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CENTRAL PHOENIX FAMILY MEDICINE PLC NPI 1992797724


NPI Information

NPI: 1992797724
Provider Name: CENTRAL PHOENIX FAMILY MEDICINE PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1029142

Address:
333 W THOMAS RD
SUITE 207
PHOENIX, AZ
ZIP 85013
Phone: (602) 495-8960
Get Directions

CENTRAL PHOENIX FAMILY MEDICINE PLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL PHOENIX FAMILY MEDICINE PLC NPI is 1992797724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 W THOMAS RD
SUITE 207
PHOENIX, AZ
ZIP 85013-417
Phone: (602) 495-8960

The provider's authorized official is Steven Sayegh .
The authorized official title is Md/manager and has the following contact phone number (602) 495-8960.

The CLIA number assigned to this NPI record is 03D1029142 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/18/2005 and was last updated on 11/7/2013.


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
1207Q00000XFamily Medicine32089ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1871295MEDICAIDARIZONA
283124MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3I14352MEDICARE UPINARIZONA

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

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