Organization Active NPI

P&R Medical Center, LLC

  • General Practice Physician
  • Scottsdale, AZ
National Provider Identifier
1144793779
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
P&R MEDICAL CENTER, LLC
Practice address
7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292
Phone
(480) 530-3489
Fax
(480) 530-3482
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Jennifer Langbehn
Title
Vice President
Phone
(480) 530-3489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292

Mailing address

7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292
Phone (480) 530-3489

National Provider Directory

National Provider Directory

Locations

7629 E Pinnacle Peak Rd
Scottsdale, AZ 85255

7629 E Pinnacle Peak Rd
Ste 118
Scottsdale, AZ 85255
Phone (480) 530-3489

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1144793779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "480-530-3489",
            "fax_number": "480-530-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "480-530-3489",
            "fax_number": "480-530-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&R MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "LANGBEHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-530-3489"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.