Comprehensive Breast Center of Arizona, PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4264 Issued in AZ

Legal business name

COMPREHENSIVE BREAST CENTER OF ARIZONA, PLC

Practice address

9179 W Thunderbird Rd
103
Peoria, AZ 85381-4875

Phone

(602) 374-3440

Fax

(602) 374-3441

NPI assigned

Oct 2, 2007

Last updated

Nov 2, 2007By 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

S Brenda Moorthy, DO

Title

Proprietor

Phone

(602) 374-3440

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kimberli Sue Cox, MD

  • Surgical Oncology Physician
  • Peoria, AZ
  • NPI 1679605141

  Surgery

  NPD (past)
• Sommer Rachael Gunia, D.O.

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1962672477
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1982891115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814875",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CENTER OF ARIZONA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "602-374-3440",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Medical Services Arizona-Private, LLC (Community Medical Services)
• Community of Hope (The Community Of HOPE LLC)
• Compassionate Care Treatments
• Compassionate Christian Psychiatry LLC
• Comprehensive Breast Center of Arizona PLC
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Elyse D Connor
• Conrad D Ballecer MD PLLC
• Kyrie Ann Conseen, LCSW

• Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.