Individual provider Active NPI

Joseph Wynne Nolan, MD

  • Rheumatology Physician
  • Phoenix, AZ
National Provider Identifier
1720026834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
14186 Issued in AZ
Practice address
5040 N 15TH Ave
Suite #408
Phoenix, AZ 85015-3328
Phone
(602) 285-0017
Fax
(602) 285-9986
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 14186 AZ Primary

Addresses

Primary practice location

5040 N 15TH Ave
Suite #408
Phoenix, AZ 85015-3328

Mailing address

5040 N 15TH Ave
Suite #408
Phoenix, AZ 85015-3328
Phone (602) 285-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720026834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE",
            "address_2": "SUITE #408",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153328",
            "telephone_number": "602-285-0017",
            "fax_number": "602-285-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE",
            "address_2": "SUITE #408",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153328",
            "telephone_number": "602-285-0017",
            "fax_number": "602-285-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JOSEPH",
        "middle_name": "WYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "14186",
            "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 8, 2007; 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.