Active NPI
Freedom Health Vascular LLC
- Multi-Specialty Clinic/Center
- Phoenix, AZ
National Provider Identifier
1740742089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- FREEDOM HEALTH VASCULAR LLC
- Practice address
- 6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104 - Phone
- (480) 616-0356
- Fax
- (480) 616-0603
- NPI assigned
- Apr 4, 2019
- Last updated
- Dec 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Doyle
- Title
- Operations Manager
- Phone
- (602) 740-5375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104
Mailing address
Dept#880390
P.O Box 29650
Phoenix, AZ 85038
Phone (480) 626-1746
Other practice location 1
4915 E Baseline Rd Ste 104
Gilbert, AZ 85234-2966
Phone (480) 616-0356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598527 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1740742089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT#880390",
"address_2": "P.O BOX 29650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85038",
"telephone_number": "480-626-1746",
"fax_number": "480-626-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6036 N 19TH AVE STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152104",
"telephone_number": "480-616-0356",
"fax_number": "480-616-0603"
}
],
"practiceLocations": [
{
"address_1": "4915 E Baseline Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342966",
"country_code": "US",
"telephone_number": "480-616-0356",
"fax_number": "480-616-0603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREEDOM HEALTH VASCULAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "602-740-5375"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "598527",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Freedaz LLC Dba Golden Days Adult Care Home
- Joel Freedman, MD
- Freedom Care of Arizona LLC
- Freedom Group LLC (Arizona Care Hospice)
- Freedom Health Interventional Centers LLC (True Precision Medical)
- Freedom Manor, Inc. (Freedom Manor - Bandalier House)
- Freedom Manor, Inc. (Freedom Manor - Brannon House)
- Freedom Manor, Inc.
- Freedom Manor, Inc. (Freedom Manor - Phillips House)
- Freedom Non Emergency Medical Transportation LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.