NPIMap

Organization Active NPI

Good Samaritan Physicians Association, Inc.

  • Preferred Provider Organization
  • Phoenix, AZ
National Provider Identifier
1033647128
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
GOOD SAMARITAN PHYSICIANS ASSOCIATION, INC.
Practice address
3030 N Central Ave Ste 1405
Phoenix, AZ 85012-2720
Phone
(602) 265-2524
Fax
(602) 265-3289
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Constance Irene Richardson
Title
Director of Operations
Phone
(602) 265-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

3030 N Central Ave Ste 1405
Phoenix, AZ 85012-2720

Mailing address

3030 N Central Ave Ste 1405
Phoenix, AZ 85012-2720
Phone (602) 265-2524

Other names 1

  • Arizona State Physicians Association 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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033647128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122720",
            "telephone_number": "602-265-2524",
            "fax_number": "602-265-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122720",
            "telephone_number": "602-265-2524",
            "fax_number": "602-265-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN PHYSICIANS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-265-2524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona State Physicians Association",
            "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 Jul 21, 2022; 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.