Organization Active NPI

North Valley Head and Neck Surgery, LLC

  • Medical Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1770725913
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NORTH VALLEY HEAD AND NECK SURGERY, LLC
Practice address
9327 N 3Rd St
Suite 202
Phoenix, AZ 85020-2470
Phone
(602) 216-6686
Fax
(602) 216-6688
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Mr. Gary R. Grover
Title
Senior Vice President
Phone
(602) 216-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

9327 N 3Rd St
Suite 202
Phoenix, AZ 85020-2470

Mailing address

PO Box 9907
Phoenix, AZ 85068-0907
Phone (602) 216-6686

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1770725913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9907",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850680907",
            "telephone_number": "602-216-6686",
            "fax_number": "602-216-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 N 3RD ST",
            "address_2": "SUITE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202470",
            "telephone_number": "602-216-6686",
            "fax_number": "602-216-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY HEAD AND NECK SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "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 Apr 2, 2009; 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.