Private Client Physician Services, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

41445 Issued in AZ

Legal business name

PRIVATE CLIENT PHYSICIAN SERVICES, LLC

Practice address

5851 E Blue Sky Dr
Scottsdale, AZ 85266-6712

Phone

(480) 868-8984

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Devin R Boothe, M.D.

Title

Owner

Phone

(480) 639-7886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1457719569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 E BLUE SKY DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852666712",
            "telephone_number": "480-868-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 E BLUE SKY DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852666712",
            "telephone_number": "480-868-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CLIENT PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-639-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "41445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.