Prestige Virtual Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRESTIGE VIRTUAL CARE LLC

Practice address

10830 N 71St PL Ste 105
Scottsdale, AZ 85254-6105

Phone

(480) 206-5619

NPI assigned

Jul 11, 2022

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Eugene Hooppaw

Title

Ceo

Phone

(480) 206-5619

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Susan Murphy, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1205239324
  Medicare reassignment NPD
• Richard Victor Romero Jr., FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1679032577
  Medicare reassignment NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1548994072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 N 71ST PL STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 N 71ST PL STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546105",
            "telephone_number": "480-206-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE VIRTUAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "HOOPPAW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-206-5619"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Arizona Medical PC (Vanguard Crewcare Scottsdale)
• Tadhg Prendiville
• Kathleen Prenovost, PT, DPT
• Pressure Free LLC
• Prestige Psychiatric Professionals, LLC (Prestige Psychiatric Professionals)
• Price Chiropractic
• Dana Lynn Price, LAC
• Evan Robert Price, DC
• Jess P Price, D.P.M.
• Trisha Price

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.

Verify at the official NPI Registry.