NPIMap

Organization Active NPI

Ahwatukee Pediatrics, P.C.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1689676256
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2633 Issued in AZ
Legal business name
AHWATUKEE PEDIATRICS, P.C.
Practice address
15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
Phone
(480) 496-6444
Fax
(480) 496-9688
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Mary Jo Foa Kutler, DO
Title
President
Phone
(480) 496-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2633 AZ Primary

Addresses

Primary practice location

15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438

Mailing address

15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
Phone (480) 496-6444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1689676256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S 46TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480438",
            "telephone_number": "480-496-6444",
            "fax_number": "480-496-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S 46TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480438",
            "telephone_number": "480-496-6444",
            "fax_number": "480-496-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KUTLER",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_middle_name": "FOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-496-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "2633",
            "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 May 12, 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.