Active NPI
District Medical Group, Inc
- Anatomic Pathology & Clinical Pathology Physician
- Casa Grande, AZ
National Provider Identifier
1467685362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- DISTRICT MEDICAL GROUP, INC
- Practice address
- 1800 E Florence Blvd
Pathology
Casa Grande, AZ 85222-5303 - Phone
- (520) 426-6320
- NPI assigned
- Aug 26, 2009
- Organization subpart
- Yes
- Parent organization
- DISTRICT MEDICAL GROUP, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Cordeiro
- Title
- Credentiaing Director
- Phone
- (602) 470-5000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Anatomic Pathology Physician | 207ZP0101X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Chemical Pathology Physician | 207ZP0104X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X |
Addresses
Primary practice location
1800 E Florence Blvd
Pathology
Casa Grande, AZ 85222-5303
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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-
- Hematology & Oncology Physician
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- NPI 1265765374
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- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
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-
- Orthopaedic Surgery Physician
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National Provider Directory
National Provider Directory- Part of
- District Medical Group Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Radiology Physician
- Phoenix, AZ
- NPI 1326056599
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1053379545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1467685362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E FLORENCE BLVD",
"address_2": "PATHOLOGY",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852225303",
"telephone_number": "520-426-6320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DISTRICT MEDICAL GROUP, INC",
"enumeration_date": "2009-08-26",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "CORDEIRO",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "CREDENTIAING DIRECTOR",
"authorized_official_telephone_number": "602-470-5000"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZP0104X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Chemical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.