NPIMap

Geriatric Solutions - Hov, LLC

Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Phoenix, AZ

NPI 1033145495 · NPPES record last updated Apr 30, 2019

Key facts

NPI
1033145495
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
License
22105 (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
Organization subpart
No

Authorized official

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 37

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

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

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

Locations

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

1510 E Flower St
Bldg 2
Phoenix, AZ 85014
Phone (480) 268-2670

1510 E Flower St
Bldg Ii
Phoenix, AZ 85014

2255 N 44th St
Phoenix, AZ 85008

10030 N 32nd St
Phoenix, AZ 85028

8111 E Thomas Rd
Ste 124
Scottsdale, AZ 85251
Phone (602) 954-0444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207QG0300X 22105 AZ Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2019.

{
    "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

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Sources for this page

Verify at the official NPI Registry.