Individual provider Active NPI

Erdal M Gurgoze, PHD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1891816625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1916 W Bethany Home Rd # E100
Phoenix, AZ 85015-2458
Phone
(602) 274-4484
Fax
(602) 287-9406
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1916 W Bethany Home Rd # E100
Phoenix, AZ 85015-2458

Mailing address

300 W Clarendon Ave Ste 350
Phoenix, AZ 85013-3497
Phone (602) 274-4484

Other identifiers 1

IdentifierTypeStateIssuer
AMERICAN BOARD 2524OtherAZRADIOLOGIC PHYSICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891816625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133497",
            "telephone_number": "602-274-4484",
            "fax_number": "602-287-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 W BETHANY HOME RD # E100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152458",
            "telephone_number": "602-274-4484",
            "fax_number": "602-287-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGOZE",
        "first_name": "ERDAL",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGIC PHYSICS",
            "identifier": "AMERICAN BOARD 2524",
            "state": "AZ"
        }
    ],
    "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 Jul 8, 2007; 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.