Desert Mercy Diabetes and Thyroid Center PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DESERT MERCY DIABETES AND THYROID CENTER PLLC

Practice address

4611 E Palo Verde Dr
Phoenix, AZ 85018-1258

Phone

(201) 693-1563

Fax

(602) 840-1290

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Shahzad Ahmad, M.D.

Title

Owner/Member

Phone

(201) 693-1563

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robert Cannon

  • Contractor
  • Phoenix, AZ
  • NPI 1952605552
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1447546023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E PALO VERDE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181258",
            "telephone_number": "201-693-1563",
            "fax_number": "602-840-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E PALO VERDE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181258",
            "telephone_number": "201-693-1563",
            "fax_number": "602-840-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MERCY DIABETES AND THYROID CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "201-693-1563",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA CORPORATION COMMISSION REGISTRATION",
            "identifier": "P-1688294-0",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Desert Medical Billing and Consulting Services, Inc
• Desert Mission Inc
• Desert Mission Inc
• Desert Mission Inc
• Desert Mission Inc
• Desert Mobile Foot Care LLC

• Endocrinology, Diabetes & Metabolism Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.