NPIMap

Organization Active NPI

Advanced Healthcare LLC

  • General Practice Physician
  • Apache Junction, AZ
National Provider Identifier
1619225869
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
RN047495 Issued in AZ
Legal business name
ADVANCED HEALTHCARE LLC
Practice address
110 S Idaho Rd
Suite 140
Apache Junction, AZ 85119-2379
Phone
(480) 671-5655
Fax
(480) 671-5705
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Phillip Pokorny, D.C.NPI 1699889097
Title
Owner
Phone
(480) 671-5655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X RN047495 AZ Primary

Addresses

Primary practice location

110 S Idaho Rd
Suite 140
Apache Junction, AZ 85119-2379

Mailing address

110 S Idaho Rd
Suite 140
Apache Junction, AZ 85119-2379
Phone (480) 671-5655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1619225869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S IDAHO RD",
            "address_2": "SUITE 140",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851192379",
            "telephone_number": "480-671-5655",
            "fax_number": "480-671-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S IDAHO RD",
            "address_2": "SUITE 140",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851192379",
            "telephone_number": "480-671-5655",
            "fax_number": "480-671-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "POKORNY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-671-5655",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "RN047495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.