Solstice Pediatrics and Sports Medicine, PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

44940 Issued in AZ

Legal business name

SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC

Practice address

4731 S White Mountain Rd
Show Low, AZ 85901-7818

Phone

(203) 913-7092

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Michael Joseph Puchowicz, MD

Title

Authorized Member

Phone

(203) 913-7092

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1366723280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 E SYLVIA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162181",
            "telephone_number": "203-913-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017818",
            "telephone_number": "203-913-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "PUCHOWICZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "203-913-7092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "44940",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "AZ",
            "license": "44940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Smith, LMFT
• Bryan Sean Smithson, MD
• Snoozers Inc
• Michael J Snow, DDS
• Sober Mountain LLC
• Mary Jane Wild Sorenson, FNP-C
• Maria-Luz Sotomayor, NP
• Melinda J South
• Southern Girl Anesthesia Services Inc
• Southwestern Eye Center

• Pediatrics Physician in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.