Red House Medical PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32553 Issued in AZ

Legal business name

RED HOUSE MEDICAL PLC

Practice address

2601 N 3Rd St
Suite 305
Phoenix, AZ 85004-1104

Phone

(480) 349-5700

Fax

(480) 248-3147

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gerald R Bush, MD

Title

President

Phone

(602) 616-7354

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Duan Craig Copeland, MD

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1891808028
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1104253251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "480-349-5700",
            "fax_number": "480-248-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "480-349-5700",
            "fax_number": "480-248-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HOUSE MEDICAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-616-7354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.