Organization Active NPI

Healthyu Phoenix Thomas Road

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
National Provider Identifier
1073229191
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HEALTHYU PHOENIX THOMAS ROAD
Practice address
7910 W Thomas Rd Ste 112
Phoenix, AZ 85033-4830
Phone
(602) 491-0703
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Shane Speirs, MD
Title
President
Phone
(480) 495-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

7910 W Thomas Rd Ste 112
Phoenix, AZ 85033-4830

Mailing address

840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Phone (602) 491-0703

Other identifiers 1

IdentifierTypeStateIssuer
86-1498246MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://athenanet.athenahealth.com/24378/29/login/choosedepartment.esp Direct

National Provider Directory

National Provider Directory

Locations

7910 W Thomas Rd
Ste 112
Phoenix, AZ 85033
Phone (623) 414-4325

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1073229191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "602-491-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W THOMAS RD STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334830",
            "telephone_number": "602-491-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYU PHOENIX THOMAS ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SPEIRS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-495-5485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1498246",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/24378/29/login/choosedepartment.esp",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7910 W Thomas Rd Ste 112",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850334830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 24, 2023; 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.