SOUTHEAST VALLEY MEDICAL GROUP
NPI 1649256777
Family Medicine in Mesa, AZ
NPI Status: Active since December 20, 2005
Contact Information
1950 S COUNTRY CLUB DR
MESA, AZ
ZIP 85210
Phone: (480) 969-1446
Fax: (480) 969-9105
- Organization
- Family Medicine
About SOUTHEAST VALLEY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Southeast Valley Medical Group, a primary care provider established in Mesa, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649256777 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Southeast Valley Medical Group. The authorized official of this NPI record is Mrs. Silvia O'leary (Office Manager)
- NPI
- 1649256777
- Provider Legal Name
- COUNTRY CLUB MEDICAL GROUP P C
- Other Organization Name
- SOUTHEAST VALLEY MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1950 S COUNTRY CLUB DR MESA, AZ 85210
- Location Phone
- (480) 969-1446
- Location Fax
- (480) 969-9105
- Mailing Address
- 1950 S COUNTRY CLUB DR MESA, AZ 85210
- Mailing Phone
- (480) 969-1446
- Mailing Fax
- (480) 969-9105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2005
- Last Update Date
- 06-22-2010
- Code Navigator
A primary care provider (PCP) like Southeast Valley Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.
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 |
|---|---|---|---|
| Z25218 | MEDICARE PIN (08) | AZ | |
| CI5985 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ | RR MEDICARE GRP # |
Reviews for SOUTHEAST VALLEY 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 | 6 | 4 | 9 | 2 | 5 | 6 | 7 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 5 | 12 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 5 + 1 + 2 + 7 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1649256777 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1003814419 | DR. FRED NMN FISCH O.D. Individual | Optometrist | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 834-6367 |
| 1538145651 | DR. DEAN C FAUST D.O. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1689650707 | DR. KARL H ESPINOSA M.D. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1023094141 | DR. THOMAS P PORTER M.D. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1912983032 | DR. DAVID J LEBEAU D.O. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1689650715 | MR. JASON S COLLIER PA-C Individual | Physician Assistant (Medical) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1083690119 | DR. DAVID A SILBERMAN D.O. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1932185873 | DR. JAMES R CAMPBELL D.O. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1780660621 | DR. JOHN KENT BRAY D.O. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1538145370 | MR. JAMES A HARRIS PA-C Individual | Physician Assistant (Medical) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1285693358 | DR. JEROLD J. MANGAS M.D. Individual | Family Medicine | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1457545386 | BUTHAYNAH ABUNABAH Individual | Dentist (General Practice) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (602) 575-1560 |
| 1558357095 | DR. MICHAEL J MCCAULEY M.D. Individual | Specialist | 1950 S COUNTRY CLUB DR SUITE 102 MESA, AZ 85210 (480) 413-0065 |
| 1144206277 | MRS. MARTI E NEAVE KHOURY PA-C Individual | Physician Assistant (Medical) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1710381413 | SARA ALDERSON PA-C Individual | Physician Assistant | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
| 1861740326 | MISS SARAH ELIZABETH THOMPSON DPT Individual | Physical Therapist | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 436-5099 |
| 1497272314 | MELISSA A RUDOLPH PT, DPT Individual | Physical Therapist | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 436-5099 |
| 1275322604 | MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH Organization | Clinic/Center (Public Health, State or Local) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (602) 291-4414 |
| 1629867056 | MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH Organization | Pharmacy (Clinic Pharmacy) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (602) 506-6665 |
| 1205812336 | MR. DALE A HANSON PA-C Individual | Physician Assistant (Medical) | 1950 S COUNTRY CLUB DR MESA, AZ 85210 (480) 969-1446 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649256777, enumerated in the NPI registry as an "organization" on December 20, 2005
The provider is located at 1950 S Country Club Dr Mesa, Az 85210 and the phone number is (480) 969-1446
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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 December 20, 2005. 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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