Organization Active NPI

Vincent J Honan MD PC

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1508969122
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
19895 Issued in AZ
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

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Vincent J Honan, MDNPI 1073585014
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105892MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.