Medical Professional Associates of Arizona

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA

Practice address

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Phone

(602) 344-5098

Fax

(602) 344-1488

NPI assigned

Aug 7, 2007

Organization subpart

Yes

Parent organization

MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONAAs reported in NPPES

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

Authorized official

Name

Teresa Cordeiro

Title

Credentialing Manager

Phone

(602) 470-5043

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• MedPro Doing business as

Part of

George W Gannon MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arizona Professional Medical Associates, LTD.

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1548482391
  NPPES parent name

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1508057332",
    "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",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5098",
            "fax_number": "602-344-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL PROFESSIONAL ASSOCIATES OF ARIZONA",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "CORDEIRO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-470-5043"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID GROUP #",
            "identifier": "69317",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infectious Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.