PWW Health Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PWW HEALTH CENTER LLC

Practice address

3202 E Greenway Rd
Suite 1619
Phoenix, AZ 85032-4548

Phone

(602) 482-2282

Fax

(602) 482-2909

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Pierce Waychoff, DC

Title

Sole MBR

Phone

(602) 482-2282

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1386070076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MISSOURI AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142713",
            "telephone_number": "602-889-5833",
            "fax_number": "602-889-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD",
            "address_2": "SUITE 1619",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324548",
            "telephone_number": "602-482-2282",
            "fax_number": "602-482-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWW HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "PIERCE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "602-482-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.