Arizona Gastroenterology Associates, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35693 Issued in AZ

Legal business name

ARIZONA GASTROENTEROLOGY ASSOCIATES, LLC

Practice address

5529 E Angela Dr
Scottsdale, AZ 85254-5873

Phone

(877) 283-4714

Fax

(623) 444-5495

NPI assigned

Sep 10, 2009

Last updated

Feb 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila R Peirson, CPC

Title

Billing Manager

Phone

(877) 283-4714

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1073846879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 E ANGELA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545873",
            "telephone_number": "877-283-4714",
            "fax_number": "623-444-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 E ANGELA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545873",
            "telephone_number": "877-283-4714",
            "fax_number": "623-444-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GASTROENTEROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "PEIRSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "877-283-4714",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "35693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755267",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.