NPIMap

Organization Active NPI

Primebody

  • Health Maintenance Organization
  • Scottsdale, AZ
National Provider Identifier
1164887972
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PRIMEBODY
Practice address
11611 E Sahuaro Dr
Suite 100
Scottsdale, AZ 85259-3163
Phone
(602) 732-4418
Fax
(602) 569-9027
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Nick Glimcher
Title
Owner
Phone
(602) 732-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

11611 E Sahuaro Dr
Suite 100
Scottsdale, AZ 85259-3163

Mailing address

14500 N Northsight Blvd
Suite 200
Scottsdale, AZ 85260-3658
Phone (602) 732-4418

National Provider Directory

National Provider Directory

Locations

11611 E Sahuaro Dr
Ste 100
Scottsdale, AZ 85259
Phone (602) 732-4418

14500 N Northsight Blvd
Ste 200
Scottsdale, AZ 85260

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1164887972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 N NORTHSIGHT BLVD",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603658",
            "telephone_number": "602-732-4418",
            "fax_number": "602-569-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 E SAHUARO DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593163",
            "telephone_number": "602-732-4418",
            "fax_number": "602-569-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEBODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "GLIMCHER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-732-4412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.