VISTA MEDICAL GROUP
NPI 1245553502
Specialist in Mesa, AZ
NPI Status: Active since March 01, 2010
Contact Information
1111 S STAPLEY DR
SUITE 111
MESA, AZ
ZIP 85204
Phone: (480) 398-1220
Fax: (480) 398-1230
- Organization
- Specialist
About VISTA MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Vista Medical Group, a provider established in Mesa, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1245553502 assigned on March 2010. The practitioner's primary taxonomy code is 174400000X with license number 36286 (AZ). The provider is registered as an organization and their NPI record was last updated 15 years ago. Vista Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Vista Medical Group. The authorized official of this NPI record is Miss Shannon Gray (Administrator/owner)
- NPI
- 1245553502
- Provider Legal Name
- SHANNON GRAY
- Other Organization Name
- VISTA MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1111 S STAPLEY DR SUITE 111 MESA, AZ 85204
- Location Phone
- (480) 398-1220
- Location Fax
- (480) 398-1230
- Mailing Address
- 212 W SUPERSTITION BLVD SUITE 101 APACHE JUNCTION, AZ 85120
- Mailing Phone
- (480) 983-4200
- Mailing Fax
- (480) 398-1230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2010
- Last Update Date
- 03-01-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 36286
- License State
- AZ
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z129870 | MEDICARE PIN (08) | AZ |
Reviews for VISTA MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 5 | 5 | 3 | 5 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 10 | 5 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 0 + 5 + 6 + 5 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1245553502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699746289 | JENNIFER L. ECKLES Individual | Audiologist | 1111 S STAPLEY DR MESA, AZ 85204 (480) 464-6870 |
| 1285968792 | AZ-TECH RADIOLOGY & OPEN MRI Organization | Specialist | 1111 S STAPLEY DR SUITE 105 MESA, AZ 85204 (480) 835-0002 |
| 1093043531 | VMG, LLC Organization | Specialist | 1111 S STAPLEY DR SUITE 111 MESA, AZ 85204 (480) 398-1220 |
| 1407279771 | MRS. NIRVA M JEAN-BAPTISTE A.M.H.N.P Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1396958393 | MR. DAVID A. JONES LCSW Individual | Social Worker (Clinical) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1275876195 | RUBY J HILD Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1811304272 | MARCI BASTIEN NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1801337217 | MICHAEL ZIMMERMAN LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1821513565 | HUMBERTO BELTRAN DNP, PMHNP-BC, RN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1063987394 | MS. ALICE JOY BARTON LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 797-7055 |
| 1376189894 | AMANDA M CHAVEZ LCSW Individual | Social Worker (Clinical) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1720481419 | DANIELLE SEAROR MHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1578198479 | ADRIENNE RABICK Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1467050195 | LINSEY M METTENBRINK LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1063013506 | GEOFFREY B CARR LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1952998379 | JACQUELINE C SUNDOL LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1841883451 | ADENA ELIZABETH BOWEN LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1962034215 | LIA DOH NP Individual | Nurse Practitioner (Family) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 302-7900 |
| 1326719774 | LORI ALENE PARKER PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
| 1013654011 | KARYN RAE BORREGO LPC Individual | Counselor (Professional) | 1111 S STAPLEY DR MESA, AZ 85204 (602) 685-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245553502, enumerated in the NPI registry as an "organization" on March 01, 2010
The provider is located at 1111 S Stapley Dr Suite 111 Mesa, Az 85204 and the phone number is (480) 398-1220
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 01, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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