Agave Hematology Oncology Clinics PLLC

Organization Active NPI Radiation Oncology Physician · Scottsdale, AZ

NPI 1124337720 · NPPES record last updated Sep 29, 2010

Key facts

NPI
1124337720
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
AGAVE HEMATOLOGY ONCOLOGY CLINICS PLLC
Practice address
7337 E 2ND St
Scottsdale, AZ 85251-5603
Phone
(480) 882-6234
NPI assigned
Sep 29, 2010
Organization subpart
No

Authorized official

Name
Dr. Nicholas Flores
Title
Partner
Phone
(602) 441-9520

National Provider Directory

Locations

8950 S 52nd St
Ste 101
Tempe, AZ 85284
Phone (602) 441-9520

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0001X Yes

Addresses

Primary practice location

7337 E 2ND St
Scottsdale, AZ 85251-5603

Mailing address

8950 S 52ND St
Suite 101
Tempe, AZ 85284-1046
Phone (602) 441-9520

Other names

  • Integrated Oncology Network PLLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2010.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1124337720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 S 52ND ST",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841046",
            "telephone_number": "602-441-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 E 2ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515603",
            "telephone_number": "480-882-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE HEMATOLOGY ONCOLOGY CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-441-9520",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Oncology Network PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.