Active NPI
Desert Rose Neurology
- Pain Medicine Physician
- Sierra Vista, AZ
National Provider Identifier
1780943456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 19818
- Legal business name
- DESERT ROSE NEUROLOGY
- Practice address
- 2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841 - Phone
- (520) 417-1133
- Fax
- (520) 417-1133
- NPI assigned
- May 15, 2012
- 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
- Dr. Guy C Cary, MD
- Title
- Owner
- Phone
- (520) 417-1133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 19818 | AZ | Primary |
Addresses
Primary practice location
2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Mailing address
2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Phone (520) 417-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3257011 | Other | ECFMG |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352851200000",
"number": "1780943456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352841",
"telephone_number": "520-417-1133",
"fax_number": "520-417-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352841",
"telephone_number": "520-417-1133",
"fax_number": "520-417-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT ROSE NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-11-14",
"status": "A",
"authorized_official_last_name": "CARY",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-417-1133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "19818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG",
"identifier": "3257011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- Dermatology and Plastic Surgery of Arizona LLC
- Desert Blossom Midwifery LLC
- Desert Cardiovascular Group LTD
- Desert Pain and Rehab Specialists, PLLC
- Desert Rehab LLC
- Desert Rose Sober Living
- Desert Sky Spine & Sports Medicine PC
- Desert Vista Orthodontics, LLC
- Amy Louise Devine
- Mohamad Omar Zakaria Diab, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.