Phoenix Physician Group, PLLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

PHOENIX PHYSICIAN GROUP, PLLC

Practice address

3430 N. Mountain Ridge
Unit 14
Mesa, AZ 85207

Phone

(303) 589-7881

NPI assigned

Oct 25, 2018

Last updated

Jul 3, 2023By 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

Tom Vo, M.D.

Title

Ceo

Phone

(713) 660-0557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 39

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.

• Kelly Lynne Armenta, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1275872848
  Medicare reassignment Care Compare group NPD
• Ross Dechant, M.D.

  • Emergency Medicine Physician
  • San Tan Valley, AZ
  • NPI 1356799811
  Medicare reassignment Care Compare group NPD
• Emily Rae Lopez, NP

  • Nurse Practitioner
  • Chandler, AZ
  • NPI 1407513708
  Medicare reassignment Care Compare group NPD
• Jamie V Ropacki, MD

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1588649545
  Medicare reassignment Care Compare group NPD
• Jennifer Roper, M.D.

  • Emergency Medicine Physician
  • Sedona, AZ
  • NPI 1205216561
  Medicare reassignment Care Compare group NPD
• Amira Attya, MD

  • Infectious Disease Physician
  • Scottsdale, AZ
  • NPI 1790105054
  Medicare reassignment NPD
• Laura Barth, MD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1932426012
  Medicare reassignment NPD
• Genna M Cammarata, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cave Creek, AZ
  • NPI 1649478967
  Medicare reassignment NPD
• Jack F David, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1164450961
  Medicare reassignment NPD
• Jay D Ford, FNP

  • Family Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1649714650
  Medicare reassignment NPD
• Jared Green

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1578875811
  Medicare reassignment NPD
• Shantall Viridiana Hall, D.O.

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1174759807
  Medicare reassignment NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1154898435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 NORTH POWER ROAD,",
            "address_2": "SUITE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 N. MOUNTAIN RIDGE",
            "address_2": "UNIT 14",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85207",
            "telephone_number": "303-589-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-660-0557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Children's Medical Group
• Phoenix Diagnostic Imaging Inc
• Phoenix Hospice & Palliative Care, LLC (Endeavor Hospice)
• Phoenix Neurological Institute Inc (Phoenician Behavioral Health)
• Phoenix Perfusion Services
• Phoenix Psychiatric Therapy
• Phoenix Specialty Hospital
• Phoenix Specialty Hospital
• Phoenix Vamc
• Phoenix Vascular Access, LLC

• Emergency Medical Services (Emergency Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.