Concierge Healthcare of Az Chaz LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

16208 Issued in AZ

Legal business name

CONCIERGE HEALTHCARE OF AZ CHAZ LLC

Practice address

7702 E Doubletree Ranch Rd Ste 300
Scottsdale, AZ 85258-2132

Phone

(480) 348-8006

Fax

(480) 718-7537

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Simone M Juhl

Title

Practice Administrator

Phone

(602) 565-8830

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1831606144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "480-348-8006",
            "fax_number": "480-401-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "480-348-8006",
            "fax_number": "480-718-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE HEALTHCARE OF AZ CHAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "JUHL",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "602-565-8830"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "16208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Comstock, MD
• Mariana Conant, DDS
• Tracy Conboy, PMHNP
• Concentra Health Services, Inc.
• Concentric Healthcare Solutions
• Concierge Lab Services LLC
• Concierge Pain Management, LLC
• Concordia Oncology, PC
• Amirra Condelee, OTD, OTR/L
• Christopher R Condon, D.C.

• Dermatopathology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dermatopathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.