Bethany Medical

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BETHANY MEDICAL

Practice address

5270 N 59TH Ave
Suite 11
Glendale, AZ 85301-6762

Phone

(623) 847-9800

Fax

(623) 847-9898

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Ayiyi Sr.

Title

Ceo

Phone

(602) 301-0214

Specialties & licenses 1

Addresses

Tax ID family

Bethany Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethany Medical L.L.C

  • Family Medicine Physician
  • Glendal, AZ
  • NPI 1053433912
  NPD tax ID

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427105311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 NORTH 59TH AVENUE SITE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016764",
            "telephone_number": "623-847-9800",
            "fax_number": "623-934-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 N 59TH AVE",
            "address_2": "SUITE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016762",
            "telephone_number": "623-847-9800",
            "fax_number": "623-847-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYIYI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-301-0214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Best, MD
• Michael Best, M.D., MPH
• Bethany H Armendariz DMD PLLC (Armendariz Family Dentistry)
• Bethany Home Discount Pharmacy LLC (Bethany Home Discount Pharmacy)
• Bethany Home Discount Pharmacy LLC
• Joey Nickolas Bettencourt Jr., DO
• Mark Ren Betts
• Betty James PLLC
• Ashley Betz, RBT
• Marsha Beydoun, PMHNP BC

• General Practice Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Physician in Arizona

• 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.