NPIMap

Organization Active NPI

Arizona Grand Medical Center, PLLC

  • Pulmonary Disease Physician
  • Prescott, AZ
National Provider Identifier
1871922989
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ARIZONA GRAND MEDICAL CENTER, PLLC
Practice address
3773 Crossings Dr
Suite C
Prescott, AZ 86305-7140
Phone
(928) 771-9693
Fax
(928) 708-0505
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mrs. Satty Bhowra
Title
Administrator
Phone
(602) 550-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

3773 Crossings Dr
Suite C
Prescott, AZ 86305-7140

Mailing address

PO Box 47729
Phoenix, AZ 85068-7729
Phone (623) 934-5600

Other names 1

  • AGMC- Crossings11 Other name

National Provider Directory

National Provider Directory
Tax ID family
Arizona Grand Medical Center PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3773 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (602) 698-7325

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1871922989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47729",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687729",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CROSSINGS DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057140",
            "telephone_number": "928-771-9693",
            "fax_number": "928-708-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GRAND MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BHOWRA",
        "authorized_official_first_name": "SATTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-550-4065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGMC- Crossings11",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.