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Zion Specialty PLLC

Organization Active NPI Hospitalist Physician · Phoenix, AZ

NPI 1053928267 · NPPES record last updated Sep 30, 2020

Key facts

NPI
1053928267
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
ZION SPECIALTY PLLC
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3000
NPI assigned
Sep 30, 2020
Organization subpart
No

Authorized official

Name
Obinna P Egbo, M.D. NPI 1992768378
Title
Managing Member
Phone
(480) 907-7707

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 17

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220711001941 AZ Part B Supplier - Clinic/Group Practice 4880074640 Receives reassigned benefits from 14 practitioners
Practice locations: Glendale, AZ; Phoenix, AZ; Globe, AZ; Casa Grande, AZ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0200X
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208M00000X Yes

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

PO Box 11773
Chandler, AZ 85248-0013
Phone (480) 907-7707

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2020.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1053928267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11773",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480013",
            "telephone_number": "480-907-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION SPECIALTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "EGBO",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-907-7707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Hospitalist Physician in Arizona

Sources for this page

Verify at the official NPI Registry.