NPIMap

Organization Active NPI

David J. Jagoda MD PC

  • Primary Care Clinic/Center
  • Tempe, AZ
National Provider Identifier
1073806337
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25979 Issued in AZ
Legal business name
DAVID J. JAGODA MD PC
Practice address
2009 E 5TH St Ste 9
Tempe, AZ 85281-3067
Phone
(480) 237-9377
Fax
(480) 237-9377
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
David Jagoda, M.D.NPI 1093706335
Title
President
Phone
(480) 237-9377

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
Primary Care Clinic/Center 261QP2300X 25979 AZ Primary

Addresses

Primary practice location

2009 E 5TH St Ste 9
Tempe, AZ 85281-3067

Mailing address

PO Box 841
Queen Creek, AZ 85142-1817
Phone (480) 237-9377

National Provider Directory

National Provider Directory

Locations

2009 E 5th St
Ste 9
Tempe, AZ 85288
Phone (480) 237-9377

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1073806337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421817",
            "telephone_number": "480-237-9377",
            "fax_number": "480-237-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 E 5TH ST STE 9",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813067",
            "telephone_number": "480-237-9377",
            "fax_number": "480-237-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. JAGODA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "JAGODA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-237-9377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "25979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.