Internal Medicine of the Valley PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

28436 Issued in AZ

Legal business name

INTERNAL MEDICINE OF THE VALLEY PLC

Practice address

10585 N Tatum Blvd
D-137
Paradise Valley, AZ 85253-1073

Phone

(602) 277-2361

Fax

(602) 713-9999

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Theodorou, MDNPI 1790898880

Title

President

Phone

(602) 277-2361

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Kevin Philip Theodorou, MD

  • Internal Medicine Physician
  • Paradise Valley, AZ
  • NPI 1790898880
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1629264148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 N TATUM BLVD",
            "address_2": "D-137",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531073",
            "telephone_number": "602-277-2361",
            "fax_number": "602-713-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 N TATUM BLVD",
            "address_2": "D-137",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531073",
            "telephone_number": "602-277-2361",
            "fax_number": "602-713-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF THE VALLEY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-277-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "28436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamonica Antonette Hodges, FNP-C
• Nicole Hook
• Steven T Hoshiwara, M.D.
• Incredible Health LLC
• Insight Health Corp
• James S Gough MDPC
• Nicole Alexandria Jenkins, CCC-SLP
• Cristian N Jivcu, M.D.
• John B Giedraitis MD PC
• Joseph K Zachariah, DO, PC

• Primary Care Clinic/Center in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.