Active NPI
Aim Healthcare Providers, LLC
- General Practice Physician
- Tempe, AZ
National Provider Identifier
1104547975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AIM HEALTHCARE PROVIDERS, LLC
- Practice address
- 5025 S Ash Ave Ste 6&8
Tempe, AZ 85282-6839 - Phone
- (480) 494-2465
- Fax
- (480) 534-4087
- NPI assigned
- Sep 8, 2022
- 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
- Kelly Karaniuk
- Title
- Credentialing Direct
- Phone
- (480) 494-2465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
5025 S Ash Ave Ste 6&8
Tempe, AZ 85282-6839
Mailing address
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0035
Phone (480) 494-2465
Other names 1
- AIM Healthcare Providers, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Aim Healthcare Providers LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1295278000
-
- Family Medicine Physician
- Fargo, ND
- NPI 1982327961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1104547975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 E RIVULON BLVD STE 210",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970035",
"telephone_number": "480-494-2465",
"fax_number": "480-534-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 S ASH AVE STE 6&8",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826839",
"telephone_number": "480-494-2465",
"fax_number": "480-534-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIM HEALTHCARE PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "KARANIUK",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CREDENTIALING DIRECT",
"authorized_official_telephone_number": "480-494-2465"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AIM Healthcare Providers, LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "AIM Healthcare Providers, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.