NPIMap

Organization Active NPI

Arizona Institute of Geriatric Medicine

  • Medical Specialty Clinic/Center
  • Sun City, AZ
National Provider Identifier
1467633784
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
29375 Issued in AZ
Legal business name
ARIZONA INSTITUTE OF GERIATRIC MEDICINE
Practice address
10503 W Thunderbird Blvd
#366
Sun City, AZ 85351-3022
Phone
(623) 815-8887
Fax
(623) 815-5374
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Diana B Koss, MDNPI 1952353807
Title
Owner/Physician
Phone
(602) 815-8887

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
Medical Specialty Clinic/Center 261QM2500X 29375 AZ Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd
#366
Sun City, AZ 85351-3022

Mailing address

PO Box 26048
Scottsdale, AZ 85255-0117
Phone (623) 815-8887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1467633784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26048",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550117",
            "telephone_number": "623-815-8887",
            "fax_number": "623-815-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "#366",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-815-8887",
            "fax_number": "623-815-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE OF GERIATRIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KOSS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-815-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "29375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.