Hospice MD PLLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

47017 Issued in AZ

Legal business name

HOSPICE MD PLLC

Doing business as

Advanced Medical Group

Practice address

2635 N Dysart Rd
Avondale, AZ 85392-2001

Phone

(623) 237-3440

Fax

(480) 685-8379

NPI assigned

Jul 1, 2015

Last updated

Jan 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

A Collins Villamor, MDNPI 1417121849

Title

Owner/Provider

Phone

(623) 237-3440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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.

• A Collins Villamor, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Avondale, AZ
  • NPI 1417121849
  Medicare reassignment NPD Authorized official
• Rizwan Safdar, M.D.

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1982651857
  NPD (past)
• Pinky P Villamor, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
  • NPI 1669794079
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1982087532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W ESPARTERO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850865525",
            "telephone_number": "623-237-3440",
            "fax_number": "480-685-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853922001",
            "telephone_number": "623-237-3440",
            "fax_number": "480-685-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "VILLAMOR",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-237-3440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "47017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "47017",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Holyoak, PT, DPT
• Kristin Hong
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• Howard G Norman, DO LTD
• Cheryll Howard, DDS
• Jim Howard, D.B.A.
• Justine Howard

• Hospice and Palliative Medicine (Internal Medicine) Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.