Organization Active NPI

Arizona Mua Specialists, LLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1053610402
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ARIZONA MUA SPECIALISTS, LLC
Practice address
10255 N 32ND St
Phoenix, AZ 85028-3851
Phone
(602) 488-4558
Fax
(602) 759-1741
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Sky Moore, DC
Title
Owner
Phone
(602) 488-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10255 N 32ND St
Phoenix, AZ 85028-3851

Mailing address

8131 N 13TH Way
Phoenix, AZ 85020-3893
Phone (602) 488-4558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1053610402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 N 13TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203893",
            "telephone_number": "602-488-4558",
            "fax_number": "602-759-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-488-4558",
            "fax_number": "602-759-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MUA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-488-4558",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 24, 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.