Organization Active NPI

Injury Center of Az PLLC

  • Occupational Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1992405203
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
INJURY CENTER OF AZ PLLC
Practice address
1331 N 7TH St Ste 355
Phoenix, AZ 85006-2772
Phone
(480) 248-5787
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. Patricia Susana Sullivan, MD-MPHNPI 1861455222
Title
Owner
Phone
(480) 248-5787

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
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1331 N 7TH St Ste 355
Phoenix, AZ 85006-2772

Mailing address

14251 N 6TH PL
Phoenix, AZ 85022-4224
Phone (480) 248-5787

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1992405203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 N 6TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224224",
            "telephone_number": "480-248-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 355",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062772",
            "telephone_number": "480-248-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CENTER OF AZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-248-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD-MPH"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 25, 2023; 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.