Active NPI
Neil Trachtenberg, M.D.,P.C.
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1013190420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NEIL TRACHTENBERG, M.D.,P.C.
- Practice address
- 300 W Clarendon Ave Ste 145
Phoenix, AZ 85013-3449 - Phone
- (602) 248-8962
- NPI assigned
- Dec 7, 2007
- 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
- Neil Trachtenberg, MD
- Title
- Owner
- Phone
- (602) 248-8962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
300 W Clarendon Ave Ste 145
Phoenix, AZ 85013-3449
Mailing address
300 W Clarendon Ave Ste 145
Phoenix, AZ 85013-3449
Phone (602) 248-8962
Other names 1
- 222 OB/Gyn P.C.
National Provider Directory
National Provider DirectoryLocations
300 W Clarendon Ave
Ste 145
Phoenix, AZ 85013
Phone (602) 248-8962
300 W Clarendon Ave
#145222
Phoenix, AZ 85013
Phone (602) 248-8962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1013190420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133449",
"telephone_number": "602-248-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133449",
"telephone_number": "602-248-8962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIL TRACHTENBERG, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "TRACHTENBERG",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-248-8962",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "222 OB/Gyn P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.