Organization Active NPI

Philip G Hilcove MD LLC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1235556184
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AZ12255 Issued in AZ
Legal business name
PHILIP G HILCOVE MD LLC
Practice address
7525 E Broadway Rd
Suite 10
Mesa, AZ 85208-2002
Phone
(480) 985-9492
Fax
(480) 985-9771
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Philip G Hilcove, MD
Title
President
Phone
(480) 985-9492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AZ12255 AZ Primary

Addresses

Primary practice location

7525 E Broadway Rd
Suite 10
Mesa, AZ 85208-2002

Mailing address

PO Box 14503
Mesa, AZ 85216-4503
Phone (602) 264-6281

Other identifiers 1

IdentifierTypeStateIssuer
12255OtherAZSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

3033 N Central Ave
Ste 610
Phoenix, AZ 85012
Phone (602) 266-1556

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1235556184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14503",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852164503",
            "telephone_number": "602-264-6281",
            "fax_number": "480-985-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082002",
            "telephone_number": "480-985-9492",
            "fax_number": "480-985-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G HILCOVE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "HILCOVE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-985-9492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AZ12255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12255",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.