Active NPI
Edward P Fink MD LLC
- Pediatric Orthopaedic Surgery Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- Legal business name
- EDWARD P FINK MD LLC
- Practice address
- 5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306-4706 - Phone
- (602) 865-4011
- Fax
- (480) 412-7475
- NPI assigned
- Jan 19, 2011
- Last updated
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward P Fink, M.D.
- Title
- Ceo
- Phone
- (703) 573-2218
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU | ||
| Orthopaedic Trauma Physician | 207XX0801X | NU | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | NU | Primary |
Addresses
Primary practice location
5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306-4706
Mailing address
5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306-4706
Phone (602) 865-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46045 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065
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.
-
- Pediatric Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1437117835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1588969786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "STE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4011",
"fax_number": "480-412-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD",
"address_2": "STE 110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064706",
"telephone_number": "602-865-4011",
"fax_number": "480-412-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD P FINK MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-19",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "703-573-2218",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46045",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.