PHOENIX FIRST ASSISTS LLC NPI 1801039813

NPI Information

NPI: 1801039813
Provider Name: PHOENIX FIRST ASSISTS LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3131 E CLARENDON AVE
SUITE 102
PHOENIX, AZ
ZIP 85016
Phone: (602) 253-9168
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PHOENIX FIRST ASSISTS LLC is a surgical physician assistant in Phoenix, AZ. PHOENIX FIRST ASSISTS LLC NPI is 1801039813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3131 E CLARENDON AVE
SUITE 102
PHOENIX, AZ
ZIP 85016-069
Phone: (602) 253-9168
Fax: (602) 251-3126

The provider's authorized official is Hao Kenith Fang .
The authorized official title is Owner and has the following contact phone number (602) 253-9168.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 3/7/2014.

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	363AS0400X	Physician Assistant	Surgical			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	421193	MEDICAID	ARIZONA
2	Z132659	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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