Organization Active NPI

R Thomas Stoffer MD PC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1063294247
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
R THOMAS STOFFER MD PC
Practice address
3201 W Peoria Ave Ste C604
Phoenix, AZ 85029-4611
Phone
(602) 993-1773
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Gladymar Vrkic
Title
Owner
Phone
(813) 610-9031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3201 W Peoria Ave Ste C604
Phoenix, AZ 85029-4611

Mailing address

3201 W Peoria Ave Ste C604
Phoenix, AZ 85029-4611

National Provider Directory

National Provider Directory

Locations

3201 W Peoria Ave
Ste C604
Phoenix, AZ 85029
Phone (602) 993-1773

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1063294247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE C604",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE C604",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294611",
            "telephone_number": "602-993-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R THOMAS STOFFER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "VRKIC",
        "authorized_official_first_name": "GLADYMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-9031"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Oct 20, 2023; 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.