Tca PLC

Primary specialty

Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X

License

4447 Issued in AZ

Legal business name

TCA PLC

Practice address

3217 E Shea Blvd
441
Phoenix, AZ 85028-3340

Phone

(602) 388-1180

Fax

(602) 388-1180

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Dany Kin Moon Quan, D.O.NPI 1710954847

Title

Member

Phone

(602) 388-1180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Dany Kin Moon Quan, D.O.

  • Medical Toxicology (Emergency Medicine) Physician
  • Phoenix, AZ
  • NPI 1710954847

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Ian Douglas Bond, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Mesa, AZ
  • NPI 1639380546
  Medicare reassignment NPD
• Matt Evans, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821431560
  Medicare reassignment NPD
• Shirley Shao, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1952783995
  Medicare reassignment NPD

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1861784753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 E SHEA BLVD",
            "address_2": "441",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283340",
            "telephone_number": "602-388-1180",
            "fax_number": "602-388-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 E SHEA BLVD",
            "address_2": "441",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283340",
            "telephone_number": "602-388-1180",
            "fax_number": "602-388-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "DANY",
        "authorized_official_middle_name": "KIN MOON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-388-1180",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "AZ",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylord LLC (Taylord Services)
• Richard Blake Tayrien, D.O.
• Nina Tazi, M.D
• Melissa Tazioli
• TC Psychiatry PLLC
• TCS Surgical Facility, PC
• TDM Medical Consulting, LLC
• TDM Medical Staffing Agency PLLC
• Tea Surgical Services LLC
• Patricia A Teaford, MD

• Emergency Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.