NPIMap

Organization Active NPI

Payson Physician Services Corporation

  • Primary Care Clinic/Center
  • Payson, AZ
National Provider Identifier
1790950194
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
29310 Issued in AZ
Legal business name
PAYSON PHYSICIAN SERVICES CORPORATION
Practice address
2810 E Pinegate CT
Payson, AZ 85541-1938
Phone
(928) 468-0210
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Heather Maureen Driscoll-Lowe
Title
VP
Phone
92894680210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 29310 AZ Primary

Addresses

Primary practice location

2810 E Pinegate CT
Payson, AZ 85541-1938

Mailing address

PO Box 1240
Payson, AZ 85547-1240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1790950194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855471240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E PINEGATE CT",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855411938",
            "telephone_number": "928-468-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON PHYSICIAN SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL-LOWE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "92894680210"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "29310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.