NPIMap

Organization Active NPI

Sun City Medical Specialists LTD

  • Specialist
  • Peoria, AZ
National Provider Identifier
1235317322
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13005 Issued in AZ
Legal business name
SUN CITY MEDICAL SPECIALISTS LTD
Practice address
13460 N 94TH Dr
H1
Peoria, AZ 85381-4835
Phone
(623) 974-4703
Fax
(623) 974-4705
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Thomas M Moote, MD
Title
President
Phone
(623) 974-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13005 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr
H1
Peoria, AZ 85381-4835

Mailing address

13460 N 94TH Dr
H1
Peoria, AZ 85381-4835
Phone (623) 974-4703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1235317322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "H1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-974-4703",
            "fax_number": "623-974-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "H1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-974-4703",
            "fax_number": "623-974-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY MEDICAL SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MOOTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-974-4703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "13005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.