NPIMap

Organization Active NPI

West Park Medical Corp

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1033201140
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST PARK MEDICAL CORP
Practice address
4136 N 75TH Ave
Suite 116
Phoenix, AZ 85033-3171
Phone
(623) 849-1869
Fax
(623) 849-5880
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Karla Rowlette
Title
General Manager
Phone
(623) 849-1869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4136 N 75TH Ave
Suite 116
Phoenix, AZ 85033-3171

Mailing address

4136 N 75TH Ave #116
Phoenix, AZ 85033-3100
Phone (623) 849-1869

Other names 1

  • Northwest Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1033201140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 N 75TH AVE #116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333100",
            "telephone_number": "623-849-1869",
            "fax_number": "623-849-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 N 75TH AVE",
            "address_2": "SUITE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333171",
            "telephone_number": "623-849-1869",
            "fax_number": "623-849-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ROWLETTE",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "623-849-1869"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2008; 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.