Active NPI
Palo Verde Plastic Surgery PC
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
National Provider Identifier
1043433949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 28662
- Legal business name
- PALO VERDE PLASTIC SURGERY PC
- Practice address
- 15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7694 - Phone
- (480) 759-3001
- Fax
- (480) 759-1341
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Rowley, MD
- Title
- President
- Phone
- (480) 759-3001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 28662 | AR | Primary |
Addresses
Primary practice location
15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7694
Mailing address
15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7694
Phone (480) 759-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15810 S 45th St
Ste 140
Phoenix, AZ 85048
Phone (480) 597-7333
4545 E Chandler Blvd
Ste 110
Phoenix, AZ 85048
Phone (480) 759-3001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1285601112
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1811961113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1043433949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15810 S 45TH ST",
"address_2": "SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487694",
"telephone_number": "480-759-3001",
"fax_number": "480-759-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 S 45TH ST",
"address_2": "SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487694",
"telephone_number": "480-759-3001",
"fax_number": "480-759-1341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALO VERDE PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "ROWLEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-759-3001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AR",
"license": "28662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.