Fountain Hills Pediatrics and Internal Medicine PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOUNTAIN HILLS PEDIATRICS AND INTERNAL MEDICINE PLC

Practice address

13620 N Saguaro Blvd
Ste 50
Fountain Hills, AZ 85268-8551

Phone

(480) 837-6800

Fax

(480) 837-6804

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jyoti Patel, MD

Title

Owner, Member

Phone

(480) 837-6800

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1326196858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20019",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852690019",
            "telephone_number": "480-837-6800",
            "fax_number": "480-837-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 N SAGUARO BLVD",
            "address_2": "STE 50",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688551",
            "telephone_number": "480-837-6800",
            "fax_number": "480-837-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HILLS PEDIATRICS AND INTERNAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "480-837-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825995",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0740661",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.