ATLAS MEDICAL ACO LLC
NPI 1396573705
Clinic/Center in Mesa, AZ

NPI Status: Active since July 25, 2024

Contact Information

7227 E BASELINE RD STE 126
MESA, AZ
ZIP 85209
Phone: (480) 219-4790

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  • Organization
  • Clinic/Center

About ATLAS MEDICAL ACO LLC

This page provides the complete NPI Profile along with additional information for Atlas Medical Aco Llc, a provider established in Mesa, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1396573705 assigned on July 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Gregory Chad Mangum (Owner)

NPI
1396573705
Provider Name
ATLAS MEDICAL ACO LLC
Entity Type
Organization
Location Address
7227 E BASELINE RD STE 126 MESA, AZ 85209
Location Phone
(480) 219-4790
Mailing Address
PO BOX 4682 LOGAN, UT 84323
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-25-2024
Last Update Date
10-17-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY CHAD MANGUM

Authorized Official Title
OWNER
Authorized Official Phone
(435) 514-5646

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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.
1396573705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186107670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 0 + 7 + 6 + 7 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1396573705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164611000 CAMILLE E. COX F.N.P.
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1790331445 JUSTINA CYCHOWSKI FNP
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1508983644 KAMAKSHI K MUKKAVILLI MD
Individual
Internal Medicine7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1679753560MRS. BROOKE LOVELL MCKANE FNP-C, AGACNP-C
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1407139033 BRITTANY LYNN CERASUOLO DPT
Individual
Physical Therapist7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1992441836MRS. KRISTEENA ISON FNP
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1962115345 KIRSTEN NAOMI HAMMONS OTR/L
Individual
Occupational Therapist7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1427147776 KAREN HUNT DPM
Individual
Podiatrist7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1790268936 JESSICA A CIVIELLO
Individual
Social Worker (Clinical)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1720583685MRS. KRISTIN PAULINE MEHARRY FNP-C
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1346499324CENTURY CARE INC
Organization
Internal Medicine7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1639612856 TIFFANY ANN NOETZEL FNP-C
Individual
Nurse Practitioner (Family)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1609350271MS. ASHLEY ARCHER NP-C
Individual
Family Medicine7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1003346545DR. CLAY BRYANT SHUMWAY DPM
Individual
Podiatrist (Foot & Ankle Surgery)7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650
1508211921 DANIEL COUCH NP
Individual
Nurse Practitioner7227 E BASELINE RD STE 126
MESA, AZ 85209
(480) 868-9650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396573705, enumerated in the NPI registry as an "organization" on July 25, 2024

The provider is located at 7227 E Baseline Rd Ste 126 Mesa, Az 85209 and the phone number is (480) 219-4790

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on July 25, 2024. 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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