Active NPI
Healogics Specialty Physicians of Arizona LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Yuma, AZ
National Provider Identifier
1417327107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC
- Practice address
- 2460 S Parkview Loop Ste 205
Yuma, AZ 85364-5358 - Phone
- (928) 336-2030
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Mandel
- Title
- Ceo
- Phone
- (904) 446-3686
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
2460 S Parkview Loop Ste 205
Yuma, AZ 85364-5358
Mailing address
5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018
Phone (904) 446-3686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235369 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2460 S Parkview Loop
Ste 205
Yuma, AZ 85364
Phone (928) 336-2030
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Gilbert, AZ
- NPI 1558369371
-
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1053819797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1417327107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566018",
"telephone_number": "904-446-3686",
"fax_number": "904-446-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 S PARKVIEW LOOP STE 205",
"city": "YUMA",
"state": "AZ",
"postal_code": "853645358",
"telephone_number": "928-336-2030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "MANDEL",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-446-3686"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235369",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.