Artem Aesthestics & Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARTEM AESTHESTICS & WELLNESS LLC

Practice address

9059 W Lake Pleasant Pkwy Ste C320
Peoria, AZ 85382-8394

Phone

(623) 566-4902

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Daniel, MD

Title

Ceo & Medical Director

Phone

(623) 566-4902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1447736665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE C320",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828394",
            "telephone_number": "623-566-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE C320",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828394",
            "telephone_number": "623-566-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEM AESTHESTICS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-566-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AZ52709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Peoria, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.