NPIMap

Organization Active NPI

Arizona Endoscopy, PLLC

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1003293952
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17667 Issued in AZ
Legal business name
ARIZONA ENDOSCOPY, PLLC
Practice address
1810 S Crismon Rd
#191
Mesa, AZ 85209-3717
Phone
(480) 393-0575
Fax
(480) 704-4019
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Jose Lopez Gonzalez, MD
Title
Proprietor
Phone
(480) 393-0575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 17667 AZ Primary

Addresses

Primary practice location

1810 S Crismon Rd
#191
Mesa, AZ 85209-3717

Mailing address

1810 S Crismon Rd
#191
Mesa, AZ 85209-3717
Phone (480) 393-0575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1003293952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S CRISMON RD",
            "address_2": "#191",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093717",
            "telephone_number": "480-393-0575",
            "fax_number": "480-704-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S CRISMON RD",
            "address_2": "#191",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093717",
            "telephone_number": "480-393-0575",
            "fax_number": "480-704-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ENDOSCOPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "480-393-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "17667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.