Active NPI
Array Medical Center Surprise PLLC
- General Practice Physician
- Surprise, AZ
National Provider Identifier
1992269658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ARRAY MEDICAL CENTER SURPRISE PLLC
- Practice address
- 18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646 - Phone
- (625) 583-9180
- NPI assigned
- Jan 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Bly
- Title
- Owner
- Phone
- (625) 583-9180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646
Mailing address
18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1992269658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18761 N REEMS RD STE 400",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18761 N REEMS RD STE 400",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748646",
"telephone_number": "625-583-9180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARRAY MEDICAL CENTER SURPRISE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "BLY",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "625-583-9180"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.