Organization Active NPI

Southwestern Neurosurgery P.C.

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1558599787
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
13306 Issued in AZ
Legal business name
SOUTHWESTERN NEUROSURGERY P.C.
Practice address
9250 N 3Rd St
Suite 3000
Phoenix, AZ 85020-2412
Phone
(602) 242-0299
Fax
(602) 242-9429
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Mrs. Debra Lee Laprade
Title
Office Manager
Phone
(602) 242-0299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 13306 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
Suite 3000
Phoenix, AZ 85020-2412

Mailing address

9250 N 3Rd St
Suite 3000
Phoenix, AZ 85020-2412
Phone (602) 242-0299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1558599787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 3000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202412",
            "telephone_number": "602-242-0299",
            "fax_number": "602-242-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 3000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202412",
            "telephone_number": "602-242-0299",
            "fax_number": "602-242-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN NEUROSURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "LAPRADE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-242-0299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "13306",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 25, 2009; 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.