Active NPI
Healthyu Phoenix Thomas Road
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
National Provider Identifier
1073229191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-1498246 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://athenanet.athenahealth.com/24378/29/login/choosedepartment.esp | Direct |
National Provider Directory
National Provider DirectoryLocations
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.