Organization Active NPI

Midtown Endocrine Associates PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1972896918
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A221768 Issued in AZ
Legal business name
MIDTOWN ENDOCRINE ASSOCIATES PC
Practice address
2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone
(602) 258-9955
Fax
(602) 258-9933
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Joan F Bailey, M.D.NPI 1184615023
Title
Joan F Bailey M.D. P.C.
Phone
(602) 258-9955

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A221768 AZ Primary

Addresses

Primary practice location

2200 N 3Rd St
Phoenix, AZ 85004-1401

Mailing address

2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone (602) 258-9955

Other identifiers 1

IdentifierTypeStateIssuer
153388MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000157 AZ Part B Supplier - Clinic/Group Practice 0345427894 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0882143Midtown Endocrine Associates PC2200 N 3Rd St, Phoenix, AZ 85004Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

2200 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-6634

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGHBA

Practitioners & affiliated clinicians

Practitioners 5

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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1972896918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-258-9955",
            "fax_number": "602-258-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-258-9955",
            "fax_number": "602-258-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN ENDOCRINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "JOAN F BAILEY M.D. P.C.",
        "authorized_official_telephone_number": "602-258-9955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "A221768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153388",
            "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 May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.