Organization Active NPI

East Valley Pulmonary Associates

  • Pulmonary Disease Physician
  • Tempe, AZ
National Provider Identifier
1932406105
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
32258 Issued in AZ
Legal business name
EAST VALLEY PULMONARY ASSOCIATES
Practice address
2600 E Southern Ave
Ste I-3
Tempe, AZ 85282-7610
Phone
(480) 626-8737
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. M Firas Joudeh, MDNPI 1124084280
Title
President
Phone
(480) 626-8737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 32258 AZ Primary

Addresses

Primary practice location

2600 E Southern Ave
Ste I-3
Tempe, AZ 85282-7610

Mailing address

PO Box 42050
Mesa, AZ 85274-2050
Phone (480) 626-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000402 AZ Part B Supplier - Clinic/Group Practice 3476738618 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1520 S Dobson Rd
Ste 212
Mesa, AZ 85202
Phone (480) 353-2000

1520 S Dobson Rd
Ste 218
Mesa, AZ 85202
Phone (480) 626-8737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1932406105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42050",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852742050",
            "telephone_number": "480-626-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE",
            "address_2": "STE I-3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827610",
            "telephone_number": "480-626-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "M FIRAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-626-8737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "32258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.