Active NPI
Espoir Medical Group LLC
- Health Service Clinic/Center
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ESPOIR MEDICAL GROUP LLC
- Practice address
- 9015 W Union Hills Drive
Suite 107
Peoria, AZ 85382 - Phone
- (623) 329-7389
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 16, 2024
- 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
- Lynn A Brown, JD
- Title
- Chief Operating Officer
- Phone
- (623) 329-7389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
9015 W Union Hills Drive
Suite 107
Peoria, AZ 85382
Mailing address
9015 W Union Hills Dr Ste 107
Peoria, AZ 85382-3106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2319389 | Espoir Medical Group | Certificate of waiver | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
9015 W Union Hills Dr
Ste 107
Peoria, AZ 85382
Phone (602) 560-9925
9015 W Union Hills Dr
Ste 107B
Peoria, AZ 85382
Phone (623) 404-4474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Peoria, AZ
- NPI 1609560010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1972323657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 W UNION HILLS DR STE 107",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 W UNION HILLS DRIVE",
"address_2": "SUITE 107",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85382",
"telephone_number": "623-329-7389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESPOIR MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "623-329-7389",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.