Organization Active NPI

Sonoran Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1841851995
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SONORAN PLASTIC SURGERY PLLC
Practice address
18325 N Allied Way Ste 120
Phoenix, AZ 85054-3107
Phone
(000) 000-0000
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Michael Jude Labarbera, MD
Title
Member Manager
Phone
(480) 676-4543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

18325 N Allied Way Ste 120
Phoenix, AZ 85054-3107

Mailing address

18325 N Allied Way Ste 120
Phoenix, AZ 85054-3107

National Provider Directory

National Provider Directory

Locations

18325 N Allied Way
Ste 120
Phoenix, AZ 85054
Phone (480) 534-8937

8776 E Shea Blvd
#106361
Scottsdale, AZ 85260

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": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1841851995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543107",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-676-4543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "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 Aug 29, 2019; 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.