NPIMap

Organization Active NPI

Arizona Center for Chest Diseases LTD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1205845641
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA CENTER FOR CHEST DISEASES LTD
Practice address
5090 N 40TH St
Suite 122
Phoenix, AZ 85018-2111
Phone
(602) 264-5685
Fax
(602) 631-9870
NPI assigned
Aug 5, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Arcot S Premkumar, M.D
Title
President/ M.D
Phone
(602) 264-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5090 N 40TH St
Suite 122
Phoenix, AZ 85018-2111

Mailing address

5090 N 40TH St
Suite 122
Phoenix, AZ 85018-2111
Phone (602) 264-5685

National Provider Directory

National Provider Directory

Locations

5090 N 40th St
Ste 122
Phoenix, AZ 85018
Phone (602) 264-5685

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71921

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1205845641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 N 40TH ST",
            "address_2": "SUITE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182111",
            "telephone_number": "602-264-5685",
            "fax_number": "602-631-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 N 40TH ST",
            "address_2": "SUITE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182111",
            "telephone_number": "602-264-5685",
            "fax_number": "602-631-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR CHEST DISEASES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "PREMKUMAR",
        "authorized_official_first_name": "ARCOT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/ M.D",
        "authorized_official_telephone_number": "602-264-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.