NPIMap

Organization Active NPI

CH Specialty Services Az LLC

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1982303392
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CH SPECIALTY SERVICES AZ LLC
Practice address
13755 N Litchfield Rd Ste 105
Surprise, AZ 85379-4288
Phone
(337) 408-0797
NPI assigned
Feb 24, 2023
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Nicole Howard
Title
Sr VP of Administrative Services
Phone
(337) 408-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13755 N Litchfield Rd Ste 105
Surprise, AZ 85379-4288

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327002334 AZ Part B Supplier - Clinic/Group Practice 7214301621 Receives reassigned benefits from 55 practitioners
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Locations

7760 S Six Shooter Canyon Rd
Globe, AZ 85501
Phone (928) 793-4603

13755 N Litchfield Rd
Surprise, AZ 85379
Phone (623) 322-5900

13775 N Litchfield Rd Ste 105
Ste 105
Surprise, AZ 85379

3925 E Fort Lowell Rd
Ste 104
Tucson, AZ 85712
Phone (520) 319-6000

8689 N Silverbell Rd
Tucson, AZ 85743

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1982303392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 N LITCHFIELD RD STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794288",
            "telephone_number": "337-408-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH SPECIALTY SERVICES AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.