NPIMap

Organization Active NPI

Thomas C Waitz MD PC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1649457953
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7083 Issued in AZ
Legal business name
THOMAS C WAITZ MD PC
Practice address
7720 N 17TH Ave
Phoenix, AZ 85021-7010
Phone
(602) 997-6062
Fax
(602) 870-3130
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Thomas Claiborne Waitz, MD
Title
President of PC
Phone
(602) 997-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 7083 AZ Primary

Addresses

Primary practice location

7720 N 17TH Ave
Phoenix, AZ 85021-7010

Mailing address

7720 N 17TH Ave
Phoenix, AZ 85021-7010
Phone (602) 997-6062

Other identifiers 1

IdentifierTypeStateIssuer
227901OtherAZAHCCCS PLANS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1649457953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N 17TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217010",
            "telephone_number": "602-997-6062",
            "fax_number": "602-870-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N 17TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217010",
            "telephone_number": "602-997-6062",
            "fax_number": "602-870-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C WAITZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WAITZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLAIBORNE",
        "authorized_official_title_or_position": "PRESIDENT OF PC",
        "authorized_official_telephone_number": "602-997-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "7083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PLANS",
            "identifier": "227901",
            "state": "AZ"
        }
    ],
    "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 29, 2008; 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.