Individual provider Active NPI

Thomas J Handeguand, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1548347305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2220 Issued in AZ
Practice address
8618 N 35TH Ave
Suite 1
Phoenix, AZ 85051-3800
Phone
(602) 249-3383
Fax
(602) 249-3384
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2220 AZ Primary

Addresses

Primary practice location

8618 N 35TH Ave
Suite 1
Phoenix, AZ 85051-3800

Mailing address

8618 N 35TH Ave
Suite 1
Phoenix, AZ 85051-3800
Phone (602) 249-3383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000963 AZ Practitioner - Family Practice 9234020173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

1343 N Alma School Rd
Suite 205
Chandler, AZ 85224-5903
Phone (480) 963-1853

2330 N 75TH Ave
Suite 108
Phoenix, AZ 85035-1200
Phone (480) 963-1853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2220AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc Family Medicine CurrentSince Apr 25, 2016 Accepting new patients
Phoenix Neurological Institute, Inc Past Accepting new patients

Locations

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

6677 W Thunderbird Rd
Ste C142
Glendale, AZ 85306
Phone (623) 247-1081

7620 W Lower Buckeye Rd
Ste 102
Phoenix, AZ 85043
Phone (623) 776-2225

2330 N 75th Ave
Ste 10
Phoenix, AZ 85035

3340 W Southern Ave
Ste 131
Phoenix, AZ 85041
Phone (480) 834-8804

2330 N 75th Ave
Ste 108
Phoenix, AZ 85035
Phone (623) 247-5700

7550 N 19th Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 973-3100

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

14869 W Bell Rd
Ste 201
Surprise, AZ 85374

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548347305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800",
            "telephone_number": "602-249-3383",
            "fax_number": "602-249-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800",
            "telephone_number": "602-249-3383",
            "fax_number": "602-249-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDEGUAND",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.