NPIMap

Organization Active NPI

Michael J. Fucci MD, PC

Doing business as Arizona Hearing and Balance Center

  • Preferred Provider Organization
  • Chandler, AZ
National Provider Identifier
1376756379
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
26456 Issued in AZ
Legal business name
MICHAEL J. FUCCI MD, PC
Doing business as
Arizona Hearing and Balance Center
Practice address
225 S. Dobson Rd.
Chandler, AZ 85224
Phone
(480) 558-5306
Fax
(480) 558-5307
NPI assigned
May 7, 2007
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mrs. Aimee K. Ambler
Title
Biller
Phone
(480) 558-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 26456 AZ Primary

Addresses

Primary practice location

225 S. Dobson Rd.
Chandler, AZ 85224

Mailing address

225 S. Dobson Rd.
Chandler, AZ 85224
Phone (480) 558-5306

Other identifiers 1

IdentifierTypeStateIssuer
520660MedicaidAZ

Other names 1

  • Arizona Hearing and Balance Center Doing business as

National Provider Directory

National Provider Directory

Locations

225 S Dobson Rd
Chandler, AZ 85224
Phone (480) 558-5306

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1376756379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S. DOBSON RD.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-558-5306",
            "fax_number": "480-558-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S. DOBSON RD.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-558-5306",
            "fax_number": "480-558-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. FUCCI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "AMBLER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "480-558-5306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "26456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Hearing and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.