Arizona Supportive Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ARIZONA SUPPORTIVE CARE, LLC

Practice address

1510 E Flower St
Phoenix, AZ 85014-5698

Phone

(602) 530-6900

Fax

(602) 530-6902

NPI assigned

May 13, 2011

Last updated

Dec 14, 2020By 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

Debbie Shumway

Title

President / Ceo

Phone

(602) 530-6900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 15

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.

• Gillian Hamilton, MD,PHD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1275572711
  Medicare reassignment Care Compare group NPD
• Christopher Michael Harper, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104469436
  Medicare reassignment Care Compare group NPD
• Lindsay Standifer, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1902673973
  Medicare reassignment Care Compare group NPD
• Oliver Grey Waldrop, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1205879475
  Medicare reassignment Care Compare group NPD
• Jennifer Meghan Weitman, DNP

  • Adult Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1700269115
  Medicare reassignment Care Compare group NPD
• Sara Crance, RN

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1033945506
  Medicare reassignment NPD
• Jill Anne Krmpotic, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1649654179
  Medicare reassignment NPD
• Leslie Ann Moses-Grubenhoff, AGNP-C

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1831579218
  Medicare reassignment NPD
• Shelly R Myers, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1265617013
  Medicare reassignment NPD
• Gobi Kumar Paramanandam, M.D.

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1568677706
  Medicare reassignment NPD
• Fabiola Rodriguez Garcia, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1952964728
  Medicare reassignment NPD
• Nisal K Samarasekera, M.D.

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1841258902
  Medicare reassignment NPD

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1710279385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-530-6900",
            "fax_number": "602-530-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-530-6900",
            "fax_number": "602-530-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SUPPORTIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "SHUMWAY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "602-530-6900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona State University (ASU Health Services Downtown NP Healthcare)
• Arizona State University (ASU Breaking the Cycle Community Healthcare)
• Arizona State University
• Arizona Sunrays, Inc.
• Arizona Sunrise Counseling
• Arizona Surgeons Assistant PC
• Arizona Surgeons LLC
• Arizona Surgery Consultants
• Arizona Surgical Affiliates PLLC (Arizona Surgical Affiliates)
• Arizona Surgical Associates, PLC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.