Active NPI
Jma Integrated Medicine PLLC
- Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1083207096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- JMA INTEGRATED MEDICINE PLLC
- Practice address
- 2111 E Pecos Rd Ste 1
Chandler, AZ 85225-6072 - Phone
- (480) 825-0593
- NPI assigned
- Feb 19, 2021
- 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
- Hazem Abawi, PHARM D
- Title
- Owner
- Phone
- (480) 313-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2111 E Pecos Rd Ste 1
Chandler, AZ 85225-6072
Mailing address
4637 E Reins Rd
Gilbert, AZ 85297-9515
Phone (480) 313-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240004 | Other | AZ | NP LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2111 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 821-9388
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinic/Center
- Gilbert, AZ
- NPI 1215680376
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chandler, AZ
- NPI 1952943235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1083207096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 E REINS RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979515",
"telephone_number": "480-313-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 E PECOS RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852256072",
"telephone_number": "480-825-0593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMA INTEGRATED MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2022-11-18",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "ABAWI",
"authorized_official_first_name": "HAZEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-313-3600",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "240004",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.