Provider Type Icon

CASELLI AVENUE PROFESSIONALS LLC NPI 1669845558


NPI Information

NPI: 1669845558
Provider Name: CASELLI AVENUE PROFESSIONALS LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
9812 N 7TH ST
9812 N. 7TH STREET
PHOENIX, AZ
ZIP 85020
Phone: (602) 714-6783
Get Directions

CASELLI AVENUE PROFESSIONALS LLC is an internal medicine in Phoenix, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CASELLI AVENUE PROFESSIONALS LLC NPI is 1669845558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9812 N 7TH ST
9812 N. 7TH STREET
PHOENIX, AZ
ZIP 85020-763
Phone: (602) 714-6783
Fax: (602) 325-0125

The provider's authorized official is John Sutherland .
The authorized official title is Ceo and has the following contact phone number (602) 714-6783.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.


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
1207RB0002XInternal MedicineObesity Medicine27081ARIZONANo
2207RC0000XInternal MedicineCardiovascular Disease27081ARIZONANo
3207R00000XInternal Medicine27081ARIZONAYes

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
1C66703MEDICARE UPINARIZONA
2WCSKQOTHERARIZONASUN HEALTH GROUP
3445470MEDICAIDARIZONA
4Z24307MEDICARE PINARIZONA

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.