Organization Active NPI

Benjamin M. Sucher, D.O., P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Paradise Valley, AZ
National Provider Identifier
1407891559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1525 Issued in AZ
Legal business name
BENJAMIN M. SUCHER, D.O., P.C.
Practice address
10585 N Tatum Blvd
Suite D135
Paradise Valley, AZ 85253-1073
Phone
(480) 483-7387
Fax
(480) 483-3684
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin M Sucher, D.O.
Title
President
Phone
(480) 483-7387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 1525 AZ Primary

Addresses

Primary practice location

10585 N Tatum Blvd
Suite D135
Paradise Valley, AZ 85253-1073

Mailing address

10585 N Tatum Blvd
Suite D135
Paradise Valley, AZ 85253-1073
Phone (480) 483-7387

Other identifiers 1

IdentifierTypeStateIssuer
220351MedicaidAZ

National Provider Directory

National Provider Directory

Locations

10585 N Tatum Blvd
Ste D135
Paradise Vly, AZ 85253
Phone (480) 483-7387

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407891559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 N TATUM BLVD",
            "address_2": "SUITE D135",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531073",
            "telephone_number": "480-483-7387",
            "fax_number": "480-483-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 N TATUM BLVD",
            "address_2": "SUITE D135",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531073",
            "telephone_number": "480-483-7387",
            "fax_number": "480-483-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN M. SUCHER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUCHER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-483-7387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.