Angels Valley Legs Care Center PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ANGELS VALLEY LEGS CARE CENTER PLLC

Practice address

3333 W Thunderbird Rd Apt 2069
Phoenix, AZ 85053-8603

Phone

(520) 527-8038

Fax

(623) 889-0814

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Jean Simon Joel Edouard

Title

PA, Sa-C

Phone

(520) 527-8038

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Simon Joel Edouard, PA

  • Physician Assistant
  • Peoria, AZ
  • NPI 1619526217
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1245979129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "520-527-8038",
            "fax_number": "623-889-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W THUNDERBIRD RD APT 2069",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850538603",
            "telephone_number": "520-527-8038",
            "fax_number": "623-889-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS VALLEY LEGS CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "JEAN SIMON JOEL",
        "authorized_official_title_or_position": "PA, SA-C",
        "authorized_official_telephone_number": "520-527-8038"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angels Valley Concierge Healthcare Center PLLC
• Jack Anger
• Angie'S Angels Home Heath Care, LLC
• Jason M Angle, MD
• Smith Angoh Angoh
• Nichole Anguilm, RDN

• Surgical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.