Phoenix Recovery Center, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PHOENIX RECOVERY CENTER, LLC

Doing business as

Phoenix Integrated Health

Practice address

5945 Sawmill Rd
Dublin, OH 43017-1623

Phone

(888) 932-8364

NPI assigned

Mar 6, 2017

Last updated

Jan 15, 2019By 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

Burt Dhira

Title

Ceo

Phone

(614) 551-4364

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Integrated Health Doing business as

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1275073553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623",
            "telephone_number": "888-932-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "DHIRA",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-551-4364"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassondra Phillips
• Paradyze Phillips
• Niza Phiri, MSW
• Phoenix Integrated Health
• Phoenix Integrated Health LLC
• Physical Medicine Associates, Inc.
• Physician Center of Dublin 2LLC
• Physician Center of Dublin Inc
• Physicians Wellness Group LLC
• Physiotherapy Associates

• Addiction Medicine (Family Medicine) Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.