OrganizationActive
Provider Provider PC
NPI 1760969190 · General Practice Physician · Mesa, AZ
Provider Provider PC is a General Practice Physician organization in Mesa, AZ (NPI 1760969190).
Provider details
- NPI number
- 1760969190
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Harris, Pa-C/Member of Corporation(480) 461-9822
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
841 W 11th St
Mesa, AZ 85201-3109
Phone: (480) 461-9822
Street-level locationGet directions
Mailing address
841 W 11th St
Mesa, AZ 85201-3109
Registry dates
- Enumerated
- 2018-07-28
- Last updated
- 2018-12-20
Frequently asked questions
- What is Provider Provider PC's NPI number?
- Provider Provider PC's National Provider Identifier (NPI) is 1760969190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider Provider PC?
- Provider Provider PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Provider Provider PC located?
- Provider Provider PC's practice location on file with NPPES is 841 W 11th St, Mesa, AZ 85201-3109.
- What is Provider Provider PC's phone number?
- The practice phone number listed in the NPPES registry for Provider Provider PC is (480) 461-9822.
- Who is the authorized official for Provider Provider PC?
- The authorized official listed on Provider Provider PC's NPPES record is Jonathan Harris, Pa-C/Member of Corporation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider Provider PC's NPI active?
- Yes — Provider Provider PC's NPI (1760969190) is active in the NPPES registry as of the last update on 2018-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.