Organization Active NPI

Neil Trachtenberg, M.D.,P.C.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1013190420
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Feb 22, 2012

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.