Organization Active NPI

NW Valley Neurology & Parkinson's Care Specialists PLLC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1255635884
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34361 Issued in AZ
Legal business name
NW VALLEY NEUROLOGY & PARKINSON'S CARE SPECIALISTS PLLC
Practice address
1840 W Maryland Ave
Suite B
Phoenix, AZ 85015-1705
Phone
(602) 246-3300
Fax
(602) 246-3303
NPI assigned
Dec 22, 2010
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Anthony D Mosley, M.D.
Title
Owner
Phone
(602) 246-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 34361 AZ Primary

Addresses

Primary practice location

1840 W Maryland Ave
Suite B
Phoenix, AZ 85015-1705

Mailing address

1840 W Maryland Ave
Ste B
Phoenix, AZ 85015-1705
Phone (602) 246-3300

Other identifiers 1

IdentifierTypeStateIssuer
593254MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1840 W Maryland Ave
Ste B
Phoenix, AZ 85015
Phone (602) 246-3300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1255635884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W MARYLAND AVE",
            "address_2": "STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151705",
            "telephone_number": "602-246-3300",
            "fax_number": "602-246-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W MARYLAND AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151705",
            "telephone_number": "602-246-3300",
            "fax_number": "602-246-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW VALLEY NEUROLOGY & PARKINSON'S CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-246-3300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "34361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593254",
            "state": "AZ"
        }
    ],
    "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 Sep 14, 2011; 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.