Organization Active NPI

Joseph G Abdo MD PC

  • Surgery Physician
  • Globe, AZ
National Provider Identifier
1437285103
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOSEPH G ABDO MD PC
Practice address
1100 E Monroe St
Ste 102
Globe, AZ 85501-1363
Phone
(928) 425-7133
Fax
(928) 425-7134
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Joseph G Abdo, MDNPI 1821090879
Title
Owner
Phone
(928) 425-7133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1100 E Monroe St
Ste 102
Globe, AZ 85501-1363

Mailing address

PO Box 1040
Globe, AZ 85502-1040
Phone (928) 425-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000229 AZ Part B Supplier - Clinic/Group Practice 2163400458 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Globe, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5882 S Hospital Dr
Ste 3
Globe, AZ 85501
Phone 52029357577141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14816/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1437285103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855021040",
            "telephone_number": "928-425-7133",
            "fax_number": "928-425-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MONROE ST",
            "address_2": "STE 102",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011363",
            "telephone_number": "928-425-7133",
            "fax_number": "928-425-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G ABDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-425-7133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.