NPIMap

Organization Active NPI

Ahwatukee Foothills Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1568685477
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
17174 Issued in AZ
Legal business name
AHWATUKEE FOOTHILLS PLASTIC SURGERY PC
Practice address
15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7697
Phone
(480) 759-3001
Fax
(480) 759-1341
NPI assigned
Apr 10, 2007
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Todd K Farnworth, MDNPI 1811961113
Title
President
Phone
(480) 759-3001

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
Plastic and Reconstructive Surgery Physician 2086S0122X 17174 AZ Primary

Addresses

Primary practice location

15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7697

Mailing address

15810 S 45TH St
Suite 140
Phoenix, AZ 85048-7697
Phone (480) 759-3001

National Provider Directory

National Provider Directory
Tax ID family
Ahwatukee Foothills Plastic Surgery PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1568685477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487697",
            "telephone_number": "480-759-3001",
            "fax_number": "480-759-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487697",
            "telephone_number": "480-759-3001",
            "fax_number": "480-759-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE FOOTHILLS PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "FARNWORTH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-759-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "17174",
            "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 Mar 5, 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.