Organization Active NPI

Sante Personalized Preventive Healthcare, PLLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1174722458
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32892 Issued in AZ
Legal business name
SANTE PERSONALIZED PREVENTIVE HEALTHCARE, PLLC
Practice address
2620 N 3Rd St
Suite 103
Phoenix, AZ 85004-1153
Phone
(602) 595-3321
Fax
(602) 358-8451
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
John McBarron Hodgson, MD
Title
Managing Partner
Phone
(602) 595-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 32892 AZ Primary

Addresses

Primary practice location

2620 N 3Rd St
Suite 103
Phoenix, AZ 85004-1153

Mailing address

2620 N 3Rd St
Suite 103
Phoenix, AZ 85004-1153
Phone (602) 595-3321

National Provider Directory

National Provider Directory

Locations

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1174722458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N 3RD ST",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041153",
            "telephone_number": "602-595-3321",
            "fax_number": "602-358-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N 3RD ST",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041153",
            "telephone_number": "602-595-3321",
            "fax_number": "602-358-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE PERSONALIZED PREVENTIVE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MCBARRON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-595-3321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "32892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.