Roger J. Hucek, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

19766 Issued in AZ

Legal business name

ROGER J. HUCEK, M.D., INC.

Practice address

5620 W Thunderbird Rd
Suite E-1
Glendale, AZ 85306-4636

Phone

(602) 547-1623

Fax

(602) 547-1767

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Norma Lorenzana

Title

Office Manager

Phone

(602) 547-1623

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23543/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana M Garner, NP

  • Adult Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1285905315
  NPD (past)
• Byron Lucia, P.A.-C.

  • Surgical Physician Assistant
  • Scottsdale, AZ
  • NPI 1811979750
  NPD (past)
• Sammy A Zakhary, M.D.

  • Vascular Surgery Physician
  • Glendale, AZ
  • NPI 1447291893
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1083882286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE E-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-547-1623",
            "fax_number": "602-547-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE E-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-547-1623",
            "fax_number": "602-547-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J. HUCEK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "LORENZANA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-547-1623",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "19766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044967",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Nicole Rodriguez, BS
• Lizette Rodriquez
• Elaine Monique Ramos Roe, OD
• Matthew Roe, O.D.
• Mireya J Roe
• Alexis Jessica Rogers
• Eliza Rogers
• Thomas William Rogers, DDS
• Jasmine Rojas, LPN
• Vamsi Rokkam, M.D.

• Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.