The Garvin Group LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OTC-2463 Issued in AZ

Legal business name

THE GARVIN GROUP LLC

Doing business as

Passport Health

Practice address

2435 E Southern Ave
Suite 5
Tempe, AZ 85282-7628

Phone

(480) 345-6800

Fax

(480) 345-6805

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Michael Suarez, M.D.NPI 1740298058

Title

Medical Director

Phone

(480) 345-6800

Specialties & licenses 1

Addresses

Other names 1

• Passport Health Doing business as

Tax ID family

Passport Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Garvin Group Dba Passport Health

  • Medical Specialty Clinic/Center
  • Stamford, CT
  • NPI 1083854269
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J Michael Suarez, MD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1740298058
  NPD (past) Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1881883569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE",
            "address_2": "SUITE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827628",
            "telephone_number": "480-345-6800",
            "fax_number": "480-345-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE",
            "address_2": "SUITE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827628",
            "telephone_number": "480-345-6800",
            "fax_number": "480-345-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARVIN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-345-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "OTC-2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Action Program LLC
• The Bridge Counseling, Consulting and Mediation LLC
• The Centers for Habilitation
• The Charles TMS Institute PLLC
• The Connects Second Chance Foundation
• The Harbor Counseling LLC (The Harbor Counseling)
• The Leeden Corporation (Leeden Wheelchair Lift & Sport)
• The Leeden Corporation (Leeden Wheelchair Lift & Sport)
• The Little Clinic of Arizona LLC
• The Open Arms Project LLC

• Medical Specialty Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.