PARADISE VALLEY ALLERGY ASSOC LTD NPI 1356414346

NPI Information

NPI: 1356414346
Provider Name: PARADISE VALLEY ALLERGY ASSOC LTD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
20940 N TATUM BLVD
STE 205
PHOENIX, AZ
ZIP 85050
Phone: (480) 991-1930
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PARADISE VALLEY ALLERGY ASSOC LTD is an allergy allergy immunology in Phoenix, AZ. PARADISE VALLEY ALLERGY ASSOC LTD NPI is 1356414346. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20940 N TATUM BLVD
STE 205
PHOENIX, AZ
ZIP 85050-260
Phone: (480) 991-1930
Fax: (480) 443-8196

The provider's authorized official is Richard George Keightley .
The authorized official title is Ceo and has the following contact phone number (480) 991-1930.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/14/2012.

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	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	11856	ARIZONA	No
2	207KA0200X	Allergy & Immunology	Allergy	11856	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	AZ0027920	OTHER	ARIZONA	BCBS
2	E49914	MEDICARE UPIN	ARIZONA
3	4022160	OTHER	ARIZONA	AETNA PPO
4	0200027	OTHER	ARIZONA	UNITED HEATH CARE
5	2572627	OTHER	ARIZONA	AETNA HMO
6	1Z2992	OTHER	ARIZONA	HEALTHNET
7	Z285509669	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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