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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | |||
| Radiation Oncology Physician |
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
NPI Registry JSON
{
"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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All providers in Scottsdale, AZ · Radiation Oncology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.