Passport Health Holdings LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PASSPORT HEALTH HOLDINGS LLC

Practice address

8826 Santa Fe Drive
Suite 217
Overland Park, KS 66212-3655

Phone

(877) 358-8648

Fax

(877) 877-6875

NPI assigned

Sep 10, 2009

Last updated

Apr 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Fishburn

Title

Chief Operating Officer

Phone

(480) 646-9020

Specialties & licenses 2

Addresses

Other names 1

• PPH Global Services LLC Other name

Tax ID family

Passport Health Holdings LLC219 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1407189392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N 44TH ST",
            "address_2": "SUITE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DRIVE",
            "address_2": "SUITE 217",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "FISHBURN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-646-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPH Global Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PPH Global Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Partners in Rehab Medicine
• Timothy C. Pasowicz, D.O.
• Kevin Pass, D.D.S.
• Cori C Passer, MD
• Passport Health (PPH Franchis Holdings LLC)
• Joshua Richard Paszkiewicz, DHA, LCPC, RN
• Stacy L. Pate, MA, CCC-SLP
• Akshar Patel
• Ashika Patel, PA-C
• Atul T Patel, M.D.

• Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.