Prestige Interventional Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRESTIGE INTERVENTIONAL GROUP, LLC

Practice address

3724 N 3Rd St
Suite 302
Phoenix, AZ 85012-2034

Phone

(602) 674-8185

Fax

(602) 674-8117

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Challen Waychoff III

Title

Coo/Manager

Phone

(760) 486-9634

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1891236998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122034",
            "telephone_number": "760-486-9634",
            "fax_number": "480-471-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 N 3RD ST",
            "address_2": "SUITE 302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122034",
            "telephone_number": "602-674-8185",
            "fax_number": "602-674-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE INTERVENTIONAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WAYCHOFF",
        "authorized_official_first_name": "CHALLEN",
        "authorized_official_title_or_position": "COO/MANAGER",
        "authorized_official_telephone_number": "760-486-9634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anya Liese Pressendo, BS, RBT
• Shari Pressley, MD
• Prestige Companion Care, LLC
• Prestige Group Homes
• Prestige Home Health Care LLC
• Prestige Personal Care LLC
• Deja Prestige, LAC
• Andrew J. Presto, M.D.
• Charles Preston, M.D.
• Jennifer Preston, MD

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.