NPIMap

Organization Active NPI

Center for Sexual and Urinary Function

  • Urology Physician
  • Show Low, AZ
National Provider Identifier
1982934204
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
34718 Issued in AZ
Legal business name
CENTER FOR SEXUAL AND URINARY FUNCTION
Practice address
5300 S Sutter Dr Ste 1
Show Low, AZ 85901-8055
Phone
(623) 780-2300
Fax
(888) 927-0569
NPI assigned
Jan 8, 2010
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Peter Niemczyk, M.D.NPI 1518953041
Title
Director
Phone
(602) 531-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 34718 AZ Primary

Addresses

Primary practice location

5300 S Sutter Dr Ste 1
Show Low, AZ 85901-8055

Mailing address

4121 E Mission LN Ste 102
Phoenix, AZ 85028-5403
Phone (623) 780-2300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1982934204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E MISSION LN STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285403",
            "telephone_number": "623-780-2300",
            "fax_number": "888-927-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018055",
            "telephone_number": "623-780-2300",
            "fax_number": "888-927-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SEXUAL AND URINARY FUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "NIEMCZYK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-531-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "34718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.