Organization Active NPI

Array Medical Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Surprise, AZ
National Provider Identifier
1205359171
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Nov 27, 2017

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.