NPIMap

Organization Active NPI

Maricopa Pulmonary Consultants LLC

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1710413588
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MARICOPA PULMONARY CONSULTANTS LLC
Practice address
9250 N 3Rd St Ste 2035
Phoenix, AZ 85020-2437
Phone
(480) 867-7223
Fax
(602) 674-6253
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Anselmo Garcia, M.D.NPI 1679791248
Title
Owner
Phone
(480) 867-7223

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

9250 N 3Rd St Ste 2035
Phoenix, AZ 85020-2437

Mailing address

111 E Dunlap Ave Ste 1-273
Phoenix, AZ 85020-7801
Phone (480) 867-7223

Other practice location 1

6501 E Greenway Pkwy
Ste 103-255
Scottsdale, AZ 85254-2025
Phone (480) 370-7992

Other identifiers 1

IdentifierTypeStateIssuer
422742MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025002214 AZ Part B Supplier - Clinic/Group Practice 7911273644 Receives reassigned benefits from 11 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

111 E Dunlap Ave
Ste 1273
Phoenix, AZ 85020

9225 N 3rd St
Ste 205
Phoenix, AZ 85020
Phone (480) 867-7223

6501 E Greenway Pkwy
Ste 103255
Scottsdale, AZ 85254
Phone (480) 370-7992

Practitioners & affiliated clinicians

Practitioners 11

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1710413588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE STE 1-273",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850207801",
            "telephone_number": "480-867-7223",
            "fax_number": "602-674-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 2035",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "480-867-7223",
            "fax_number": "602-674-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 E Greenway Pkwy",
            "address_2": "Ste 103-255",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542025",
            "country_code": "US",
            "telephone_number": "480-370-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARICOPA PULMONARY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-867-7223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422742",
            "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 Nov 12, 2020; 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.