Organization Active NPI

Arizona Otolaryngology Consultants, PC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1679538441
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC
Practice address
4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone
(602) 264-4834
Fax
(602) 254-5178
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Dr. John M Milligan, M.D.NPI 1376513341
Title
President
Phone
(602) 264-4834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AZ Primary

Addresses

Primary practice location

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042

Mailing address

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834

Other identifiers 1

IdentifierTypeStateIssuer
799702MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000589 AZ Part B Supplier - Clinic/Group Practice 5294621868 Receives reassigned benefits from 30 practitioners
Practice locations: Glendale, AZ; Mesa, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1501 N Gilbert Rd
Ste 203
Gilbert, AZ 85234
Phone (602) 833-7320

1501 N Gilbert Rd
Ste 310
Gilbert, AZ 85234

2910 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 218-6907

1520 S Dobson Rd
Ste 305
Mesa, AZ 85202
Phone (480) 539-4000

1920 E Cambridge Ave
Ste 202
Phoenix, AZ 85006
Phone (602) 264-4834

333 E Virginia Ave
Ste 101
Phoenix, AZ 85004
Phone (602) 257-4219

2222 E Highland Ave
Ste 204
Phoenix, AZ 85016
Phone (602) 264-4834

222 W Thomas Rd
Ste 114
Phoenix, AZ 85013
Phone (602) 406-4578

5015 S Arizona Mills Cir
Tempe, AZ 85282
Phone (480) 534-4121

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1679538441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-264-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799702",
            "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 Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.