Active NPI
Aesthetic Surgeons of Arizona, P.C.
- Plastic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1003803255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- AESTHETIC SURGEONS OF ARIZONA, P.C.
- Practice address
- 101 E Coronado Rd
Phoenix, AZ 85004-1512 - Phone
- (602) 257-8480
- Fax
- (602) 257-0050
- NPI assigned
- Oct 3, 2005
- 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
- Jack A Friedland, M.D.
- Title
- President
- Phone
- (602) 257-8480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
101 E Coronado Rd
Phoenix, AZ 85004-1512
Mailing address
101 E Coronado Rd
Phoenix, AZ 85004-1512
Phone (602) 257-8480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0200850 | Other | AZ | BC OF AZ PROVIDER # |
Other names 1
- Jack A. Friedland, M.D., P.C.
National Provider Directory
National Provider DirectoryLocations
101 E Coronado Rd
Phoenix, AZ 85004
Phone (602) 257-8480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Paradise Valley, AZ
- NPI 1417944661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003803255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E CORONADO RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041512",
"telephone_number": "602-257-8480",
"fax_number": "602-257-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E CORONADO RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041512",
"telephone_number": "602-257-8480",
"fax_number": "602-257-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC SURGEONS OF ARIZONA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRIEDLAND",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-257-8480",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF AZ PROVIDER #",
"identifier": "AZ0200850",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jack A. Friedland, M.D., P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.