University Sports Medicine PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

22472 Issued in AZ

Legal business name

UNIVERSITY SPORTS MEDICINE PC

Practice address

15810 S 45TH St Ste 101
Phoenix, AZ 85048-7695

Phone

(480) 222-3384

Fax

(480) 222-3422

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Roger Leslie McCoy, M.D.

Title

President

Phone

(480) 222-3384

Specialties & licenses 1

Addresses

Medicare enrollment (NPD)

Not enrolled

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton Edward Clarke, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1164459319

  Sports Medicine

  NPD (past)
• Steven Maynard Erickson, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1215998901

  Sports Medicine

  NPD (past)
• Ian Allen McLeod, PA-C, ATC, NCTMB

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1487626958
  NPD (past)
• Alice Ruth Peterson, P.A.-C.

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1871654418
  NPD (past)
• Brent S Rich, MD

  • Sports Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1982614319

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1477587335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487695",
            "telephone_number": "480-222-3384",
            "fax_number": "480-222-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487695",
            "telephone_number": "480-222-3384",
            "fax_number": "480-222-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-222-3384",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Anesthesia Associates, PLLC
• Universal Anesthesia Associates, PLLC
• Universal Healthcare Solutions LLC
• Universal in-Home Supportive Serivices
• University Imaging LLC
• Unleashed Phoenix Corp
• Unlimited Potential, Inc.
• Unlimited Smiles
• Yigit Unlu, M.D.
• Unmerited Favor Special Care LLC

• All providers in Phoenix, AZ
• Sports Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.