Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mesquite Hospital and Surgical

Organization Surgical Physician Assistant · NPI 1497170104

Mesquite Hospital and Surgical provides Surgical Physician Assistant services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

2852 S Carriage Ln
Mesa, AZ 85202-7801 Not confirmed with CMS for 12 years — call before visiting
Phone: (480) 706-9430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 37975 (AZ)

Record details

NPI number1497170104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Herzog — Owner · (480) 706-9430
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing addressPo Box 40760, Mesa, AZ 85274-0760

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