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MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.
NPI 1063603470
Family Medicine in Mesa, AZ

Active since August 09, 2007
606 N COUNTRY CLUB DR, #1, MESA, AZ 85201(480) 969-3511(480) 969-0976 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mesa Clinic Of Physicians And Surgeons, Pllc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC. (NPI 1063603470) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since August 2007. The organization lists Sandra Bake, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063603470
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.
Location Address606 N COUNTRY CLUB DR, #1Mesa, AZ 85201
Mailing Address606 N Country Club Dr, #1Mesa, AZ 85201 · (480) 733-4432 · Fax (480) 733-4447
Phone(480) 969-3511
Fax(480) 969-0976
Organization SubpartNo
Authorized OfficialSandra BakeAdministrator · (480) 733-4401
Enumeration DateAugust 9, 2007
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1063603470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
606 N COUNTRY CLUB DR, Mesa, AZ 85201
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Other Identifiers 1

Medicare ID-Type UnspecifiedZWCFCX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERLYN DEAN SMITH DO
Surgery
606 N COUNTRY CLUB DR, #1 CLINIC OF PHYSICIANS AND SURGEONS
MESA, AZ 85201
Maricopa County (480) 733-4400
MODERN DIAGNOSTIC IMAGING, P.C.
Radiology (Diagnostic Radiology)
606 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 445-9961
CLINIC OF PHYSICIANS AND SURGEONS
Family Medicine
606 N COUNTRY CLUB DR, STE 1
MESA, AZ 85201
Maricopa County (480) 733-4449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mesa Clinic Of Physicians And Surgeons, PLLC.'s NPI number?

The NPI number for Mesa Clinic Of Physicians And Surgeons, PLLC. is 1063603470. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Mesa Clinic Of Physicians And Surgeons, PLLC. located?

Mesa Clinic Of Physicians And Surgeons, PLLC. is located at 606 N Country Club Dr #1, Mesa, AZ 85201. The listed phone number is (480) 969-3511.

What is Mesa Clinic Of Physicians And Surgeons, PLLC.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mesa Clinic Of Physicians And Surgeons, PLLC. was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.