Advanced Health and Wellness Az

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANCED HEALTH AND WELLNESS AZ

Practice address

4830 Highway 260 Ste 102
Lakeside, AZ 85929

Phone

(928) 537-7111

Fax

(928) 532-1129

NPI assigned

Apr 2, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hugh Ryan Hall, DPM, MEDICAL DIRECTO

Title

Medical Director

Phone

(928) 537-7111

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Ryan Cluff, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Show Low, AZ
  • NPI 1639948060
  NPD
• Jared D Meyers, AUD.

  • Audiologist-Hearing Aid Fitter
  • Show Low, AZ
  • NPI 1215238068
  NPD
• Ken C Njenga, AU.D

  • Audiologist
  • Safford, AZ
  • NPI 1942869508
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1154827863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 HIGHWAY 260 STE 102",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295851",
            "telephone_number": "928-537-7111",
            "fax_number": "928-532-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 HIGHWAY 260 STE 102",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-537-7111",
            "fax_number": "928-532-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH AND WELLNESS AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-537-7111",
        "authorized_official_credential": "DPM, MEDICAL DIRECTO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accord Medical Rentals, LLC
• Achieve Beyond ABA LLC
• Akdhc, LLC
• Akdhc, LLC
• Marilou Cabrera Areno, SCHOOL PSYCHOLOGIST
• Arizona Heart Specialists PLLC
• Arizona Seniors 2024 LLC (Pinetop Senior Living)

• Clinic/Center in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.