Active NPI
Healthcare Management Group, LLC.
- Emergency Medicine Physician
- Suprise, AZ
National Provider Identifier
1962420208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29610
- 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, 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
- Dr. Walter Neil Simmons, M.D., MPH
- Title
- Manager
- Phone
- (505) 921-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.