Pvim

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PVIM

Practice address

4494 W Peoria Ave
Suite 115a
Glendale, AZ 85302-2023

Phone

(623) 878-5800

Fax

(623) 773-2274

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Allyson K Morgan

Title

Office Manager

Phone

(602) 695-7392

Specialties & licenses 1

Addresses

Tax ID family

Pvim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pvim, LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1518334408
  NPD tax ID

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1285006957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE",
            "address_2": "SUITE 115A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022023",
            "telephone_number": "623-878-5800",
            "fax_number": "623-773-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE",
            "address_2": "SUITE 115A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022023",
            "telephone_number": "623-878-5800",
            "fax_number": "623-773-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-695-7392"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satinder Singh Purewal, MD
• Jordan Tyler Purvis
• Gina Pustai, LPC
• Bethany Putnam, RBT
• Lynda Putney
• Pvim, LLC
• Warren Blake Lockett Pyle, DMD
• Haveen Samed Qarini, RN, BSN, FNP-C
• Ahmad Zaky Qasimyar, MD
• De Qin

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.