Active NPI
Arizona Head Neck & Facial Surgery LTD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Phoenix, AZ
National Provider Identifier
1922126085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Legal business name
- ARIZONA HEAD NECK & FACIAL SURGERY LTD
- Practice address
- 1515 N 9TH Street
Suite B
Phoenix, AZ 85006 - Phone
- (602) 258-9859
- Fax
- (602) 256-0820
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 22, 2020
- 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
- Peter H Nutley, MD
- Title
- President
- Phone
- (602) 258-9859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | NU | Primary |
Addresses
Primary practice location
1515 N 9TH Street
Suite B
Phoenix, AZ 85006
Mailing address
1515 N 9TH Street
Suite B
Phoenix, AZ 85006
Phone (602) 258-9859
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922126085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N 9TH STREET",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-258-9859",
"fax_number": "602-256-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N 9TH STREET",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-258-9859",
"fax_number": "602-256-0820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA HEAD NECK & FACIAL SURGERY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NUTLEY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-258-9859",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Arizona Grand Medical
- Arizona Ground Medical Transport (GMTCare)
- Arizona Hand and Wrist Specialists
- Arizona Hand Surgery Associates PC
- Arizona Harmony Home Healthcare, LLC (Harmony Home Healthcare)
- Arizona Health Associates LLC
- Arizona Health Care Contract Management Services Inc. (Kings)
- Arizona Health Care Contract Management Services Inc. (State)
- Arizona Health Care Contract Management Services Inc.
- Arizona Health Care Contract Management Services Inc. (Oregon)
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.