NPIMap

Organization Active NPI

Arizona State University

Doing business as Arizona State University Health Services

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1912187121
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ARIZONA STATE UNIVERSITY
Doing business as
Arizona State University Health Services
Practice address
7332 E. Sun Devil Mall
Mesa, AZ 85212
Phone
(480) 727-1500
Fax
(480) 727-1599
NPI assigned
Nov 6, 2007
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Allan Markus, M.D.
Title
Physician/Director
Phone
(480) 965-1145

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Nurse Practitioner 363LF0000X AZ Primary
Family Medicine Physician 207Q00000X NU
Family Medicine Physician 207Q00000X AZ

Addresses

Primary practice location

7332 E. Sun Devil Mall
Mesa, AZ 85212

Mailing address

PO Box 872104
Tempe, AZ 85287-2104
Phone (480) 727-1500

Other names 1

  • Arizona State University Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Servic13 organizations share this tax ID, including this one
Part of
Community Health Servic

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1912187121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852872104",
            "telephone_number": "480-727-1500",
            "fax_number": "480-727-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 E. SUN DEVIL MALL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-727-1500",
            "fax_number": "480-727-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA STATE UNIVERSITY",
        "enumeration_date": "2007-11-06",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKUS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "480-965-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona State University Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.