NPIMap

Organization Active NPI

MVP Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Glendale, AZ
National Provider Identifier
1073702148
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2684 Issued in AZ
Legal business name
MVP ORTHOPEDICS AND SPORTS MEDICINE
Practice address
4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589
Phone
(602) 588-4040
Fax
(602) 588-4034
NPI assigned
Oct 15, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Delbert Matthew Maddox, D.O.NPI 1871564294
Title
Owner/President
Phone
(602) 588-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2684 AZ Primary

Addresses

Primary practice location

4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589

Mailing address

4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589
Phone (602) 588-4040

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1073702148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-588-4040",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.