Organization Active NPI

Lloyds Medical Services, LLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1972125870
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LLOYDS MEDICAL SERVICES, LLC
Practice address
13835 N Tatum Blvd
Phoenix, AZ 85032-5581
Phone
(602) 538-5100
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Cecil Graham, MDNPI 1578558920
Title
Ceo
Phone
(602) 538-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

13835 N Tatum Blvd
Phoenix, AZ 85032-5581

Mailing address

13835 N Tatum Blvd
Phoenix, AZ 85032-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227001317 AZ Part B Supplier - Clinic/Group Practice 6608265558 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

13835 N Tatum Blvd
Phoenix, AZ 85032
Phone (602) 380-6807

13835 N Tatum Blvd
Ste 9621
Phoenix, AZ 85032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1972125870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325581",
            "telephone_number": "602-538-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYDS MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-538-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.