Organization Active NPI

T&D Health LLC

  • Anesthesiology Physician
  • Peoria, AZ
National Provider Identifier
1568909562
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00023598 Issued in WA
Legal business name
T&D HEALTH LLC
Practice address
30099 N 129TH Dr
Peoria, AZ 85383-5267
Phone
(928) 501-6666
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Theodore Manos, MD
Title
President
Phone
(623) 680-6547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X MD00023598 WA Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X MD00023598 WA

Addresses

Primary practice location

30099 N 129TH Dr
Peoria, AZ 85383-5267

Mailing address

30099 N 129TH Dr
Peoria, AZ 85383-5267
Phone (623) 680-6547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1568909562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30099 N 129TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835267",
            "telephone_number": "623-680-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30099 N 129TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835267",
            "telephone_number": "928-501-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&D HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-680-6547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00023598",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00023598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.