Canyon Urology Services LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CANYON UROLOGY SERVICES LLC

Practice address

5750 W Thunderbird Rd Ste B200
Glendale, AZ 85306-4664

Phone

(602) 375-1700

Fax

(602) 978-1225

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ken-Ryu Han, MD

Title

Manager

Phone

(602) 375-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1124365531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE B200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064664",
            "telephone_number": "602-375-1700",
            "fax_number": "602-978-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE B200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064664",
            "telephone_number": "602-375-1700",
            "fax_number": "602-978-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON UROLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "KEN-RYU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-375-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Pain and Spine
• Canyon Pain and Wellness PLLC
• Canyon Physical Therapy Glendale LLC
• Canyon State Physical Therapy
• Canyon State Urology, PC
• Bachmai Thi Cao
• Kimberly Caouette, PHD
• Gailen Capen
• Mary Capen
• Christina Elizabeth Caple, RD, MS

• Urology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.