Individual provider Active NPI

Malia Goozen-Suor, MS, CCP

  • Perfusionist
  • Phoenix, AZ
National Provider Identifier
1396184602
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Practice address
10930 N Tatum Blvd
103
Phoenix, AZ 85028-6069
Phone
(602) 263-7600
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X Primary

Addresses

Primary practice location

10930 N Tatum Blvd
103
Phoenix, AZ 85028-6069

Mailing address

7332 N 46TH Cir
Glendale, AZ 85301-2257
Phone (602) 750-8227

Other names 1

  • Malia Goozen-Suor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1396184602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 N 46TH CIR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012257",
            "telephone_number": "602-750-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 N TATUM BLVD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286069",
            "telephone_number": "602-263-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOZEN-SUOR",
        "first_name": "MALIA",
        "credential": "MS, CCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "GOOZEN-SUOR",
            "credential": "MS, CCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 20, 2017; 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.