NPIMap

Organization Active NPI

Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1295028587
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
SH3107 Issued in AZ
Legal business name
PHOENIX CHILDREN'S HOSPITAL
Practice address
3333 E Van Buren St
Phoenix, AZ 85008-6812
Phone
(602) 933-0945
Fax
(602) 933-4263
NPI assigned
May 19, 2011
Organization subpart
Yes
Parent organization
PHOENIX CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Raheel Farough
Title
SVP, Managed Care & Payor Strategy
Phone
(602) 933-3548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X SH3107 AZ Primary

Addresses

Primary practice location

3333 E Van Buren St
Phoenix, AZ 85008-6812

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Other names 1

  • Phoenix Children's Hospital Medical Crews Van Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Children'S Hospital Inc9 organizations share this tax ID, including this one
Part of
Phoenix Children'S Hospital Inc

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1295028587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086812",
            "telephone_number": "602-933-0945",
            "fax_number": "602-933-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CHILDREN'S HOSPITAL",
        "enumeration_date": "2011-05-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "FAROUGH",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "SVP, MANAGED CARE & PAYOR STRATEGY",
        "authorized_official_telephone_number": "602-933-3548"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "SH3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Children's Hospital Medical Crews Van",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Children's Hospital Medical Crews Van",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 22, 2023; 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.