East Valley Medical Associates, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35682 Issued in AZ

Legal business name

EAST VALLEY MEDICAL ASSOCIATES, PLC

Practice address

2201 W. Fairview St.
#1
Chandler, AZ 85224

Phone

(480) 244-8776

Fax

(480) 553-7814

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By 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

Matthew C. Kerzan, MD

Title

Proprietor

Phone

(480) 244-8726

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1760850283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W. FAIRVIEW ST.",
            "address_2": "#1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-244-8776",
            "fax_number": "480-553-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W. FAIRVIEW ST.",
            "address_2": "#1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-244-8776",
            "fax_number": "480-553-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY MEDICAL ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "KERZAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "480-244-8726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Valley Hematologists and Oncologists
• East Valley Hospital, LLC (Phoenix ER)
• East Valley Internal Medicine PC
• East Valley Joint Clinic LLC (Divine IV and Wellness)
• East Valley Medical Associates, PLC
• East Valley Medicine PLC
• East Valley Oral Surgery,PC
• East Valley Pcit, PLLC
• East Valley Plastic Surgery, PC
• East Valley Radiology Associates PLLC

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, 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 15, 2015; 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.