Active NPI
Az Med Group LLC
- Interventional Pain Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1336667807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- AZ MED GROUP LLC
- Practice address
- 10605 N Hayden Rd Ste G110
Scottsdale, AZ 85260-5505 - Phone
- (602) 237-6340
- NPI assigned
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Moshiri
- Title
- Administrator
- Phone
- (602) 441-3573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
10605 N Hayden Rd Ste G110
Scottsdale, AZ 85260-5505
Mailing address
130 S Val Vista Dr Ste 102
Gilbert, AZ 85296-1363
Phone (602) 354-5310
Other practice location 1
6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Phone (602) 237-6340
National Provider Directory
National Provider DirectoryLocations
130 S Val Vista Dr
Ste 102
Gilbert, AZ 85296
Phone (480) 361-9086
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1710824081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1336667807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S VAL VISTA DR STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961363",
"telephone_number": "602-354-5310",
"fax_number": "480-361-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 N HAYDEN RD STE G110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605505",
"telephone_number": "602-237-6340"
}
],
"practiceLocations": [
{
"address_1": "6424 E Broadway Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061750",
"country_code": "US",
"telephone_number": "602-237-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AZ MED GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "MOSHIRI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-441-3573"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.