Organization Active NPI

Louis J Prochnicki, M.D. , P.C.

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1467775957
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13402 Issued in AZ
Legal business name
LOUIS J PROCHNICKI, M.D. , P.C.
Practice address
1121 S Gilbert Rd
102
Mesa, AZ 85204-5235
Phone
(480) 632-7707
Fax
(480) 926-1600
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Louis J Prochnicki, M.D.
Title
President/Ceo
Phone
(480) 632-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 13402 AZ Primary

Addresses

Primary practice location

1121 S Gilbert Rd
102
Mesa, AZ 85204-5235

Mailing address

1121 S Gilbert Rd
102
Mesa, AZ 85204-5235
Phone (480) 632-7707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1467775957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-632-7707",
            "fax_number": "480-926-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-632-7707",
            "fax_number": "480-926-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J PROCHNICKI, M.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "PROCHNICKI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "480-632-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "13402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.