Amh Series II Az LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

AMH SERIES II AZ LLC

Practice address

3005 W Ina Rd Ste 111
Tucson, AZ 85741-2378

Phone

(480) 613-4137

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Teah Smith

Title

Credentialing Manager

Phone

(901) 205-3999

Specialties & licenses 1

Addresses

Other names 1

• Ageless Men's Health Tucson Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Hamre

  • Physician Assistant
  • Tucson, AZ
  • NPI 1124647094

  Single Specialty

  NPD
• Devon Lewis

  • Physician Assistant
  • Tucson, AZ
  • NPI 1114507357
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1154014249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 W INA RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W INA RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412378",
            "telephone_number": "480-613-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMH SERIES II AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TEAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-205-3999"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageless Men's Health Tucson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ageless Men's Health Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ameripath Tucson Inc
• Ameripath Tucson, Inc
• Amerita, Inc.
• Krishna Chaitanya Amerneni
• Amg Medical Tucson LLC
• Amie Rose Assisted Living Home, LLC
• Amigos Orthotics & Prosthetics Inc.
• Jay Amin
• Zahra Amin, M.D.
• Willibroad Aleihe Aminazong, PHARMD

• Adult Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Medicine Physician in Arizona

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

Verify at the official NPI Registry.