Organization Active NPI

Carla Dormer MD PLLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1659724649
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
37374 Issued in AZ
Legal business name
CARLA DORMER MD PLLC
Practice address
5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone
(602) 343-2900
Fax
(602) 391-2080
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Ms. Martha Hernandez
Title
Managing Director
Phone
(602) 343-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 37374 AZ Primary

Addresses

Primary practice location

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649

Mailing address

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone (602) 343-2900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1659724649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2900",
            "fax_number": "602-391-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2900",
            "fax_number": "602-391-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA DORMER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "602-343-2900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "37374",
            "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 Jul 14, 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.