Premise Health of Arizona Medical, P.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PREMISE HEALTH OF ARIZONA MEDICAL, P.C.

Practice address

301 W Jefferson St Ste 201
Phoenix, AZ 85003-2195

Phone

(480) 347-4791

Fax

(480) 347-4792

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Jon Leizman, M.D.

Title

President

Phone

(216) 479-9063

Specialties & licenses 3

Addresses

Other names 1

• Maricopa Health Center Doing business as

Locations

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1225397227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16906 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930169",
            "telephone_number": "877-865-9013",
            "fax_number": "480-347-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W JEFFERSON ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032195",
            "telephone_number": "480-347-4791",
            "fax_number": "480-347-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF ARIZONA MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maricopa Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premiere Medical Consultants
• Premise Health of Arizona Medical PC
• Premise Health of Arizona Medical PC
• Premise Health of Arizona Medical PC
• Premise Health of Arizona Medical PC
• Premium Behavior Clinic, LLC
• Premium Health Care Services
• Premium Legacy Healthcare Inc
• Agnes J Premkumar, MD
• Arcot S Premkumar, MD

• Urgent Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.