Glendale Medical Center PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLENDALE MEDICAL CENTER PLLC

Practice address

9971 W Camelback Rd Ste 105
Phoenix, AZ 85037-5011

Phone

(623) 872-0002

Fax

(623) 872-1112

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Uchendu Azodo, MD

Title

Medical Director

Phone

(480) 945-0008

Specialties & licenses 2

Addresses

Other names 1

• Camelback Pain Centers Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1437425980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 N MILLER RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513697",
            "telephone_number": "480-945-0008",
            "fax_number": "480-945-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9971 W CAMELBACK RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375011",
            "telephone_number": "623-872-0002",
            "fax_number": "623-872-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "AZODO",
        "authorized_official_first_name": "UCHENDU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-945-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen Halvorson MD PLLC
• Glenbo, LLC
• Glendale Chiropractic PLLC
• Glendale Dentistry Group
• Glendale Medical Center
• Glendale Medical Group LLC
• Glendale Medical Partners LLC
• Glendale Pediatrics LLC
• Glendale RX Inc
• Glendale Springs Chiropractic and Rehab, LLC

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, 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 Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.