Arizona Internal Medicine Specialists, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARIZONA INTERNAL MEDICINE SPECIALISTS, PLC

Doing business as

Thunderbird Internal Medicine

Practice address

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4636

Phone

(602) 938-6960

Fax

(602) 938-6069

NPI assigned

Mar 27, 2017

Last updated

Sep 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Simon

Title

Revenue Cycle Manager

Phone

(602) 396-2125

Specialties & licenses 1

Addresses

Other names 1

• Thunderbird Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1720519143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE F1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-938-6960",
            "fax_number": "602-938-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "SUITE F1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-938-6960",
            "fax_number": "602-938-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERNAL MEDICINE SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "602-396-2125"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunderbird Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.