Active NPI
Gila County Radiology PLLC
- Diagnostic Radiology Physician
- Globe, AZ
National Provider Identifier
1073716791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- GILA COUNTY RADIOLOGY PLLC
- Practice address
- 5880 S Hospital Dr
Globe, AZ 85501-9447 - Phone
- (480) 767-2111
- NPI assigned
- Jun 8, 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
- Dhruve Chopra
- Title
- Manager of Operations
- Phone
- (469) 757-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
5880 S Hospital Dr
Globe, AZ 85501-9447
Mailing address
9522 E San Salvadore
Suite 150
Scottsdale, AZ 85258-5569
Phone (480) 767-2111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245319 | Medicaid | AZ | |
| 117649 | Other | AZ | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Globe, AZ
- NPI 1962616151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1073716791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9522 E SAN SALVADORE",
"address_2": "SUITE 150",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585569",
"telephone_number": "480-767-2111",
"fax_number": "480-614-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 S HOSPITAL DR",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855019447",
"telephone_number": "480-767-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILA COUNTY RADIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "CHOPRA",
"authorized_official_first_name": "DHRUVE",
"authorized_official_title_or_position": "MANAGER OF OPERATIONS",
"authorized_official_telephone_number": "469-757-1000"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245319",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "117649",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.