Phoenix Pet Partners, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PHOENIX PET PARTNERS, LLC

Practice address

4540 E Cotton Gin Loop
Ste 150
Phoenix, AZ 85040-4820

Phone

(602) 331-1771

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Michael Lawson, M.D.

Title

President

Phone

(602) 331-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1114077187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "602-331-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E COTTON GIN LOOP",
            "address_2": "STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850404820",
            "telephone_number": "602-331-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PET PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-331-1771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Pain Treatment Centers, PLLC
• Phoenix Pediatric Dental
• Phoenix Pediatric Dental, LLC
• Phoenix Pediatric Dialysis Center LLC
• Phoenix Pediatrics LTD
• Phoenix Physical Medicine LLC
• Phoenix Plastic Surgery, PLLC
• Phoenix Premiere Pain, LLC
• Phoenix Psychology and Counseling LLC
• Phoenix Residential Care LLC

• Diagnostic Radiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.