Active NPI
Flying Pig Offroad PLLC
- Colon & Rectal Surgery Physician
- Phoenix, AZ
National Provider Identifier
1609518976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- FLYING PIG OFFROAD PLLC
- Practice address
- 20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901 - Phone
- (480) 707-9504
- Fax
- (602) 581-7764
- NPI assigned
- Apr 8, 2022
- 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
- Dr. Debora McClary, MD
- Title
- Owner
- Phone
- (480) 707-9504
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Mailing address
PO Box 10356
Glendale, AZ 85318-0356
Phone (480) 707-9504
Other practice location 1
7776 W Quail Ave
Peoria, AZ 85382-3322
Phone (602) 421-1299
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Aciurgy Specialists
- Health Service Clinic/Center
- Peoria, AZ
- NPI 1801539317
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Phoenix, AZ
- NPI 1528067949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736035200000",
"number": "1609518976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10356",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853180356",
"telephone_number": "480-707-9504",
"fax_number": "602-581-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 N 19TH AVE STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850279901",
"telephone_number": "480-707-9504",
"fax_number": "602-581-7764"
}
],
"practiceLocations": [
{
"address_1": "7776 W Quail Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853823322",
"country_code": "US",
"telephone_number": "602-421-1299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLYING PIG OFFROAD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A",
"authorized_official_last_name": "MCCLARY",
"authorized_official_first_name": "DEBORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-707-9504",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"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 Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.