Active NPI
Phoenix Retina Center, LLC
- Ophthalmology Physician
- Paradise Valley, AZ
National Provider Identifier
1003141771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 37088
- Legal business name
- PHOENIX RETINA CENTER, LLC
- Practice address
- 5410 N Scottsdale Rd
Suite A400
Paradise Valley, AZ 85253-5927 - Phone
- (480) 278-8980
- NPI assigned
- Oct 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ingeborg E Kirch, MD
- Title
- Owner
- Phone
- (480) 278-8980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 37088 | AZ | Primary |
Addresses
Primary practice location
5410 N Scottsdale Rd
Suite A400
Paradise Valley, AZ 85253-5927
Mailing address
5410 N Scottsdale Rd
Suite A400
Paradise Valley, AZ 85253-5927
Phone (480) 278-8980
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69793 | Other | AZ | CHILDRENS MED SEC PLAN |
| 90546 | Other | AZ | FALLON COMM HEALTH PLAN |
| J28266 | Other | BLUE CROSS BLUE SHIELD | |
| 2094514 | Other | AZ | FIRST HEALTH |
| A37828 | Other | AZ | MEDICARE B |
| 2098466 | Medicaid | AZ | |
| 69793 | Other | AZ | HEALTHYSTART |
| 784039 | Other | MVP HEALTH CARE | |
| 042472266 | Other | AZ | HEALTHCARE VALUE MGMT |
| 042472266 | Other | AZ | TRICARE CAMPUS |
| 042472266 | Other | ONE HEALTH PLAN | |
| AA15528 | Other | AZ | HARVARD PILGRIM HEALTHCARE |
| 042472266 | Other | THREE RIVERS | |
| 0801554 | Other | EVERCARE | |
| 2098466 | Other | MEDICAID WELFARE | |
| 9317749 | Other | AZ | CIGNA HEALTH PLAN |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 7241458 | Other | AZ | AETNA US HEALTHCARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1003141771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 N SCOTTSDALE RD",
"address_2": "SUITE A400",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852535927",
"telephone_number": "480-278-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 N SCOTTSDALE RD",
"address_2": "SUITE A400",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852535927",
"telephone_number": "480-278-8980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RETINA CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-13",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "KIRCH",
"authorized_official_first_name": "INGEBORG",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-278-8980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AZ",
"license": "37088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MED SEC PLAN",
"identifier": "69793",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "90546",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J28266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2094514",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "A37828",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098466",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYSTART",
"identifier": "69793",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MGMT",
"identifier": "042472266",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CAMPUS",
"identifier": "042472266",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA15528",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0801554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "2098466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "9317749",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7241458",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.