Active NPI
Arizona Epilepsy Associates, LLC
- Neurology Physician
- Tempe, AZ
National Provider Identifier
1861024184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ARIZONA EPILEPSY ASSOCIATES, LLC
- Practice address
- 1976 E Baseline Rd Suite 101
Tempe, AZ 85283 - Phone
- (480) 939-3037
- Fax
- (480) 939-3173
- NPI assigned
- Feb 5, 2020
- 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
- Mr. Hussam Seif-Eddeine, MD
- Title
- Owner
- Phone
- (480) 939-3037
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1976 E Baseline Rd Suite 101
Tempe, AZ 85283
Mailing address
1976 E Baseline Rd Suite 101
Tempe, AZ 85283
Phone (480) 939-3037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200304001533 | AZ | Part B Supplier - Clinic/Group Practice | 1951738947 |
Receives reassigned benefits from 5 practitioners Practice locations: Chandler, AZ; Phoenix, AZ; Queen Creek, AZ; San Tan Valley, AZ; Tempe, AZ |
National Provider Directory
National Provider DirectoryLocations
1976 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 644-1911
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1861024184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 E BASELINE RD SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85283",
"telephone_number": "480-939-3037",
"fax_number": "480-939-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 E BASELINE RD SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85283",
"telephone_number": "480-939-3037",
"fax_number": "480-939-3173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA EPILEPSY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "SEIF-EDDEINE",
"authorized_official_first_name": "HUSSAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-939-3037",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
- Arizona Center for Outpatient Treatment LLC
- Arizona Centers for Orthobiologics, LLC
- Arizona Chiropractic Inc
- Arizona Counseling Centers PC
- Arizona Endocrinology of Tempe PLLC
- Arizona Family Physicians
- Arizona Family Physicians LLC
- Arizona Heart Perfusion, LLC
- Arizona Home Care LLC
- Arizona Institute for Genetics and Fetal Medicine, a Professional Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.