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EVEREST MEDICAL GROUP
NPI 1184103350
General Practice in Mesa, AZ

Active since August 08, 2018
4864 E BASELINE RD STE 105, MESA, AZ 85206(480) 558-1900(480) 633-6086 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Everest Medical Group NPPES

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

EVEREST MEDICAL GROUP (NPI 1184103350) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since August 2018. The organization lists Ty Ruddell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184103350
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVEREST MEDICAL GROUP INC
Location Address4864 E BASELINE RD STE 105Mesa, AZ 85206-4629
Mailing Address4864 E Baseline Rd Ste 105Mesa, AZ 85206-4629 · (480) 558-1900 · Fax (480) 633-6086
Phone(480) 558-1900
Fax(480) 633-6086
Organization SubpartNo
Authorized OfficialTy RuddellCeo · (480) 510-9475
Enumeration DateAugust 8, 2018
✔ NPI 1184103350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4864 E BASELINE RD STE 105, Mesa, AZ 85206
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Other Names 1

Doing Business AsEverest Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

CM HEALTHCARE LLC
Chiropractor
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900
EVEREST PEDIATRIC THERAPY LLC
Clinic/Center (Rehabilitation)
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 734-5595
DR. JEFF R. RODERICK DC
Chiropractor
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900
MRS. CANDICE M GAITANIS CFNP, ARNP
Nurse Practitioner (Family)
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900

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 Everest Medical Group Inc's NPI number?

The NPI number for Everest Medical Group Inc is 1184103350. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Everest Medical Group.

Where is Everest Medical Group Inc located?

Everest Medical Group Inc is located at 4864 E Baseline Rd Ste 105, Mesa, AZ 85206. The listed phone number is (480) 558-1900.

What is Everest Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Everest Medical Group Inc was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.