PPHP Pacs 2 LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PPHP PACS 2 LLC

Practice address

7255 E Broadway Rd
Mesa, AZ 85208-9201

Phone

(480) 981-8844

NPI assigned

May 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clarence Smith II

Title

President

Phone

(865) 693-1000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1003554114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852089201",
            "telephone_number": "480-981-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPHP PACS 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffone Nubarka Powers-Parker
• Amanda Powers, LPC-19285
• Barbara Jean Powers
• John Powers
• Kaylee Powers, APRN
• Roopashree Prabhushankar, MD
• Jesus Prado, DNP, PMHNP-BC
• Deepa Prasad, MD
• Kirstyn Prater, DNP
• Isaac Edmundson Pratt, DDS,MSD

• Hospitalist Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.