Active NPIOrganization

Ahwatukee Pediatrics, P.c.

Pediatrics in Phoenix, Arizona

NPI Number1689676256
Practice location
15715 S 46TH St, Suite 102, Phoenix, AZ 85048-0438
Fax
480-496-9688
Last updated
May 12, 2008

Ahwatukee Pediatrics, P.c. is a healthcare organization based in Phoenix, AZ. The NPI number for Ahwatukee Pediatrics, P.c. is 1689676256 and holds license No. 2633 (AZ). The current practice location address is 15715 S 46TH St, Suite 102, Phoenix, AZ 85048-0438 and the office can be reached by phone at 480-496-6444 and by fax at 480-496-9688. The NPI was assigned on August 12, 2005 and the record was last updated in NPPES on May 12, 2008.

●Provider Profile Details

NPI Number
1689676256
Provider Name
Ahwatukee Pediatrics, P.c.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Mary Jo Foa Kutler, DO · President · 480-496-6444
Enumeration Date
August 12, 2005
Last Update Date
May 12, 2008
NPI Status
Active

◉Business Practice Location Address

Address
15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
State
Arizona
ZIP
85048-0438
Country
US
Phone Number
480-496-6444
Fax Number
480-496-9688

Get directions →

✉Business Mailing Address

Address
15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
City
Phoenix
State
AZ
ZIP
85048-0438
Phone Number
480-496-6444
Fax Number
480-496-9688

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pediatrics
193400000X - Single Specialty Group
208000000XYes2633AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Ahwatukee Pediatrics, P.c.?

The NPI number of Ahwatukee Pediatrics, P.c. is 1689676256. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Ahwatukee Pediatrics, P.c.?

Ahwatukee Pediatrics, P.c. is registered under the primary taxonomy Pediatrics (code 208000000X) and holds license No. 2633 (AZ).

Where does Ahwatukee Pediatrics, P.c. practice?

The practice location is 15715 S 46TH St, Suite 102, Phoenix, AZ 85048-0438. The office can be reached at 480-496-6444 (phone) or 480-496-9688 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689676256 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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