NPIMap

Individual provider Active NPI

Howard B Fleishon, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1407845464
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16014 Issued in AZ
Practice address
5322 W Northern Ave
Glendale, AZ 85301-1405
Phone
(480) 425-5063
Fax
(623) 915-6924
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16014 AZ Primary

Addresses

Primary practice location

5322 W Northern Ave
Glendale, AZ 85301-1405

Mailing address

5322 W Northern Ave
Glendale, AZ 85301-1405
Phone (480) 425-5063

Other identifiers 2

IdentifierTypeStateIssuer
254607MedicaidAZ
30WCFHS04OtherAZVRL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040513001290 AZ Practitioner - Diagnostic Radiology 2062401615 Reassigns benefits to 1 organization
I20150504001452 GA Practitioner - Diagnostic Radiology 2062401615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16014AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Emory Medical Care Foundation Inc Family Medicine Current Accepting new patients
Clinch County Hospital Authority CurrentSince May 15, 2015 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9250 N 3rd St
Ste 1002
Phoenix, AZ 85020
Phone (602) 216-6690

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1407845464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011405",
            "telephone_number": "480-425-5063",
            "fax_number": "623-915-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011405",
            "telephone_number": "480-425-5063",
            "fax_number": "623-915-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHON",
        "first_name": "HOWARD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "16014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254607",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VRL",
            "identifier": "30WCFHS04",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.