Organization Active NPI

Edward D Szmuc, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Tempe, AZ
National Provider Identifier
1245290766
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14022 Issued in AZ
Legal business name
EDWARD D SZMUC, M.D., P.C.
Practice address
2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522
Phone
(480) 820-9722
Fax
(480) 491-1359
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Edward D Szmuc, M.D.
Title
President
Phone
(480) 820-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 14022 AZ Primary

Addresses

Primary practice location

2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522

Mailing address

2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522
Phone (480) 820-9722

Other identifiers 1

IdentifierTypeStateIssuer
257768MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2034 E Southern Ave
Ste T
Tempe, AZ 85282
Phone (480) 820-9722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1245290766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE",
            "address_2": "SUITE T",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827522",
            "telephone_number": "480-820-9722",
            "fax_number": "480-491-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE",
            "address_2": "SUITE T",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827522",
            "telephone_number": "480-820-9722",
            "fax_number": "480-491-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D SZMUC, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SZMUC",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-820-9722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "14022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257768",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.