Active NPI
Vincent J Honan MD PC
- Gastroenterology Physician
- Phoenix, AZ
National Provider Identifier
1508969122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 19895
- Legal business name
- VINCENT J HONAN MD PC
- Practice address
- 1300 12TH STR
#518
Phoenix, AZ 85006-2849 - Phone
- (602) 257-9488
- Fax
- (602) 254-4258
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent J Honan, MD
- Title
- Owner
- Phone
- (602) 257-9488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 19895 | AZ | Primary |
Addresses
Primary practice location
1300 12TH STR
#518
Phoenix, AZ 85006-2849
Mailing address
1300 12TH STR
#518
Phoenix, AZ 85006-2849
Phone (602) 257-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105892 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
1300 N 12th St
Ste 518
Phoenix, AZ 85006
Phone (602) 257-9488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Flagstaff, AZ
- NPI 1073585014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211932800000",
"number": "1508969122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 12TH STR",
"address_2": "#518",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062849",
"telephone_number": "602-257-9488",
"fax_number": "602-254-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 12TH STR",
"address_2": "#518",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062849",
"telephone_number": "602-257-9488",
"fax_number": "602-254-4258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT J HONAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2008-05-28",
"status": "A",
"authorized_official_last_name": "HONAN",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-257-9488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "19895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105892",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.