Philip Kaczar MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26301 Issued in AZ

Legal business name

PHILIP KACZAR MD PC

Practice address

1300 N 12TH St
Suite #516
Phoenix, AZ 85006-2848

Phone

(602) 252-3967

Fax

(602) 252-1474

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Faye Greenman

Title

Office Manager

Phone

(602) 252-3967

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret A. Lorimor, FNP C RN MSN

  • Family Health Clinical Nurse Specialist
  • Guthrie, OK
  • NPI 1790735371
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1033487442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE #516",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-252-3967",
            "fax_number": "602-252-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE #516",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-252-3967",
            "fax_number": "602-252-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP KACZAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "GREENMAN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-252-3967"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Phelps, PHARMD
• Phi Health, L.L.C.
• Che Phifer, LM, CPM
• Mary Lou Philage, MSW, LCSW
• Philautia Wellness Centers, LLC
• Philip S Johnson DDS PC
• Idorenyin Philip, NP
• Prasad Kunnel Philip, RPH
• Teann Philippis, PA-C
• Sunnil S Phillip

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.