Organization Active NPI

Spectrum Medical, Inc.

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1437397825
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPECTRUM MEDICAL, INC.
Practice address
1202 E Maryland Ave Ste 1a
Phoenix, AZ 85014-1342
Phone
(602) 710-1135
Fax
(480) 287-9563
NPI assigned
Jan 23, 2009
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Jack Volz
Title
Ceo
Phone
(602) 710-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1202 E Maryland Ave Ste 1a
Phoenix, AZ 85014-1342

Mailing address

1202 E Maryland Ave Ste 1a
Phoenix, AZ 85014-1342
Phone (602) 710-1135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1437397825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E MARYLAND AVE STE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141342",
            "telephone_number": "602-710-1135",
            "fax_number": "480-287-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MARYLAND AVE STE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141342",
            "telephone_number": "602-710-1135",
            "fax_number": "480-287-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "VOLZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-710-1135"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.