PK NEUROLOGY PLLC – NPI #1104763051
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PK NEUROLOGY PLLC is a provider located in MESA, AZ. NPPES recently assigned the NPI number 1104763051 to PK NEUROLOGY PLLC on April 29, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PK NEUROLOGY PLLC below.

NPI Profile for
PK NEUROLOGY PLLC

NPI Number
1104763051
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PK NEUROLOGY PLLC
Primary location
455 N MESA DR STE 5
MESA, AZ 85201-5936
Phone: (480) 813-2906 Fax:
Mailing address
5738 E STAR VALLEY ST
MESA, AZ 85215-9664
Phone: (801) 471-7340 Fax:
Organization Subpart
No
Authorized Official
PAUL LANIER
PRINCIPAL
Phone: (801) 471-7340
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.