Canyon Sky ENT PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

41072 Issued in AZ

Legal business name

CANYON SKY ENT PLLC

Practice address

2151 E Pecos Rd Ste 1
Chandler, AZ 85225-6098

Phone

(480) 676-3322

Fax

(480) 676-3523

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Maulik B. Shah, MDNPI 1508015397

Title

Owner

Phone

(480) 676-3322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maulik B Shah, M.D.

  • Otolaryngology Physician
  • Chandler, AZ
  • NPI 1508015397
  Medicare reassignment NPD Authorized official
• Laura Uhl, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
  • NPI 1861939530
  Medicare reassignment

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1174013270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256098",
            "telephone_number": "480-676-3322",
            "fax_number": "480-676-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256098",
            "telephone_number": "480-676-3322",
            "fax_number": "480-676-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SKY ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-676-3322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "41072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Marie Cantwell
• Canyon Hospitalists LLC
• Canyon Medical Solutions Inc (Advanced Family Medicine)
• Canyon Oaks Assisted Living LLC
• Canyon Oaks Home Assisted Living (Canyon Oaks Assisted Living LLC)
• John D Cao, PHARMACIST
• John Thanh Cao, PHARMD.
• Yafei Cao
• Capital Surgery Centers LLC
• Clifford Nicandro Capria Jr.

• Otolaryngology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.