NPIMap

Organization Active NPI

Medical Professional Management Group, LLC

  • General Practice Physician
  • Scottsdale, AZ
National Provider Identifier
1841738366
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL PROFESSIONAL MANAGEMENT GROUP, LLC
Practice address
15029 N Thompson Peak Pkwy
B11-Ste 422
Scottsdale, AZ 85260-2217
Phone
(480) 384-0030
Fax
(877) 444-9245
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
JD Ball
Title
President
Phone
(480) 384-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X AZ Primary

Addresses

Primary practice location

15029 N Thompson Peak Pkwy
B11-Ste 422
Scottsdale, AZ 85260-2217

Mailing address

15029 N Thompson Peak Pkwy # B11-422
B11-Ste 422
Scottsdale, AZ 85260-2217
Phone (480) 384-0030

National Provider Directory

National Provider Directory

Locations

15029 N Thompson Peak Pkwy
Ste 422
Scottsdale, AZ 85260
Phone (480) 384-0030

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1841738366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY # B11-422",
            "address_2": "B11-STE 422",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "480-384-0030",
            "fax_number": "877-444-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "B11-STE 422",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "480-384-0030",
            "fax_number": "877-444-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-384-0030"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.