1326006313 NPI number — ANN M NEGRI MD

Table of content: (NPI 1326006313)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326006313 NPI number — ANN M NEGRI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANN M NEGRI MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326006313
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10240 N 31ST AVE
Provider Second Line Business Mailing Address:
SUIT 200
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85051-9558
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-997-9006
Provider Business Mailing Address Fax Number:
602-997-4585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23233 N PIMA RD
Provider Second Line Business Practice Location Address:
113-351
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85255-8388
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-513-7311
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEGRI
Authorized Official First Name:
ANN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
602-695-8819

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW013829 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: CW013465 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: CW012175 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: MD027706E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1033115795 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9601683 . This is a "NORTH CAROLINA LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 631100 . This is a "HIGHMARK PROVIDER NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0884882 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 32836 . This is a "ARIZONA LICENSE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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