Provider Demographics
NPI:1396159281
Name:NEMECHEK CONSULTATIVE MEDICINE, INC.
Entity type:Organization
Organization Name:NEMECHEK CONSULTATIVE MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MCLAUGHLIN
Authorized Official - Last Name:NEMECHEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-208-4226
Mailing Address - Street 1:4252 N VERRADO WAY
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7586
Mailing Address - Country:US
Mailing Address - Phone:623-208-4226
Mailing Address - Fax:866-480-0357
Practice Address - Street 1:4252 N VERRADO WAY
Practice Address - Street 2:SUITE 103B
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7586
Practice Address - Country:US
Practice Address - Phone:623-208-4226
Practice Address - Fax:866-480-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005424207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty