Healthcare Innovation Frontier, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HEALTHCARE INNOVATION FRONTIER, LLC

Practice address

20565 N 19TH Ave
Phoenix, AZ 85027-3563

Phone

(844) 648-6348

Fax

(602) 926-2696

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Timothy M Cozatt, MBA

Title

Coo

Phone

(844) 648-6348

Specialties & licenses 1

Addresses

Other names 1

• InstaaMED Doing business as

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1780137570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "telephone_number": "844-648-6348",
            "fax_number": "602-926-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "844-648-6348",
            "fax_number": "602-926-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE INNOVATION FRONTIER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "COZATT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "844-648-6348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InstaaMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.