NPIMap

Organization Active NPI

US Medgroup PA

Doing business as Advanced Medical Specialists of Phoenix

  • Health Service Clinic/Center
  • Mesa, AZ
National Provider Identifier
1659650844
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
US MEDGROUP PA
Doing business as
Advanced Medical Specialists of Phoenix
Practice address
1710 W Southern
Mesa, AZ 85202
Phone
(480) 644-7900
Fax
(480) 644-7800
NPI assigned
Aug 5, 2011
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
John Anderson, DO
Title
President
Phone
(972) 364-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1710 W Southern
Mesa, AZ 85202

Mailing address

5080 Spectrum Drive
Suite 1200 West
Addison, TX 75001-4624
Phone (972) 364-8000

Other names 1

  • Advanced Medical Specialists of Phoenix Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Medical Specialists of Phoenix5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1659650844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624",
            "telephone_number": "972-364-8000",
            "fax_number": "214-775-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W SOUTHERN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-644-7900",
            "fax_number": "480-644-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDGROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Specialists of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2016; 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.