Organization Active NPI

Phoenix Spine Surgeons, LTD

  • Neurological Surgery Physician
  • Goodyear, AZ
National Provider Identifier
1477098432
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
28519 Issued in AZ
Legal business name
PHOENIX SPINE SURGEONS, LTD
Practice address
140 N Litchfield Rd
Suite 110
Goodyear, AZ 85338
Phone
(602) 256-2525
Fax
(602) 256-0795
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Authorized official

Name
Hannah Lieberman
Title
Operations Director
Phone
(602) 256-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 28519 AZ Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 22004 AZ

Addresses

Primary practice location

140 N Litchfield Rd
Suite 110
Goodyear, AZ 85338

Mailing address

2525 E Arizona Biltmore Cir
Suite D-142
Phoenix, AZ 85016-2146
Phone (602) 256-2525

Other practice location 1

1760 E Pecos Rd
Gilbert, AZ 85295-3200
Phone (602) 256-2525

National Provider Directory

National Provider Directory

Locations

1727 W Frye Rd
Ste 120
Chandler, AZ 85224
Phone (480) 728-5463

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702771200000",
    "number": "1477098432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR",
            "address_2": "SUITE D-142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162146",
            "telephone_number": "602-256-2525",
            "fax_number": "602-256-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N LITCHFIELD RD",
            "address_2": "SUITE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "602-256-2525",
            "fax_number": "602-256-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953200",
            "country_code": "US",
            "telephone_number": "602-256-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX SPINE SURGEONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-256-2525"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "28519",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "22004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.