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VISTA MEDICAL GROUP
NPI 1245553502
Specialist in Mesa, AZ

Active since March 01, 2010
1111 S STAPLEY DR, SUITE 111, MESA, AZ 85204(480) 398-1220(480) 398-1230 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vista Medical Group NPPES

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

VISTA MEDICAL GROUP (NPI 1245553502) is a healthcare organization registered as a specialist in Mesa, Arizona and active in the NPI registry since March 2010. The organization lists Shannon Gray, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1245553502
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHANNON GRAY
Location Address1111 S STAPLEY DR, SUITE 111Mesa, AZ 85204-5059
Mailing Address212 W Superstition Blvd, Suite 101Apache Junction, AZ 85120-4127 · (480) 983-4200 · Fax (480) 983-4317
Phone(480) 398-1220
Fax(480) 398-1230
Organization SubpartNo
Authorized OfficialShannon GrayAdministrator/owner · (480) 983-4200
Enumeration DateMarch 1, 2010
✔ NPI 1245553502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 36286
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1111 S STAPLEY DR, Mesa, AZ 85204
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Other Names 1

Doing Business AsVista Medical Group

Other Identifiers 1

Medicare PINZ129870AZ

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 20

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

KARYN RAE BORREGO LPC
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000
GEOFFREY B CARR LPC
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000
MS. ALICE JOY BARTON LPC
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 797-7055
TIFFANY A ZENK LCSW
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000
MOLLYANN L. PERRY FNP
Nurse Practitioner (Family)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000
VMG, LLC
Specialist
1111 S STAPLEY DR, SUITE 111
MESA, AZ 85204
Maricopa County (480) 398-1220
JASON E SCOGLIO LCSW
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000
ERIN MORRIS
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Maricopa County (602) 685-6000

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 Shannon Gray's NPI number?

The NPI number for Shannon Gray is 1245553502. It was assigned to this organization in the NPPES registry on March 1, 2010. The provider is doing business as Vista Medical Group.

Where is Shannon Gray located?

Shannon Gray is located at 1111 S Stapley Dr Suite 111, Mesa, AZ 85204. The listed phone number is (480) 398-1220.

What is Shannon Gray's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shannon Gray was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.