Phoenix Integrative Medical Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHOENIX INTEGRATIVE MEDICAL CENTER PLLC

Practice address

6380 Preston Rd
Frisco, TX 75034-6384

Phone

(214) 616-0234

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By 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 Paul Hoffman, DO

Title

Owner

Phone

(214) 616-0234

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20913/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Anna Maria Shute, FNP-BC

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1720702020
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1689222945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346384",
            "telephone_number": "214-616-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346384",
            "telephone_number": "214-616-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX INTEGRATIVE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-616-0234",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Phifer
• Tyrone Philipson, M.D.
• Julia Elizabeth Phillips, PT, DPT
• Kristi Lynn Phillips
• Andrea Jean Phipps, RBT
• Peter Sonephet Phoummavong, DC
• PHP Ins TX PLLC (Passion Health Advanced Primary Care)
• Physical Rehabilitation Network LLC
• Physical Therapy of America
• Selina Piazza

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.