NPIMap

Organization Active NPI

Arizona LS, LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1144673229
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARIZONA LS, LLC
Doing business as
Medi Weightloss Billerica
Practice address
509 S Hyde Park Ave
Tampa, FL 33606-2266
Phone
(813) 228-6334
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Wendie Nonclerc
Title
Director of Insurance Development
Phone
(813) 228-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

509 S Hyde Park Ave
Tampa, FL 33606-2266

Mailing address

99 Chelmsford Rd
Suite 8 North
North Billerica, MA 01862-1350
Phone (978) 244-0411

Other names 1

  • Medi Weightloss Billerica Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arizona LS LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 Chelmsford Rd
Ste 8
North Billerica, MA 01862
Phone (978) 244-0411

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1144673229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CHELMSFORD RD",
            "address_2": "SUITE 8 NORTH",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621350",
            "telephone_number": "978-244-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062266",
            "telephone_number": "813-228-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "NONCLERC",
        "authorized_official_first_name": "WENDIE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE DEVELOPMENT",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Billerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.