Physician Business Services, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHYSICIAN BUSINESS SERVICES, LLC

Practice address

1040 Whipple St
Suite 209
Prescott, AZ 86305-1613

Phone

(928) 776-6400

Fax

(928) 776-6410

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dieter W. Krantz

Title

Vice President

Phone

(928) 772-2591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescott Mile High Primary Care Doing business as

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1275526402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-2500",
            "fax_number": "928-775-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WHIPPLE ST",
            "address_2": "SUITE 209",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051613",
            "telephone_number": "928-776-6400",
            "fax_number": "928-776-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN BUSINESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "DIETER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-772-2591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Mile High Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Phillips, RD
• Rose Steeg Phillips, MA, LMFT
• Phoenix Anesthesia Specialists, LLC
• Phoenix Cardiac Surgery
• Physician Business Services LLC
• Pia'S Place
• Marek Z Piatek, MD
• Maxwell Brice Pickering, DO
• Donald Lee Pierce, FNP
• Laura Ann Pieri, MD

• Primary Care Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.