OCOTILLO INTERNAL MEDICINE ASSOCIATES NPI 1154543650

NPI Information

  • NPI: 1154543650
  • Provider Name: OCOTILLO INTERNAL MEDICINE ASSOCIATES
  • Classification: Internal Medicine - 207RH0002X
  • Specialization: Hospice and Palliative Medicine
  • Entity Type: Organization
  • CLIA Number: 03D2080388
  • Address: 245 S DOBSON RD
    CHANDLER, AZ
    ZIP 85224
  • Phone: (480) 895-5870

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NPI Details

OCOTILLO INTERNAL MEDICINE ASSOCIATES is a hospice and palliative medicine internal medicine in Chandler, AZ. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. OCOTILLO INTERNAL MEDICINE ASSOCIATES NPI is 1154543650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

245 S DOBSON RD
CHANDLER, AZ
ZIP 85224-577
Phone: (480) 895-5870
Fax: (480) 895-0573

The provider's authorized official is Jonathan W Hackenyos .
The authorized official title is Partner and has the following contact phone number (480) 895-5870.

The CLIA number assigned to this NPI record is 03D2080388 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/11/2008.

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
1207RH0002XInternal MedicineHospice and Palliative MedicineYes

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
1Z79712MEDICARE ID-TYPE UNSPECIFIEDARIZONAGROUP ID#

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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