Organization Active NPI

Sun Valley Geriatrics PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Peoria, AZ
National Provider Identifier
1164290219
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SUN VALLEY GERIATRICS PLLC
Practice address
8194 W Deer Valley Rd Ste 106-224
Peoria, AZ 85382-2127
Phone
(623) 273-2668
Fax
(623) 265-6171
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Matthew D Skinner, MD
Title
Managing Member
Phone
(623) 273-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

8194 W Deer Valley Rd Ste 106-224
Peoria, AZ 85382-2127

Mailing address

8194 W Deer Valley Rd Ste 106-224
Peoria, AZ 85382-2127
Phone (623) 273-2668

National Provider Directory

National Provider Directory

Locations

8194 W Deer Valley Rd
Ste 106224
Peoria, AZ 85382
Phone (623) 273-2668

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1164290219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 W DEER VALLEY RD STE 106-224",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822127",
            "telephone_number": "623-273-2668",
            "fax_number": "623-265-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 W DEER VALLEY RD STE 106-224",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822127",
            "telephone_number": "623-273-2668",
            "fax_number": "623-265-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY GERIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-273-2668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.