Organization Active NPI

Titan Medical Services, LLC

  • Vascular Surgery Physician
  • Peoria, AZ
National Provider Identifier
1487281770
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
TITAN MEDICAL SERVICES, LLC
Practice address
13660 N 94TH Dr # D-1
Peoria, AZ 85381-4836
Phone
(623) 230-2912
Fax
(623) 933-5787
NPI assigned
Mar 25, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Dr. Jeffrey Thomas, DPM
Title
Office Manager
Phone
(623) 974-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

13660 N 94TH Dr # D-1
Peoria, AZ 85381-4836

Mailing address

13660 N 94TH Dr # D-1
Peoria, AZ 85381-4836
Phone (623) 230-2912

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": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1487281770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR # D-1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-230-2912",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR # D-1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-230-2912",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-974-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.