Four Seasons Medical Concierge LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

28649 Issued in AZ

Legal business name

FOUR SEASONS MEDICAL CONCIERGE LLC

Practice address

20235 N Cave Creek Rd Ste 104-494
Phoenix, AZ 85024-4424

Phone

(602) 740-1282

NPI assigned

May 31, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Church, MD

Title

Manager

Phone

(844) 325-5721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275061434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD STE 104-494",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244424",
            "telephone_number": "602-622-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD STE 104-494",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244424",
            "telephone_number": "602-740-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS MEDICAL CONCIERGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-325-5721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Fountain
• Fountains Obstetrics & Gynecology, LTD
• Four Corners Counseling and Wellness Inc.
• Four Peaks Endodontics, LLC
• Four Peaks Medical Supply
• Four Seasons Medical Services LLC
• Derek Fournier
• Whitney Shae Foust, ACNPC-AG
• Christen Marissa Fouts, FNP-C
• Patricia M Fowl, CRNA

• Pain Medicine (Anesthesiology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

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