Active NPI
First Class Medical Centers, PC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1588044457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40062
- Legal business name
- FIRST CLASS MEDICAL CENTERS, PC
- Practice address
- 2040 W Bethany Home Rd
Phoenix, AZ 85015-2473 - Phone
- (480) 577-9340
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia S Sullivan, M.D
- Title
- Provider
- Phone
- (480) 577-9340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40062 | AZ | Primary |
Addresses
Primary practice location
2040 W Bethany Home Rd
Phoenix, AZ 85015-2473
Mailing address
2040 W Bethany Home Rd
Phoenix, AZ 85015-2473
Phone (480) 577-9340
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358212 | Medicaid | AZ | |
| 2015987 | Other | SC | CDS |
| F427208066 | Other | MEDICARE ID | |
| 159875 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
2040 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 246-6669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1588044457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152473",
"telephone_number": "480-577-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152473",
"telephone_number": "480-577-9340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CLASS MEDICAL CENTERS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "480-577-9340",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "40062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "358212",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "2015987",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "F427208066",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159875",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- First Call Trans
- First Choice Hospice LLC
- First Choice Medical Transportation Company
- First Choice Transportation LLC
- First Class Home Care, LLC
- First Comfort Hospice Inc
- First Contact Homecare and Staffing
- First Family Medical Group
- First Light Hospice Care Inc
- First Love Yourself Residential Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.