Active NPI
Interventional Radiology PLC
- Vascular & Interventional Radiology Physician
- Phoenix, AZ
National Provider Identifier
1104009109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- INTERVENTIONAL RADIOLOGY PLC
- Practice address
- 1800 E Van Buren St
Phoenix, AZ 85006-3742 - Phone
- (602) 254-2123
- Fax
- (602) 254-4172
- NPI assigned
- Dec 12, 2007
- Last updated
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cordell A Esplin, M.D.
- Title
- President
- Phone
- (602) 943-9200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | AZ | Primary |
Addresses
Primary practice location
1800 E Van Buren St
Phoenix, AZ 85006-3742
Mailing address
PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z7077 | Other | AZ | HEALTH NET |
| 874801 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Vascular & Interventional Radiology Physician
- Phoenix, AZ
- NPI 1619942216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1104009109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27340",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850617340",
"telephone_number": "602-943-9200",
"fax_number": "602-216-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063742",
"telephone_number": "602-254-2123",
"fax_number": "602-254-4172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL RADIOLOGY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "ESPLIN",
"authorized_official_first_name": "CORDELL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-943-9200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z7077",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "874801",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- International Okinawan Karate Academy & Wellness (Iokaw)
- Internists, Oncologists LTD
- Megan Olivia Internoscia, COTA/L
- Anthony Interrante III, NP
- Interventional Neurology of Az LLC
- Interventional Radiology, LTD
- Interventional Services Group PLLC
- Interventional Surgical, LLC
- Ketfa Inthathirath
- Mackenzie Marie Intlekofer, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.