DR. ANDREA KAY IRVING D.O. NPI 1780858878

NPI Information

NPI: 1780858878
Provider Name: DR. ANDREA KAY IRVING, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
19251 E OASIS DR
BLACK CANYON CITY, AZ
ZIP 85324
Phone: (623) 374-0200
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DR. Andrea Kay Irving, D.O. is a general practice in Black Canyon City, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Andrea Kay Irving, D.O. NPI is 1780858878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19251 E OASIS DR
BLACK CANYON CITY, AZ
ZIP 85324-878
Phone: (623) 374-0200

The enumeration date for this NPI number is 4/18/2008 and was last updated on 10/12/2021.

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	207V00000X	Obstetrics & Gynecology		R1055	ARIZONA	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	005207	ARIZONA	No
3	208D00000X	General Practice		005207	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	R1055	OTHER	ARIZONA	TRAINING PERMIT
2	005207	OTHER	ARIZONA	AZ STATE LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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