Arizona Pediatric Urology, P.C.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

30105 Issued in AZ

Legal business name

ARIZONA PEDIATRIC UROLOGY, P.C.

Practice address

4614 E Shea Blvd
D-110
Phoenix, AZ 85028-3070

Phone

(480) 391-8989

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip E Gleason, MDNPI 1871585810

Title

Pediatric Urologist

Phone

(480) 391-8989

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Philip Gleason, MD

  • Urology Physician
  • Phoenix, AZ
  • NPI 1871585810

  Pediatric Urology

  NPD (past) Authorized official
• Barry Chang, M.D.

  • Pediatric Urology Physician
  • Mesa, AZ
  • NPI 1386612000
  NPD (past)
• Michelle Joy Dolstein, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1255510053
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508998147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41090",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852741090",
            "telephone_number": "480-391-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 E SHEA BLVD",
            "address_2": "D-110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283070",
            "telephone_number": "480-391-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PEDIATRIC UROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PEDIATRIC UROLOGIST",
        "authorized_official_telephone_number": "480-391-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "AZ",
            "license": "30105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Pediatric Cardiology, LLC
• Arizona Pediatric Clinics PLLC
• Arizona Pediatric Dentistry and Orthodontic
• Arizona Pediatric PLLC
• Arizona Pediatric Pulmonary & Asthma Associates, P.L.C.
• Arizona Pediatrics, P.L.L.C.
• Arizona Pediatrics,PLLC
• Arizona Perinatal Care Centers, LLC
• Arizona Periodontal Group PLLC
• Arizona Personal Care Services Inc

• Pediatric Urology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.