Clove LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLOVE LLC

Doing business as

Grayhawk Family Practice

Practice address

10051 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-5239

Phone

(480) 473-7003

Fax

(480) 473-4499

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Arnetta Blackwell

Title

Ceo

Phone

(480) 473-7003

Specialties & licenses 1

Addresses

Other names 1

• Grayhawk Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie A Bragg, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1083764229
  Medicare reassignment NPD
• Ida P Crocker-Sabbagh, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1396808432
  Medicare reassignment NPD
• Linda L. Motsch, M.D.

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1689630402
  Medicare reassignment NPD
• Wendy Song, DO

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1144660671
  Medicare reassignment NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1013491166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 E DYNAMITE BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625239",
            "telephone_number": "480-473-7003",
            "fax_number": "480-473-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 E DYNAMITE BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625239",
            "telephone_number": "480-473-7003",
            "fax_number": "480-473-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ARNETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-473-7003"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayhawk Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grayhawk Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bennie Clonts, FNP-C
• Sylvia Close, LCSW
• Cloud 9 Psychiatry, LLC
• Julianne Clowry
• Andrew Cluckey
• Ethan Cluff, HEARING AID DISPENSE
• Judy Ann Cluff, PSY.D.
• CM Services Holdings, LLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.