Active NPI
Arizona Grand Medical
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1851469803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31367
- Legal business name
- ARIZONA GRAND MEDICAL
- Practice address
- 1715 W Northern Ave
108
Phoenix, AZ 85021-5472 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Nov 30, 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
- Adriana T Gaidici, M.D.
- Title
- Medical Doctor
- Phone
- (602) 200-8988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31367 | AZ | Primary |
Addresses
Primary practice location
1715 W Northern Ave
108
Phoenix, AZ 85021-5472
Mailing address
1715 W Northern Ave
108
Phoenix, AZ 85021-5472
Phone (602) 395-0718
National Provider Directory
National Provider Directory- Tax ID family
- Adriana T Gaidici MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- Phoenix, AZ
- NPI 1740380138
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": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851469803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 W NORTHERN AVE",
"address_2": "108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215472",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 W NORTHERN AVE",
"address_2": "108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215472",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA GRAND MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GAIDICI",
"authorized_official_first_name": "ADRIANA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "602-200-8988",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Arizona Foundation for the Changing Eye
- Arizona Foundation for the Changing Eye, Inc. (Arizona Foundation for Eye Health)
- Arizona Gastroenterology Consultants LTD
- Arizona Gastrointestinal Associates, PLC
- Arizona Glaucoma Specialists - North Phoenix, LLC
- Arizona Ground Medical Transport (GMTCare)
- Arizona Hand and Wrist Specialists
- Arizona Hand Surgery Associates PC
- Arizona Harmony Home Healthcare, LLC (Harmony Home Healthcare)
- Arizona Head Neck & Facial Surgery LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.