Active NPI
Array Medical Center PLLC
- Physical Medicine & Rehabilitation Physician
- Surprise, AZ
National Provider Identifier
1205359171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ARRAY MEDICAL CENTER PLLC
- Practice address
- 18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646 - Phone
- (623) 583-9180
- Fax
- (623) 583-2871
- NPI assigned
- Jul 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Woodside
- Title
- Owner
- Phone
- (623) 583-9180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646
Mailing address
1300 S Main St Ste a
Snowflake, AZ 85937-5662
Phone (928) 536-5525
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/16554/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511740800000",
"number": "1205359171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S MAIN ST STE A",
"city": "SNOWFLAKE",
"state": "AZ",
"postal_code": "859375662",
"telephone_number": "928-536-5525",
"fax_number": "928-484-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18761 N REEMS RD STE 400",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748646",
"telephone_number": "623-583-9180",
"fax_number": "623-583-2871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARRAY MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-21",
"last_updated": "2017-11-27",
"status": "A",
"authorized_official_last_name": "WOODSIDE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-583-9180"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.