Organization Active NPI

Elw Health Center LLC

  • Point of Service
  • Phoenix, AZ
National Provider Identifier
1447644711
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
AP2129 Issued in AZ
Legal business name
ELW HEALTH CENTER LLC
Practice address
3202 E Greenway Rd Ste 1619
Phoenix, AZ 85032-4553
Phone
(602) 284-8994
Fax
(602) 346-9007
NPI assigned
Mar 25, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Erin Lee Waychoff, DCNPI 1013182856
Title
Owner
Phone
(602) 284-8994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 37050 AZ
Point of Service 305S00000X AP2433 AZ
Point of Service 305S00000X 42847 NU
Point of Service 305S00000X 40062 AZ
Point of Service 305S00000X AP3569 AZ
Point of Service 305S00000X AP2129 AZ Primary

Addresses

Primary practice location

3202 E Greenway Rd Ste 1619
Phoenix, AZ 85032-4553

Mailing address

3202 E Greenway Rd Ste 1619
Phoenix, AZ 85032-4553
Phone (602) 284-8994

Other identifiers 1

IdentifierTypeStateIssuer
1417912700OtherAZCMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1447644711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD STE 1619",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324553",
            "telephone_number": "602-284-8994",
            "fax_number": "602-346-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD STE 1619",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324553",
            "telephone_number": "602-284-8994",
            "fax_number": "602-346-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELW HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-284-8994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "37050",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "AP2433",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": "42847",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "40062",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "AP3569",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "AP2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1417912700",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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