Active NPI
Neuro Watch
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1720607294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NEURO WATCH
- Practice address
- 11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621 - Phone
- (480) 874-7014
- Fax
- (480) 874-7015
- NPI assigned
- Apr 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Lecompte
- Title
- General Partner
- Phone
- (480) 213-8488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621
Mailing address
PO Box 7387
Tempe, AZ 85281-0013
Phone (480) 874-7014
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1720607294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7387",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852810013",
"telephone_number": "480-874-7014",
"fax_number": "480-874-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 N TATUM BLVD STE 3031",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281621",
"telephone_number": "480-874-7014",
"fax_number": "480-874-7015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO WATCH",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "LECOMPTE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "480-213-8488",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.