NPIMap

Organization Active NPI

Rodney S Iancovici MD PC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1578744793
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RODNEY S IANCOVICI MD PC
Practice address
7516 E Main St Ste 4
Mesa, AZ 85207-8332
Phone
(480) 807-9400
Fax
(480) 807-7946
NPI assigned
Nov 15, 2007
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Rodney Simion Iancovici, M.D.
Title
Physician
Phone
(480) 807-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7516 E Main St Ste 4
Mesa, AZ 85207-8332

Mailing address

PO Box 6643
Mesa, AZ 85216-6643
Phone (480) 807-9400

National Provider Directory

National Provider Directory

Locations

7516 E Main St
Ste 4
Mesa, AZ 85207
Phone (480) 807-9400

Practitioners & affiliated clinicians

Practitioners 3

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1578744793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6643",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852166643",
            "telephone_number": "480-807-9400",
            "fax_number": "480-807-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 E MAIN ST STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078332",
            "telephone_number": "480-807-9400",
            "fax_number": "480-807-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY S IANCOVICI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "IANCOVICI",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "SIMION",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-807-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.