Organization Active NPI

Healthcare Management Group, LLC.

  • Emergency Medicine Physician
  • Suprise, AZ
National Provider Identifier
1962420208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29610 Issued in AZ
Legal business name
HEALTHCARE MANAGEMENT GROUP, LLC.
Practice address
15468 N. Civic Center Drive
Suprise, AZ 85379
Phone
(623) 584-2917
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter Neil Simmons, M.D., MPH
Title
Manager
Phone
(505) 921-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29610 AZ Primary

Addresses

Primary practice location

15468 N. Civic Center Drive
Suprise, AZ 85379

Mailing address

20875 N Pima Rd PMB 206
#C-4
Scottsdale, AZ 85255-9194
Phone (505) 921-1234

National Provider Directory

National Provider Directory

Locations

20875 N Pima Rd
Ste C4
Scottsdale, AZ 85255

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962420208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20875 N PIMA RD PMB 206",
            "address_2": "#C-4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559194",
            "telephone_number": "505-921-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15468 N. CIVIC CENTER DRIVE",
            "city": "SUPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-584-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MANAGEMENT GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-921-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "29610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.