Derrick Umphlett MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DERRICK UMPHLETT MD PC

Practice address

5102 W Campbell Ave
Phoenix, AZ 85031-1703

Phone

(480) 609-9300

Fax

(480) 609-9350

NPI assigned

Jan 13, 2011

Last updated

Jun 18, 2012By 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

Derrick C. Umphlett, MD

Title

Owner

Phone

(480) 609-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1760787287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 E RAINTREE DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607300",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 W CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311703",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK UMPHLETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "UMPHLETT",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-609-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Deroma
• Parker Constantine Deroo
• Gael Derouin, DO
• Pamela Louise Derouin, MD
• Derrick S. Hines M.D. P.C.
• Brenda Joyce Derrick, LPN
• Cheri Diane Dersam, M.D.
• Michael D Dersam, MD
• Anne Merrylees Dersch, MD
• Michael H Dershowitz, DPM

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.