NPIMap

Organization Active NPI

Geriatric Solutions - Hov, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1033145495
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
22105 Issued in AZ
Legal business name
GERIATRIC SOLUTIONS - HOV, LLC
Practice address
1510 E Flower St
Phoenix, AZ 85014-5698
Phone
(602) 954-0444
Fax
(602) 952-7146
NPI assigned
Jun 25, 2006
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mrs. Deborah Shumway
Title
Executive Director
Phone
(602) 530-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 22105 AZ Primary

Addresses

Primary practice location

1510 E Flower St
Phoenix, AZ 85014-5698

Mailing address

1510 E Flower St
Phoenix, AZ 85014-5698
Phone (602) 954-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725002509 AZ Part B Supplier - Clinic/Group Practice 1456644780 Receives reassigned benefits from 37 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1510 E Flower St
Bldg Ii
Phoenix, AZ 85014

2255 N 44th St
Phoenix, AZ 85008

2255 N 44th St
#200
Phoenix, AZ 85008
Phone (602) 571-1212

2255 N 44th St
Ste 200
Phoenix, AZ 85008
Phone (602) 424-4204

8111 E Thomas Rd
Ste 124
Scottsdale, AZ 85251
Phone (602) 424-5566

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1033145495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC SOLUTIONS - HOV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "SHUMWAY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-530-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "22105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.