Envi PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ENVI PLLC

Practice address

15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627

Phone

(623) 300-3684

Fax

(602) 671-3684

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Asad Ehtisham, MDNPI 1558366856

Title

Owner

Phone

(623) 300-3684

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Asad Ehtisham, MD

  • Neurology Physician
  • Peoria, AZ
  • NPI 1558366856

  AZ, Neurology

  Medicare reassignment NPD Authorized official
• Anita Gail Martin, LPT

  • Physical Therapist
  • Lake Havasu City, AZ
  • NPI 1083265573
  NPD
• Marie Annette Ohaver, FNP

  • Family Nurse Practitioner
  • Oro Valley, AZ
  • NPI 1396370607
  NPD
• Russell Don Meldrum, MD

  • Orthopaedic Surgery Physician
  • Lafayette, IN
  • NPI 1750332847
  NPD

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1396145264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627",
            "telephone_number": "623-300-3684",
            "fax_number": "602-671-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "EHTISHAM",
        "authorized_official_first_name": "ASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-300-3684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• English Oak Associates LLC
• Allison M English, PA-C
• Elizabeth Marie Englund, PHARMD
• Enkatsu Management
• Lorena Elizabeth Enriquez
• Epiphany Dermatology of Arizona, LLC
• Erin Kate Epley, PHARM.D.
• Melissa Lucile Epley, RN IBCLC
• Levente Edward Erdos, MD
• Kendall Shannon Ereth, D.C.

• Medical Specialty Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.