NPIMap

Organization Active NPI

Phoenix Neurology and Sleep Medicine PLLC

  • Clinical Medical Laboratory
  • Goodyear, AZ
National Provider Identifier
1003216870
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHOENIX NEUROLOGY AND SLEEP MEDICINE PLLC
Practice address
2940 N Litchfield Rd
Goodyear, AZ 85395-7830
Phone
(623) 535-0050
Fax
(623) 535-9520
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Troy G Anderson, MD
Title
Member/Owner
Phone
(623) 535-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2940 N Litchfield Rd
Goodyear, AZ 85395-7830

Mailing address

PO Box 205112
Dallas, TX 75320-5112
Phone (623) 535-0050

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Neurology and Sleep Medicine PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1003216870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753205112",
            "telephone_number": "623-535-0050",
            "fax_number": "623-535-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957830",
            "telephone_number": "623-535-0050",
            "fax_number": "623-535-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NEUROLOGY AND SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "623-535-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.