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NPI Code Detail

MEDICARE: JAMES P MEAD DO

MEDICARE: JAMES P MEAD DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician4609AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386696656
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES P MEAD DO
Provider Business Mailing Address
First Line : 6333 E MONTREAL PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S DOBSON RD
Second Line :
City : MESA
State : AZ
Zip : 85202-4707
Country : US
Telephone Number : 480-456-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 01/27/2021

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