Organization Active NPI

Phoenix Neurology and Sleep Medicine PLLC

  • Neurology Physician
  • Goodyear, AZ
National Provider Identifier
1285687822
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PHOENIX NEUROLOGY AND SLEEP MEDICINE PLLC
Practice address
2940 N Litchfield Rd
Goodyear, AZ 85395-7830
Phone
(623) 535-0050
Fax
(623) 535-9620
NPI assigned
May 17, 2006
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Troy G Anderson, MDNPI 1710958947
Title
Managing Member
Phone
(623) 535-0050

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
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

2940 N Litchfield Rd
Goodyear, AZ 85395-7830

Mailing address

PO Box 205112
Dallas, TX 75320-5112
Phone (623) 535-0050

Other identifiers 1

IdentifierTypeStateIssuer
918581MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060803000031 AZ Part B Supplier - Clinic/Group Practice 9335152669 Receives reassigned benefits from 11 practitioners
Practice locations: Glendale, AZ; Sun City, AZ; Goodyear, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Neurology and Sleep Medicine PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14044 W Camelback Rd
Ste 1
Litchfield Park, AZ 85340

14044 W Camelback Rd
Ste 128
Litchfield Park, AZ 85340
Phone (623) 935-9600

300 E Osborn Rd
Ste 200
Phoenix, AZ 85012

7054 E Cochise Rd
Ste B200
Scottsdale, AZ 85253
Phone (480) 360-0115

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1285687822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753205112",
            "telephone_number": "623-535-0050",
            "fax_number": "623-535-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957830",
            "telephone_number": "623-535-0050",
            "fax_number": "623-535-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NEUROLOGY AND SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-535-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918581",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.