Clinic/Center in PHOENIX, AZ
Last Updated on : Jan 06,2014
is a Clinic/Center in PHOENIX, United States .
1063834323 is NPI number of .
's primary taxonomy code based on NPI Lookup is 261Q00000X with license number . This taxonomy code refers to Clinic/Center.
current practice location address is 25500 N NORTERRA DR, PHOENIX, AZ. can be reached out via phone at 877-733-1710 and via fax at 623-277-1091 .
You can also correspond with through mail at mailing address 25500 N NORTERRA DR, PHOENIX, AZ, United States. Mailing address contact number is 877-733-1710.
The enumeration date of is 06-Jan-2014. The provider is registered as an Organization and the NPI record was last updated 9 years ago. The authorized official of is Stacey Popko (Medical Senior Director). Stacey Popko can be reached at 4127474128.Basic NPI information of (NPI 1063834323) is provided below.
Name | |
---|---|
National Provider Id (NPI) | 1063834323 |
Entity Type | Organization |
Practice Address | 25500 N NORTERRA DR,
PHOENIX, AZ, United States |
Practice Telephone | 877-733-1710 |
Practice Fax Number | 623-277-1091 |
Mailing Address | 25500 N NORTERRA DR ,
PHOENIX, AZ, United States |
Mailing Telephone | 877-733-1710 |
Mailing Fax Number | 623-277-1091 |
Enumeration Date | 06-Jan-2014 |
Last Updated Date | 06-Jan-2014 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 261Q00000X | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1639290471 | AREA AGENCY ON AGING, REGION ONE, INC | Voluntary or Charitable | 1366 E THOMAS RD,
SUITE 108 PHOENIX, AL, United States |
02-Apr-2007 |
1902828825 | DARRYL G STEIN | Thoracic Surgery (Cardiothoracic Vascular Surgery) | PO BOX 7779,
PHOENIX, AL, United States |
24-Jul-2006 |
1285897595 | TIMOTHY GREY WILSON | Physical Therapist | 7540 NORTH 19TH AVENUE,
#200 PHOENIX, AR, United States |
07-Jul-2008 |
1568497063 | CHRIUSTOPHER LIENAU | Dentist | 4131 NORTH 32ND STREET,
SUITE 1 PHOENIX, AR, United States |
12-Jul-2006 |
1992074355 | CAROL LAWSON | Pharmacist | 6510 W MOLLY LN,
PHOENIX, AR, United States |
14-Dec-2011 |
1285022475 | G BUFFY SLAFF | Social Worker, Clinical | 6225 W MAYA DRIVE,
PHOENIX, ARIZONA, United States Minor Outlying Islands |
23-Dec-2014 |
1457418584 | RUTH ANN PEER | Occupational Therapist, Pediatrics | 3927 W VOLTAIRE AVE,
PHOENIX, AZ, United States |
01-Jan-2007 |
1003973140 | HOPE MEDICAL TRANSPORTATION | Non-emergency Medical Transport (VAN) | 3437 W SAINT CATHERINE AVE,
PHOENIX, AZ, United States |
01-Jan-2007 |
1871650911 | AMY BETH KRUCHKOFF | Marriage & Family Therapist | 2471 W WINCHCOMB DR,
PHOENIX, AZ, United States |
01-Jan-2007 |
1255498309 | BENJAMIN SCOTT ODOM | Dentist | 5060 N 40TH ST STE 108,
PHOENIX, AZ, United States |
01-Jan-2007 |
1083035430 | HEIDI ELIZABETH SYMONS | Nurse Practitioner, Family | 4840 E INDIAN SCHOOL RD STE 101,
PHOENIX, AZ, United States |
01-Jan-2014 |
1720409162 | GWIN BENJAMIN | Physical Therapy Assistant | 450 PROSPECTOR AVE,
DURANGO, CO, United States |
03-Jan-2014 |
1184080442 | WAYNA HEIDI LIU | Physician Assistant, Medical | 4225 E MCDOWELL RD,
#3021 PHOENIX, AZ, United States |
01-Jan-2016 |
1952846875 | SANDRA LYNN ROBERTS | Pharmacist | 4742 E INDIAN SCHOOL RD,
PHOENIX, AZ, United States |
01-Jan-2017 |
1215472139 | MARK ANDREW STAPEL | Physical Therapy Assistant | 4635 N 14TH ST,
PHOENIX, AZ, United States |
01-Jan-2017 |
1518421197 | CHARLOTTE SCHWALBACH | Nurse Practitioner, Pediatrics | 1919 E THOMAS RD,
PHOENIX, AZ, United States |
28-Jan-2019 |
1376015354 | SERGE N SANDRALI | Behavior Technician | 4110 W OREGON AVE,
PHOENIX, AZ, United States |
01-Jan-2019 |
1316419302 | DEBBIE BROWN | Social Worker | 2721 E AZALEA DR,
CHANDLER, AZ, United States |
01-Jan-2019 |
1588642409 | GARY ROSTAN | Family Medicine | 3811 E BELL RD,
SUITE #111 PHOENIX, AZ, United States |
03-Jan-2006 |
1407834385 | SHEENA BANERJEE | Pediatrics | 2510 W DUNLAP AVE,
SUITE 290 PHOENIX, AZ, United States |
02-Jan-2006 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1063834323 is the NPI number of .
Where is located?is located at 25500 N NORTERRA DR, PHOENIX, AZ.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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