NPIMap

Organization Active NPI

Trauma & Reconstructive Upper Extremity Specialists PLLC

  • Surgery of the Hand (Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1235501370
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
28314 Issued in AZ
Legal business name
TRAUMA & RECONSTRUCTIVE UPPER EXTREMITY SPECIALISTS PLLC
Practice address
370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone
(602) 222-5611
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Ms. Katherine C White, CPA
Title
Cpa Agent
Phone
(602) 222-5611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X 28314 AZ
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X 28314 AZ Primary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 28314 AZ

Addresses

Primary practice location

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254

Mailing address

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone (602) 222-5611

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1235501370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041254",
            "telephone_number": "602-222-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041254",
            "telephone_number": "602-222-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA & RECONSTRUCTIVE UPPER EXTREMITY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CPA AGENT",
        "authorized_official_telephone_number": "602-222-5611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AZ",
            "license": "28314",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "28314",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "28314",
            "primary": false
        }
    ],
    "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 Dec 28, 2015; 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.