Physician Business Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PHYSICIAN BUSINESS SERVICES, LLC

Doing business as

Prescott Valley Primary & Urgent Care Clinic

Practice address

3051 N Windsong Dr
Prescott Valley, AZ 86314-2248

Phone

(928) 772-3336

Fax

(928) 772-3363

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dieter W. Krantz

Title

Vice President

Phone

(928) 772-2591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescott Valley Primary & Urgent Care Clinic Doing business as

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1649262965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-3336",
            "fax_number": "928-772-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-3336",
            "fax_number": "928-772-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN BUSINESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "DIETER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-772-2591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Valley Primary & Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Kim Petrocelli, IBCLC
• Colleen Flora Petullo, NP-C
• Jill Ann Pfister, M.A.CCC-SLP
• Nicholas Phair, PA
• Physician Business Serivces, LLC
• Kristin Pifer, P.T.
• Michael J Pinnell, PSY.D.
• Joshua John Pitterle
• Carol Ann Pitts
• Playworks Occupational Therapy, PLLC

• Multi-Specialty Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.