1679512198 NPI number — CORY MATTHEW GINGOLD PA

Table of content: CORY MATTHEW GINGOLD PA (NPI 1679512198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679512198 NPI number — CORY MATTHEW GINGOLD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GINGOLD
Provider First Name:
CORY
Provider Middle Name:
MATTHEW
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

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:
1679512198
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2550 N THUNDERBIRD CIR
Provider Second Line Business Mailing Address:
STE 303
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85215-1214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-435-9132
Provider Business Mailing Address Fax Number:
480-776-0025

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 N HUMPHREYS ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
FLAGSTAFF
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86001-3136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-779-3844
Provider Business Practice Location Address Fax Number:
928-779-3848
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207PE0004X , with the licence number:  2243 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 532433 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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