DAVID J. JAGODA MD PC NPI 1073806337

NPI Information

NPI: 1073806337
Provider Name: DAVID J. JAGODA MD PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 2009 E 5TH ST STE 9
TEMPE, AZ
ZIP 85281
Phone: (480) 237-9377

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NPI Details

DAVID J. JAGODA MD PC is a primary care clinic center in Tempe, AZ. DAVID J. JAGODA MD PC NPI is 1073806337. The provider is registered as an organization entity type.

The provider's business location address is:

2009 E 5TH ST STE 9
TEMPE, AZ
ZIP 85281-067
Phone: (480) 237-9377
Fax: (480) 237-9377

The provider's authorized official is David Jagoda .
The authorized official title is President and has the following contact phone number (480) 237-9377.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 5/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	25979	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G68133	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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