North Phoenix Otc LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTH PHOENIX OTC LLC

Practice address

3329 E Bell Rd Ste A1-A5
Phoenix, AZ 85032

Phone

(602) 482-2282

Fax

(602) 482-2909

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Erin L Waychoff

Title

Sole MBR

Phone

(602) 482-2282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1235680596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 E BELL RD STE A1-A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-482-2282",
            "fax_number": "602-482-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 E BELL RD STE A1-A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-482-2282",
            "fax_number": "602-482-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHOENIX OTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "602-482-2282"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Phoenix Heart Center
• North Phoenix Internal Medicine PC
• North Phoenix Medical Center, LTD
• North Phoenix Medical Group LLC
• North Phoenix Orthopedic Surgeons, LTD
• North Phoenix Pain Center LLC
• North Phoenix Pediatric Dentistry, LLC
• North Phoenix Pulmonology, LLC
• North Phoenix Pulmonology, LLC
• North Phoenix Wellness Way LLC

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.