David J. Jagoda MD PC

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

Organization subpart

No

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

Authorized official

Name

David Jagoda, M.D.

Title

President

Phone

(480) 237-9377

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Primary Care Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Primary Care Clinic/Center in Arizona

• 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.