Complete Men'S Healthcare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPLETE MEN'S HEALTHCARE LLC

Practice address

7150 E Camelback Rd Ste 444
Scottsdale, AZ 85251-1257

Phone

(725) 780-1316

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Kelley Lively

Title

Manager

Phone

(702) 400-3145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1891317780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 E CAMELBACK RD STE 444",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511257",
            "telephone_number": "725-780-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEN'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-400-3145"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.