NPIMap

Organization Active NPI

Arizona Gastroenterology and Liver Clinic,P.C.

  • Gastroenterology Physician
  • Glendale, AZ
National Provider Identifier
1689614489
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARIZONA GASTROENTEROLOGY AND LIVER CLINIC,P.C.
Practice address
5130 W Thunderbird Rd
Suite 3
Glendale, AZ 85306-4879
Phone
(602) 993-3600
Fax
(602) 298-1967
NPI assigned
Jun 8, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Kulbir Bal
Title
Office Manager
Phone
(602) 993-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X AZ Primary

Addresses

Primary practice location

5130 W Thunderbird Rd
Suite 3
Glendale, AZ 85306-4879

Mailing address

PO Box 5130
Peoria, AZ 85385-5130
Phone (602) 993-3600

National Provider Directory

National Provider Directory

Locations

14155 N 83rd Ave
Ste 122
Peoria, AZ 85381
Phone (623) 694-1445

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1689614489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855130",
            "telephone_number": "602-993-3600",
            "fax_number": "602-298-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 W THUNDERBIRD RD",
            "address_2": "SUITE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064879",
            "telephone_number": "602-993-3600",
            "fax_number": "602-298-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GASTROENTEROLOGY AND LIVER CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "KULBIR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-993-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.