Active NPI
Lawrence Presant, D.O.
- Phlebology Physician
- Phoenix, AZ
National Provider Identifier
1063626018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 3610
- Practice address
- 3805 E Bell Rd
Ste 1600
Phoenix, AZ 85032-2105 - Phone
- (480) 945-0910
- Fax
- (480) 391-8711
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 3610 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Ste 1600
Phoenix, AZ 85032-2105
Mailing address
18065 N Thompson Peak Pkwy Apt 1016
Scottsdale, AZ 85255-6190
Phone (480) 945-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6628 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Valley Heart and Rhythm, PLLC | Current | Accepting new patients | |
| Mobile Medical Industries Inc | Past | Accepting new patients |
Locations
3805 E Bell Rd
Ste 1600
Phoenix, AZ 85032
Phone (480) 945-0910
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Phoenix, AZ
- NPI 1831825892
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1063626018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18065 N THOMPSON PEAK PKWY APT 1016",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556190",
"telephone_number": "480-945-0910",
"fax_number": "480-391-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "480-945-0910",
"fax_number": "480-391-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESANT",
"first_name": "LAWRENCE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "AZ",
"license": "3610",
"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 Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.