Arizona Spine and Stroke Center PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35835 Issued in AZ

Legal business name

ARIZONA SPINE AND STROKE CENTER PLLC

Practice address

5505 W Chandler Blvd
Suite 11
Chandler, AZ 85226

Phone

(480) 659-2571

Fax

(480) 659-2671

NPI assigned

Jan 23, 2007

Last updated

Apr 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wladislaw G Fedoriw, MD

Title

Member

Phone

(480) 659-2571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1932253945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263683",
            "telephone_number": "480-659-2571",
            "fax_number": "480-659-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-659-2571",
            "fax_number": "480-659-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE AND STROKE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "FEDORIW",
        "authorized_official_first_name": "WLADISLAW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-659-2571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "35835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tallise Armendariz

• Specialist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.