Organization Active NPI

Trauma and Emergency Urologic Services LLC

  • Urology Physician
  • Phoenix, AZ
National Provider Identifier
1720524887
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46758 Issued in AZ
Legal business name
TRAUMA AND EMERGENCY UROLOGIC SERVICES LLC
Practice address
5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone
(602) 343-2903
Fax
(602) 391-2080
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Daniel C Jaffee, MD
Title
Chief Executive
Phone
(602) 343-2903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 46758 AZ Primary

Addresses

Primary practice location

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649

Mailing address

5110 N 44TH St
Suite L200
Phoenix, AZ 85018-1649
Phone (602) 343-2903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1720524887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2903",
            "fax_number": "602-391-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "address_2": "SUITE L200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2903",
            "fax_number": "602-391-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND EMERGENCY UROLOGIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "JAFFEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "602-343-2903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "46758",
            "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 Jan 13, 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.