-7290 | 2010-06-01 |
| 1528392891 | Kids Dental 2 P.C. | Dentist | 3130 E Baseline Rd, #103-104, Mesa, AZ 85204-7290 | 2009-09-19 |
| 1932352598 | Emeliah Constance Hanson | Chiropractor | 3130 E Baseline Rd, Suite 107, Mesa, AZ 85204-7290 | 2008-10-28 |
| 1710915194 | Nicole Joanne Nordine | Physician Assistant | 3130 E Baseline Rd, Ste 105, Mesa, AZ 85204 | 2006-06-28 |
| 1306804539 | Morris Chiropractic Inc | Chiropractor | 3130 E Baseline Rd, Ste 107, Mesa, AZ 85204 | 2006-05-04 |
| 1770549214 | Dana Landing Urgent Care LLC | Clinic/Center | 3130 E Baseline Rd, Ste. 105, Mesa, AZ 85204-7290 | 2006-04-25 |
| 1548223225 | Ramon V Buenaver | Pediatrics | 3130 E Baseline Rd, Suite 103, Mesa, AZ 85204-7290 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689110819 | Quogen LLC | Non-Pharmacy Dispensing Site | 535 E Mckellips Rd, Suite 121, Mesa, AZ 85203-2522 | 2017-01-11 |
| 1013336635 | Docrx Dispense, Inc. | Non-Pharmacy Dispensing Site | 3544 E Southern Ave, No. 104 Unit 121, Mesa, AZ 85204-5672 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609375740 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 89 Civic Center Ln, Lake Havasu City, AZ 86403-0810 | 2018-02-05 |
| 1518318328 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 6220 W Bell Rd, Suite 100, Glendale, AZ 85308-3718 | 2016-06-23 |
| 1992178982 | Caremore Health Plan of Arizona Inc | Non-Pharmacy Dispensing Site | 315 W Irvington Rd, Ste.101, Tucson, AZ 85714-3151 | 2015-11-12 |
| 1558747725 | Arizona Oncology Associates, PC | Non-Pharmacy Dispensing Site | 3188 N Windsong Dr # Sr, Ste. # A, Prescott Valley, AZ 86314-1220 | 2015-08-10 |
| 1578976379 | Arizona Oncology Associates PC | Non-Pharmacy Dispensing Site | 1315 S La Canada Dr, Green Valley, AZ 85622-1915 | 2014-06-09 |
| 1023302643 | Tri-state Medical Specialists LLC | Non-Pharmacy Dispensing Site | 1510 Wagon Wheel Lane, Suite 110, Fort Mohave, AZ 86426-6698 | 2011-05-31 |
| 1396066395 | Wound Care Usa, LLC | Non-Pharmacy Dispensing Site | 3959 E Speedway Blvd, Suite 316, Tucson, AZ 85712-4553 | 2010-06-14 |
| 1417112541 | Gold Canyon Internal Medicine | Non-Pharmacy Dispensing Site | 6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118-2963 | 2008-07-29 |
| 1740442573 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 10210 N. 92nd St, Suite 301, Scottsdale, AZ 85258 | 2008-07-02 |
| 1558523381 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 18700 N. 64th Dr, Suite 101, Glendale, AZ 85308 | 2008-07-02 |
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| 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.