Individual provider Active NPI

Lawrence Presant, D.O.

  • Phlebology Physician
  • Phoenix, AZ
National Provider Identifier
1063626018
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
3610 Issued in AZ
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

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6628FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Heart and Rhythm, PLLC CurrentSince Aug 7, 2022 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.

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.

Verify at the official NPI Registry.