Organization Active NPI

Neal Galen, D.O., P.C.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1295951937
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1760 Issued in AZ
Legal business name
NEAL GALEN, D.O., P.C.
Practice address
1728 West Glendale Avenue
Suite #103
Phoenix, AZ 85021-6288
Phone
(602) 246-4917
Fax
(602) 246-1432
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Dr. Neal Galen, D.O.
Title
President
Phone
(602) 246-4917

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 1760 AZ Primary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 1760 AZ

Addresses

Primary practice location

1728 West Glendale Avenue
Suite #103
Phoenix, AZ 85021-6288

Mailing address

1728 West Glendale Avenue
Suite #103
Phoenix, AZ 85021-6288
Phone (602) 246-4917

Other identifiers 2

IdentifierTypeStateIssuer
204131OtherAZAHCCCS
204131MedicaidAZ

Other names 1

  • Arizona Hernia Center Doing business as

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

1728 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 246-4917

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1295951937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 WEST GLENDALE AVENUE",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850216288",
            "telephone_number": "602-246-4917",
            "fax_number": "602-246-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 WEST GLENDALE AVENUE",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850216288",
            "telephone_number": "602-246-4917",
            "fax_number": "602-246-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL GALEN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "GALEN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-246-4917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "1760",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "1760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "204131",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204131",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Hernia Center",
            "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 Mar 21, 2016; 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.