Arcadia Physicians Travel Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

AZ47542 Issued in AZ

Legal business name

ARCADIA PHYSICIANS TRAVEL CLINIC

Practice address

4350 E Camelback Rd
Suite F-100
Phoenix, AZ 85018-2701

Phone

(602) 955-8700

Fax

(602) 325-0133

NPI assigned

Oct 14, 2015

Last updated

Oct 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Southwell, MD

Title

Medical Director

Phone

(602) 955-8700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1538530779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE F-100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182701",
            "telephone_number": "602-955-8700",
            "fax_number": "602-325-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE F-100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182701",
            "telephone_number": "602-955-8700",
            "fax_number": "602-325-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA PHYSICIANS TRAVEL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SOUTHWELL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-955-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ47542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AZ0861590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcadia Endodontic Partners PLLC (Arcadia Endodontics)
• Arcadia Medical Group LLC (Backfit Health & Spine)
• Arcadia Modern Dentistry, LLP (Arcadia Modern Dentistry)
• Arcadia Neuropsychology, PLLC
• Arcadia Omfs LLC (Oral & Facial Surgeons of Arizona)
• Arcadia Physicians Travel Clinic
• Arcadia Psychiatry and Wellness, PLLC
• Arcadia Psychology (Joan Polansky)
• Arcadia Radiology & Breast Center
• Arcadia Smiles LLC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.