Comprehensive Ambulatory Healthcare L.L.C

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

44077 Issued in AZ

Legal business name

COMPREHENSIVE AMBULATORY HEALTHCARE L.L.C

Practice address

18362 N 94TH PL
Scottsdale, AZ 85255-6001

Phone

(602) 451-5492

NPI assigned

Mar 5, 2017

Organization subpart

No

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

Authorized official

Name

Shavawn Perschka

Title

Billing Service Representative

Phone

(602) 451-5492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488672000000",
    "number": "1770023129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18362 N 94TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556001",
            "telephone_number": "602-451-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18362 N 94TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556001",
            "telephone_number": "602-451-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE AMBULATORY HEALTHCARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A",
        "authorized_official_last_name": "PERSCHKA",
        "authorized_official_first_name": "SHAVAWN",
        "authorized_official_title_or_position": "BILLING SERVICE REPRESENTATIVE",
        "authorized_official_telephone_number": "602-451-5492"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "44077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Geriatric Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.