Arizona Center for Neurologic Medicine, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

21445 Issued in AZ

Legal business name

ARIZONA CENTER FOR NEUROLOGIC MEDICINE, PC

Practice address

2702 N 3Rd St Ste 2007
Phoenix, AZ 85004-4606

Phone

(602) 200-6999

Fax

(602) 200-6990

NPI assigned

Aug 14, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jody Reiser, M.D.NPI 1194949560

Title

Ceo

Phone

(602) 200-6999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Arizona Center for Neurologic Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arizona Center for Neurologic Medicine

  • Specialist
  • Phoenix, AZ
  • NPI 1457602575
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jody Reiser, MD

  • Specialist
  • Phoenix, AZ
  • NPI 1194949560

  Neurology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1144233784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST STE 2007",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044606",
            "telephone_number": "602-200-6999",
            "fax_number": "602-200-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST STE 2007",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044606",
            "telephone_number": "602-200-6999",
            "fax_number": "602-200-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR NEUROLOGIC MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "REISER",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-200-6999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "21445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Center for Hand Surgery PC (Arizona Center for Hand to Shoulder Surgery)
• Arizona Center for Hand Surgery PC (Arizona Center for Hand to Shoulder Surgery)
• Arizona Center for Hand Surgery PC (Arizona Center for Hand to Shoulder Surgery)
• Arizona Center for Hand Surgery PC (Arizona Center for Hand to Shoulder Surgery)
• Arizona Center for Neurologic Medicine
• Arizona Center for Surgical Excellence, LLC
• Arizona Central Surgical Associates PLLC
• Arizona Chest Physicians PC
• Arizona Child Psychiatry, PC
• Arizona Children Home,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.