NPIMap

Organization Active NPI

Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1245772870
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
TEC EMERGENCY PHYSICIANS OF ARIZONA, LLC
Practice address
70 S Val Vista Dr Ste A3-621
Gilbert, AZ 85296-0942
Phone
(480) 573-8460
NPI assigned
Nov 14, 2016
Last updated
Nov 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Dr. Keith Butler, M.D.NPI 1679519391
Title
Manager
Phone
(888) 732-3317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

70 S Val Vista Dr Ste A3-621
Gilbert, AZ 85296-0942

Mailing address

70 S Val Vista Dr Ste A3-621
Gilbert, AZ 85296-0942
Phone (480) 573-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201016000157 AZ Part B Supplier - Clinic/Group Practice 6204256084 Receives reassigned benefits from 364 practitioners
Practice locations: Mesa, AZ; Tempe, AZ; Surprise, AZ; San Tan Valley, AZ; Phoenix, AZ; Laveen, AZ; Goodyear, AZ; Glendale, AZ…

National Provider Directory

National Provider Directory

Locations

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

2036 N Gilbert Rd
Ste 2612
Mesa, AZ 85203

14267 W Bell Rd
Surprise, AZ 85374
Phone (623) 546-5230

Practitioners & affiliated clinicians

Practitioners 366

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.

View all 366

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1245772870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-621",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960942",
            "telephone_number": "480-573-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-621",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960942",
            "telephone_number": "480-573-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEC EMERGENCY PHYSICIANS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-732-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.