Phoenix Head and Neck Surgery LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

12576 Issued in AZ

Legal business name

PHOENIX HEAD AND NECK SURGERY LTD

Practice address

4250 E Camelback Rd Ste K250
Phoenix, AZ 85018-2777

Phone

(602) 254-9398

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark E. Baldree, M.D.

Title

Surgeon

Phone

(602) 254-9398

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1205185220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 E CAMELBACK RD STE K250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182777",
            "telephone_number": "602-254-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E CAMELBACK RD STE K250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182777",
            "telephone_number": "602-254-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEAD AND NECK SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BALDREE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "602-254-9398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "12576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission (Phoenix Rescue Mission)
• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
• Phoenix Health & Wellness Center Inc.
• Phoenix Health Practitioners LLC
• Phoenix Health Psychology, PLLC
• Phoenix Healthcare LLC (Grace Healthcare of Phoenix)
• Phoenix Heart Center, PC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.