Organization Active NPI

William L. Phelps II MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Green Valley, AZ
National Provider Identifier
1063464014
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
24727 Issued in AZ
Legal business name
WILLIAM L. PHELPS II MD PC
Practice address
101 W. Duval Rd.
Suite 101
Green Valley, AZ 85614-5280
Phone
(520) 625-2950
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
William Lee Phelps, M.D.
Title
President
Phone
(520) 625-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 24727 AZ Primary

Addresses

Primary practice location

101 W. Duval Rd.
Suite 101
Green Valley, AZ 85614-5280

Mailing address

101 W. Duval Rd.
Suite 101
Green Valley, AZ 85614-5280

National Provider Directory

National Provider Directory

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1063464014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. DUVAL RD.",
            "address_2": "SUITE 101",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. DUVAL RD.",
            "address_2": "SUITE 101",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145280",
            "telephone_number": "520-625-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. PHELPS II MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-625-2950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "24727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.