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 is a General Practice Physician 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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