Organization Active NPI

Arizona Ear Center PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1366570244
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30210 Issued in AZ
Legal business name
ARIZONA EAR CENTER PC
Practice address
2627 N 3Rd St
201
Phoenix, AZ 85004-1113
Phone
(602) 307-9919
Fax
(602) 307-5905
NPI assigned
Mar 1, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Mark James Syms, M.D.NPI 1255310462
Title
President
Phone
(602) 307-9919

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 30210 AZ Primary

Addresses

Primary practice location

2627 N 3Rd St
201
Phoenix, AZ 85004-1113

Mailing address

2627 N 3Rd St
Ste.201
Phoenix, AZ 85004-1113
Phone (602) 307-9919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000696 AZ Part B Supplier - Clinic/Group Practice 5294713442 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2627 N 3rd St
Ste 201
Phoenix, AZ 85004
Phone (602) 277-4327

500 W Thomas Rd
Ste 410
Phoenix, AZ 85013
Phone (602) 264-1771

14418 W Meeker Blvd
Ste B102
Sun City West, AZ 85375

15331 W Bell Rd
Ste 200
Surprise, AZ 85374

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1366570244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 N 3RD ST",
            "address_2": "STE.201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041113",
            "telephone_number": "602-307-9919",
            "fax_number": "602-307-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 N 3RD ST",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041113",
            "telephone_number": "602-307-9919",
            "fax_number": "602-307-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA EAR CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SYMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-307-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2008; 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.