Organization Active NPI

PGF Medical Services PLLC

Doing business as Direct 2 Recovery

  • Personal Emergency Response Attendant
  • Phoenix, AZ
National Provider Identifier
1356857262
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
Legal business name
PGF MEDICAL SERVICES PLLC
Doing business as
Direct 2 Recovery
Practice address
5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139
Phone
(602) 601-7429
Fax
(602) 601-7428
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Paul G. Flatley, DONPI 1295785145
Title
Owner
Phone
(602) 601-7430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X

Addresses

Primary practice location

5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139

Mailing address

5656 E Orange Blossom LN Ste 5
Phoenix, AZ 85018-8139
Phone (602) 601-7429

Other identifiers 1

IdentifierTypeStateIssuer
3162OtherAZSTATE LICENSE

Other names 1

  • Direct 2 Recovery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320001724 AZ Part B Supplier - Clinic/Group Practice 9032459557 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2137072Direct 2 Recovery5656 E Orange Blossom Lane #5, Phoenix, AZ 85018Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

5656 E Orange Blossom Ln
Ste 5
Phoenix, AZ 85018
Phone (602) 601-7429

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1356857262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 E ORANGE BLOSSOM LN STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188139",
            "telephone_number": "602-601-7429",
            "fax_number": "602-601-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 E ORANGE BLOSSOM LN STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188139",
            "telephone_number": "602-601-7429",
            "fax_number": "602-601-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGF MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "FLATLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-601-7430",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3162",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct 2 Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.