North Phoenix Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH PHOENIX MEDICAL GROUP LLC

Practice address

2302 W Greenway Rd
Phoenix, AZ 85023-4235

Phone

(602) 548-1998

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Angelo Pisano

Title

Owner

Phone

(602) 548-1998

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1982223392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234235",
            "telephone_number": "602-548-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHOENIX MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "PISANO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-548-1998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Phoenix Health Institute
• North Phoenix Healthcare LLC
• North Phoenix Heart Center
• North Phoenix Internal Medicine PC
• North Phoenix Medical Center, LTD
• North Phoenix Orthopedic Surgeons, LTD
• North Phoenix Otc LLC
• North Phoenix Pain Center LLC
• North Phoenix Pediatric Dentistry, LLC
• North Phoenix Pulmonology, LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.