Organization Active NPI

Auc Baywood LLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1114904703
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC 3838 Issued in AZ
Legal business name
AUC BAYWOOD LLC
Practice address
6553 E Baywood Ave
#103
Mesa, AZ 85206
Phone
(480) 985-6200
Fax
(480) 985-2951
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Renee L Biskupski
Title
VP of Operationsq
Phone
(602) 433-1822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC 3838 AZ Primary

Addresses

Primary practice location

6553 E Baywood Ave
#103
Mesa, AZ 85206

Mailing address

PO Box 32950
Phoenix, AZ 85064-2950
Phone (602) 433-1822

Other identifiers 1

IdentifierTypeStateIssuer
958267MedicaidAZ

Other names 1

  • Advanced Urgent Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1114904703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642950",
            "telephone_number": "602-433-1822",
            "fax_number": "602-246-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE",
            "address_2": "#103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-985-6200",
            "fax_number": "480-985-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUC BAYWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BISKUPSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONSQ",
        "authorized_official_telephone_number": "602-433-1822"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958267",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

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

Verify at the official NPI Registry.