Organization Active NPI

My Doc LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1639303464
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MY DOC LLC
Practice address
5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451
Phone
(602) 841-7588
Fax
(602) 249-5080
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Aldemir T Coelho, MD
Title
Doctor
Phone
(602) 841-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451

Mailing address

5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451
Phone (602) 841-7588

National Provider Directory

National Provider Directory

Locations

5501 N 19th Ave
Ste 103
Phoenix, AZ 85015
Phone (605) 589-0500

5501 N 19th Ave
Ste 106
Phoenix, AZ 85015
Phone (602) 279-2319

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1639303464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-841-7588",
            "fax_number": "602-249-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-841-7588",
            "fax_number": "602-249-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "COELHO",
        "authorized_official_first_name": "ALDEMIR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-841-7588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 May 7, 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.