Uptown Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

UPTOWN MEDICAL LLC

Practice address

3724 N 3Rd St Ste 300
Phoenix, AZ 85012-2036

Phone

(480) 634-6400

Fax

(480) 634-6400

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Challen Waychoff III

Title

Coo/Manager

Phone

(480) 634-6400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1013496199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122036",
            "telephone_number": "480-634-6400",
            "fax_number": "480-634-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122036",
            "telephone_number": "480-634-6400",
            "fax_number": "480-634-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "CHALLEN",
        "authorized_official_title_or_position": "COO/MANAGER",
        "authorized_official_telephone_number": "480-634-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Celine Renee Upton, DDS
• Uptown Facility, LLC
• Uptown Family Dentistry & Orthodontics LLC
• Uptown Painstop, LLC
• Uptown Pediatric Dental Group, PLLC
• Uptown Psychiatry LLC
• Uptown Psychiatry PLLC
• Uptown Smiles Dentistry

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.