Active NPI
Terry Ambus MD, PC
- Anesthesiology Physician
- Chandler, AZ
National Provider Identifier
1821019761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 22290
- Legal business name
- TERRY AMBUS MD, PC
- Practice address
- 1955 W Frye Rd
Chandler, AZ 85224-6282 - Phone
- (480) 728-3000
- NPI assigned
- Jul 23, 2006
- 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. Terry Ambus, M.D.
- Title
- Sole Owner
- Phone
- (480) 507-2961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22290 | AZ | Primary |
Addresses
Primary practice location
1955 W Frye Rd
Chandler, AZ 85224-6282
Mailing address
PO Box 1847
Gilbert, AZ 85299-1847
Phone (480) 507-2961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG9637 | Other | AZ | MEDICARE RR |
| 300700 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435795200000",
"number": "1821019761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991847",
"telephone_number": "480-507-2961",
"fax_number": "480-507-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W FRYE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246282",
"telephone_number": "480-728-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRY AMBUS MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2015-07-02",
"status": "A",
"authorized_official_last_name": "AMBUS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "480-507-2961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "22290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DG9637",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300700",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.