Jeffrey S. Izenberg, DO, LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JEFFREY S. IZENBERG, DO, LTD

Practice address

5171 Cub Lake Rd Ste B210
Show Low, AZ 85901-7866

Phone

(928) 532-8386

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Izenberg, DONPI 1285670984

Title

Physician

Phone

(928) 532-8386

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jeffrey S Izenberg, D.O.

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1285670984
  NPD Authorized official

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1417250804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD STE B210",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017866",
            "telephone_number": "928-537-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD STE B210",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017866",
            "telephone_number": "928-532-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. IZENBERG, DO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "IZENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-532-8386",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "653561",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Thompson Jacobson, PHARM.D.
• Jaffe Ethical Addiction and Pain Care LLC
• Jared a Hall DPM PC
• Jared a Hall DPM PC
• Amanda Jarles, OT
• Taylor Scott Jenkins
• Austin Johnson, PA-C
• Delicia C Johnson, PTA
• Ellen Beth Johnson, MS/CCC/SLP
• Michael L Johnson, P.T.

• Obstetrics & Gynecology Physician in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.