NPIMap

Organization Active NPI

SSR Neurology Associates

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1710007901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1409 Issued in AZ
Legal business name
SSR NEUROLOGY ASSOCIATES
Practice address
19841 N 27TH Ave Ste 403
Phoenix, AZ 85027-4007
Phone
(623) 780-8838
Fax
(623) 780-9150
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale R Schultz, D.O
Title
President
Phone
(623) 780-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 1409 AZ Primary

Addresses

Primary practice location

19841 N 27TH Ave Ste 403
Phoenix, AZ 85027-4007

Mailing address

19841 N 27TH Ave Ste 403
Phoenix, AZ 85027-4007
Phone (623) 780-8838

Other names 1

  • Valley Neurology Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710007901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE STE 403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274007",
            "telephone_number": "623-780-8838",
            "fax_number": "623-780-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE STE 403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274007",
            "telephone_number": "623-780-8838",
            "fax_number": "623-780-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSR NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-780-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Neurology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.