Organization Active NPI

Ics Healthcare Services

  • Anesthesiology Physician
  • Chandler, AZ
National Provider Identifier
1407674443
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ICS HEALTHCARE SERVICES
Practice address
5590 W Chandler Blvd Ste 3
Chandler, AZ 85226-3744
Phone
(602) 753-6939
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Karl Hurst-Wicker, MDNPI 1962698654
Title
Manager
Phone
(602) 753-6939

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5590 W Chandler Blvd Ste 3
Chandler, AZ 85226-3744

Mailing address

5590 W Chandler Blvd Ste 3
Chandler, AZ 85226-3744
Phone (602) 753-6939

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1407674443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "602-753-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "602-753-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICS HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "HURST-WICKER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-753-6939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 2024; 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.