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ELDERHEALTH PLLC NPI 1336746692


NPI Information

NPI: 1336746692
Provider Name: ELDERHEALTH PLLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 03D2211159

Address:
1846 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755
Phone: (520) 329-2699
Get Directions

ELDERHEALTH PLLC is a geriatric medicine internal medicine in Oro Valley, AZ. The provider is an internist who has 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. ELDERHEALTH PLLC NPI is 1336746692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1846 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755-963
Phone: (520) 329-2699

The provider's authorized official is Corinne Self .
The authorized official title is Founder and has the following contact phone number (520) 829-9987.

The CLIA number assigned to this NPI record is 03D2211159 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 9/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207R00000XInternal MedicineNo
3363LG0600XNurse PractitionerGerontologyNo
4363LP2300XNurse PractitionerPrimary CareNo
5207RG0300XInternal MedicineGeriatric MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.