Active NPI
Edward P Fink, M.D.
- Pediatric Orthopaedic Surgery Physician
- Glendale, AZ
National Provider Identifier
1437117835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 46045
- Practice address
- 5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706 - Phone
- (602) 865-4510
- NPI assigned
- May 3, 2006
- Last updated
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101248481 | VA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 0101248481 | VA | |
| Orthopaedic Trauma Physician | 207XX0801X | 0101248481 | VA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101248481 | VA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 46045 | AZ | Primary |
Addresses
Primary practice location
5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706
Mailing address
5310 W Thunderbird Rd
Suite 110
Glendale, AZ 85306-4706
Phone (602) 865-4510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683132 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46045 | AZ | MD | Pediatric Orthopaedic Surgery Physician |
| 0101248481 | VA | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Super Specialists Arizona LLC | Past | Accepting new patients | |
| Banner Physician Super Specialists Arizona LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1588969786
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1386462810
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1841573870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1437117835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "EDWARD",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101248481",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "VA",
"license": "0101248481",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "VA",
"license": "0101248481",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "VA",
"license": "0101248481",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "AZ",
"license": "46045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683132",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.