Painted Desert Primary Care & Gynecology PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

3681 Issued in AZ

Legal business name

PAINTED DESERT PRIMARY CARE & GYNECOLOGY PC

Practice address

2020 Silver Creek Rd
BLDG. B, Ste. 101a
Bullhead City, AZ 86442-8476

Phone

(928) 704-4336

Fax

(928) 704-0410

NPI assigned

Nov 1, 2015

Organization subpart

No

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

Authorized official

Name

Teresa M Borchers, D.O.

Title

Director

Phone

(928) 704-4336

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1073986923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "BLDG. B, STE. 101A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-4336",
            "fax_number": "928-704-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "BLDG. B, STE. 101A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-4336",
            "fax_number": "928-704-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED DESERT PRIMARY CARE & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "BORCHERS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-704-4336",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "3681",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "3681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA CORPORATION FILE #",
            "identifier": "20420279",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.