MEDICAL GROUP OF ARIZONA, LLC
NPI 1366796773
Family Medicine - Geriatric Medicine in Phoenix, AZ

Active since November 07, 2012
13430 N. BLACK CANYON HIGHWAY, SUITE 100, PHOENIX, AZ 85029(602) 943-9200(602) 216-3000 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Group Of Arizona, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL GROUP OF ARIZONA, LLC (NPI 1366796773) is a healthcare organization registered as a geriatric medicine in Phoenix, Arizona and active in the NPI registry since November 2012. The organization lists Reginald M. Sutton, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1366796773
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMEDICAL GROUP OF ARIZONA, LLC
Location Address13430 N. BLACK CANYON HIGHWAY, SUITE 100Phoenix, AZ 85029-1310
Mailing Address4616 N 51st Ave, Suite 103Phoenix, AZ 85031-1720 · (480) 686-8737 · Fax (602) 216-3000
Fax(602) 216-3000
Organization SubpartNo
Authorized OfficialReginald M. SuttonSole Member · (480) 686-8737
Enumeration DateNovember 7, 2012
NPI 1366796773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in AZ · 29166
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
13430 N. BLACK CANYON HIGHWAY, Phoenix, AZ 85029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Group Of Arizona, LLC's NPI number?

The NPI number for Medical Group Of Arizona, LLC is 1366796773. It was assigned to this organization in the NPPES registry on November 7, 2012.

Where is Medical Group Of Arizona, LLC located?

Medical Group Of Arizona, LLC is located at 13430 N. Black Canyon Highway Suite 100, Phoenix, AZ 85029. The listed phone number is (602) 943-9200.

What is Medical Group Of Arizona, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Medical Group Of Arizona, LLC was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.