Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Everest Medical Group Inc

Organization General Practice Physician · NPI 1184103350

Everest Medical Group Inc provides General Practice Physician services in Mesa, Arizona. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4864 E Baseline Rd Ste 105
Mesa, AZ 85206-4629
Phone: (480) 558-1900
Fax: (480) 633-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1184103350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Ruddell — Ceo · (480) 510-9475
Other names Everest Medical Group
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018
Mailing address4864 E Baseline Rd Ste 105, Mesa, AZ 85206-4629

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