1770596934 NPI number — GILBERT EMERGENCY MEDICINE SPECIALISTS LLC

Table of content: (NPI 1770596934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770596934 NPI number — GILBERT EMERGENCY MEDICINE SPECIALISTS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GILBERT EMERGENCY MEDICINE SPECIALISTS LLC
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:
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NPI Number Information

NPI Number:
1770596934
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5656 S POWER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GILBERT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85295-8487
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-984-2000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5656 S POWER RD
Provider Second Line Business Practice Location Address:
GILBERT HOSPITAL
Provider Business Practice Location Address City Name:
GILBERT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-984-2000
Provider Business Practice Location Address Fax Number:
480-279-5836
Provider Enumeration Date:
08/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNS
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
480-984-2000

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: AZ0309350 . This is a "BC" identifier . This identifiers is of the category "OTHER".




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