NPIMap

Organization Active NPI

Canton Pediatrics,PC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1710213244
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4498 Issued in AZ
Legal business name
CANTON PEDIATRICS,PC
Practice address
303 E Baseline Rd
203
Phoenix, AZ 85042-6530
Phone
(602) 232-2737
Fax
(602) 232-2736
NPI assigned
Oct 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Scott Rogers, PA-C
Title
Physician Assistant
Phone
(602) 232-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4498 AZ Primary

Addresses

Primary practice location

303 E Baseline Rd
203
Phoenix, AZ 85042-6530

Mailing address

303 E Baseline Rd
203
Phoenix, AZ 85042-6530
Phone (602) 232-2737

National Provider Directory

National Provider Directory

Locations

303 E Baseline Rd
Ste 203
Phoenix, AZ 85042
Phone (602) 232-2737

Practitioners & affiliated clinicians

Practitioners 2

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": "1255737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1710213244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-232-2737",
            "fax_number": "602-232-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BASELINE RD",
            "address_2": "203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426530",
            "telephone_number": "602-232-2737",
            "fax_number": "602-232-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PEDIATRICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-17",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "602-232-2737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "4498",
            "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 30, 2013; 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.