Arizona Ear Center PC
Organization Active NPI Specialist · Phoenix, AZ
NPI 1366570244 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1366570244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 30210 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark James Syms, M.D.
- Title
- President
- Phone
- (602) 307-9919
Practitioners 17
-
Mark James Syms, M.D.
-
Lindsay Anne Tucker, AU.D.
-
David Syms, HAD
-
William A Chavira, M.D.
-
Sabrina Denzer, AUD
-
Danae M Foster, AUD., CCC-A
-
Kelly Hernandez, AUDIOLOGIST
-
Michael Tom Medchill, M.D.
-
Linda Seale Tiltman, AU.D.
-
Bari Louise Turner, M.A.
-
Jill Katherine Davis, AU.D.
-
Jennifer Ann Ratigan, AU.D.
-
Ashley Verba, AUDIOLOGIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713000696 | AZ | Part B Supplier - Clinic/Group Practice | 5294713442 |
Receives reassigned benefits from 3 practitioners Practice locations: Phoenix, AZ |
National Provider Directory
Locations
13640 N Plaza del Rio Blvd
Ste 135
Peoria, AZ 85381
Phone (602) 424-4050
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 30210 | AZ | Yes |
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
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.