Sultan Y. Ayoub FNP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3529 Issued in AZ

Legal business name

SULTAN Y. AYOUB FNP PLLC

Doing business as

Southwestern Pediatrics

Practice address

21300 N John Wayne Pkwy Ste 109
Maricopa, AZ 85139-8964

Phone

(520) 568-9500

Fax

(520) 568-9533

NPI assigned

Apr 19, 2010

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWESTERN PEDIATRICS PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Sultan Y Ayoub, FNP - BCNPI 1679803258

Title

Administrator

Phone

(480) 720-9667

Specialties & licenses 1

Addresses

Other names 1

• Southwestern Pediatrics 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

Tax ID family

Southwestern Pediatrics2 organizations share this tax ID, including this one

Part of

Southwestern Pediatrics PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sultan Y Ayoub FNP PLLC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1306288766
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southwestern Pediatrics PLLC

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1487720728
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sultan Y Ayoub, FNP

  • Family Nurse Practitioner
  • Maricopa, AZ
  • NPI 1679803258
  NPD (past) Authorized official

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1457677262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 112",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "520-568-9500",
            "fax_number": "520-568-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 109",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "520-568-9500",
            "fax_number": "520-568-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTAN Y. AYOUB FNP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN PEDIATRICS PLLC",
        "enumeration_date": "2010-04-19",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-720-9667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP - BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.