Phoenix Health Ascendency LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHOENIX HEALTH ASCENDENCY LLC

Practice address

17011 State Road 50 Ste 103
Clermont, FL 34711-8203

Phone

(323) 695-3822

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Heather Diaz

Title

Administrator

Phone

(323) 695-3822

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Phoenix Health Doing business as

Practitioners 1

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

• Matthew L Smith, M.D.

  • Pediatrics Physician
  • Clermont, FL
  • NPI 1659361749

  Allergy

  NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1336837665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 STATE ROAD 50 STE 103",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 STATE ROAD 50 STE 103",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118203",
            "telephone_number": "323-695-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH ASCENDENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-695-3822"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277908100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Son Pham, PHARMD
• Ann Rebecca Phanisnaraine
• Phillips, Salomon & Parrish, PA
• Philosophy Health and Rehab, Inc
• Sherby Philoxy
• Phoenix Home Care, Inc.
• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Business Alliance Inc

• Family Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.