Organization Active NPI

Eric a Eifler MD, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chandler, AZ
National Provider Identifier
1386050904
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30630 Issued in AZ
Legal business name
ERIC A EIFLER MD, PLLC
Practice address
2900 W Ray Rd Ste 5
Chandler, AZ 85224-7342
Phone
(480) 659-7147
Fax
(877) 785-4849
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Eric A Eifler, MDNPI 1831178201
Title
President
Phone
(480) 659-7147

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
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 30630 AZ Primary

Addresses

Primary practice location

2900 W Ray Rd Ste 5
Chandler, AZ 85224-7342

Mailing address

2900 W Ray Rd Ste 5
Chandler, AZ 85224-7342
Phone (480) 659-7147

Other practice location 1

8575 E Princess Dr Ste 221
Scottsdale, AZ 85255-5441
Phone (480) 659-7147

Other practice location 2

9401 W Thunderbird Rd Ste 155
Peoria, AZ 85381-4238
Phone (480) 659-7147

Other identifiers 1

IdentifierTypeStateIssuer
30630OtherAZSTATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150828001835 AZ Part B Supplier - Clinic/Group Practice 6507172012 Receives reassigned benefits from 3 practitioners
Practice locations: Chandler, AZ; Peoria, AZ; Scottsdale, AZ
O20190528001995 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6507172012 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1386050904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W RAY RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247342",
            "telephone_number": "480-659-7147",
            "fax_number": "877-785-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W RAY RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247342",
            "telephone_number": "480-659-7147",
            "fax_number": "877-785-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8575 E Princess Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852555441",
            "country_code": "US",
            "telephone_number": "480-659-7147",
            "fax_number": "877-785-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 W Thunderbird Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814238",
            "country_code": "US",
            "telephone_number": "480-659-7147",
            "fax_number": "877-785-4849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC A EIFLER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "EIFLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-659-7147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "30630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "30630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2021; 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.