NPIMap

Organization Active NPI

Ahwatukee Health Care, LLC

Doing business as Ahwatukee Health and Recovery

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1053803676
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AHWATUKEE HEALTH CARE, LLC
Doing business as
Ahwatukee Health and Recovery
Practice address
16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559
Phone
(480) 272-8450
Fax
(480) 272-8307
NPI assigned
May 30, 2018
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Mary Ann Holton
Title
Director of Operations
Phone
(480) 272-8450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559

Mailing address

16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559
Phone (480) 272-8450

Other practice location 1

12691 W Smokey Dr Ste 127
Surprise, AZ 85378-3801
Phone (480) 272-8450

Other practice location 2

34225 N 27th Dr Ste 146
Phoenix, AZ 85085-6090
Phone (480) 272-8450

Other names 1

  • Ahwatukee Health and Recovery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1053803676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12691 W Smokey Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853783801",
            "country_code": "US",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34225 N 27th Dr Ste 146",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850856090",
            "country_code": "US",
            "telephone_number": "480-272-8450",
            "fax_number": "480-272-8307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AHWATUKEE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-272-8450"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahwatukee Health and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2025; 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.