Sun Valley Geriatric Medicine, P.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

46497 Issued in AZ

Legal business name

SUN VALLEY GERIATRIC MEDICINE, P.C.

Practice address

6740 W Deer Valley Rd
Suite D 107
Glendale, AZ 85310-5953

Phone

(623) 734-7414

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Matthew D Skinner, M.D.

Title

President

Phone

(623) 734-7414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1023434354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 W DEER VALLEY RD",
            "address_2": "SUITE D 107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 W DEER VALLEY RD",
            "address_2": "SUITE D 107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105953",
            "telephone_number": "623-734-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY GERIATRIC MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-734-7414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "46497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Sumpter-Sage, LPN
• Sun City Clinical Research
• Sun Imaging Associates PLC
• Sun Orthodontics, LLC
• Sun Radiology PC
• Sun Valley Medical Group
• Jeffrey Sun
• Robert B Sun, OD
• Sunlight Medical Services PLLC
• Sunnyside Behavioral Health LLC

• Geriatric Medicine (Internal Medicine) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.