T.a. Jantz, D.O., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4667 Issued in AZ

Legal business name

T.A. JANTZ, D.O., P.C.

Practice address

1008 E McDowell Rd
Phoenix, AZ 85006-2603

Phone

(602) 258-7003

Fax

(602) 254-3474

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Theophil Jantz, D.O.

Title

Physician

Phone

(602) 258-7003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1114107323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.A. JANTZ, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "JANTZ",
        "authorized_official_first_name": "THEOPHIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-258-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "4667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.