Organization Active NPI

Desert Harbor Internal Medicine

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1467647388
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3010 Issued in AZ
Legal business name
DESERT HARBOR INTERNAL MEDICINE
Practice address
5757 W. Thunderbird Rd
Suite W310
Glendale, AZ 85306-4649
Phone
(602) 548-7800
Fax
(602) 548-0006
NPI assigned
Sep 13, 2007
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Jeffrey William Morgan, MD.NPI 1952451882
Title
Ceo
Phone
(602) 548-7800

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 3010 AZ Primary

Addresses

Primary practice location

5757 W. Thunderbird Rd
Suite W310
Glendale, AZ 85306-4649

Mailing address

5757 W Thunderbird Rd
W310
Glendale, AZ 85306-4649
Phone (602) 548-7800

Other identifiers 1

IdentifierTypeStateIssuer
321480MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1467647388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD",
            "address_2": "W310",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064649",
            "telephone_number": "602-548-7800",
            "fax_number": "602-548-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W. THUNDERBIRD RD",
            "address_2": "SUITE W310",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064649",
            "telephone_number": "602-548-7800",
            "fax_number": "602-548-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HARBOR INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-548-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.