NPIMap

Organization Active NPI

Apogee Medical Group Vermont PC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1114092459
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APOGEE MEDICAL GROUP VERMONT PC
Practice address
2525 E Camelback Rd
1100
Phoenix, AZ 85016-4219
Phone
(602) 778-3600
NPI assigned
Nov 22, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Karen R Harwell
Title
Cfo
Phone
(602) 778-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2525 E Camelback Rd
1100
Phoenix, AZ 85016-4219

Mailing address

PO Box 708729
Sandy, UT 84070-8729
Phone (866) 869-2395

Other identifiers 2

IdentifierTypeStateIssuer
1013714MedicaidVT
69831OtherVTBCBS

National Provider Directory

National Provider Directory

Locations

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1114092459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708729",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708729",
            "telephone_number": "866-869-2395",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E CAMELBACK RD",
            "address_2": "1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164219",
            "telephone_number": "602-778-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOGEE MEDICAL GROUP VERMONT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-778-3600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013714",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69831",
            "state": "VT"
        }
    ],
    "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 Oct 17, 2007; 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.