Contrast Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CONTRAST MEDICAL PLLC

Practice address

813 E Fairmount Ave
Phoenix, AZ 85014-4708

Phone

(480) 571-7713

Fax

(480) 664-9817

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Ferrara

Title

Manager

Phone

(202) 557-4846

Specialties & licenses 1

Addresses

Other names 1

• Contrast Medical PLLC Other name

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1417500034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E FAIRMOUNT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144708",
            "telephone_number": "480-571-7713",
            "fax_number": "480-664-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E FAIRMOUNT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144708",
            "telephone_number": "480-571-7713",
            "fax_number": "480-664-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRAST MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-557-4846"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contrast Medical PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.