City of Phoenix Arizona

Primary specialty

ParamedicTaxonomy code 146L00000X

License

EMS2836 Issued in AZ

Legal business name

CITY OF PHOENIX ARIZONA

Doing business as

City of Phoenix ETS

Practice address

150 S 12TH St
Phoenix, AZ 85034-2301

Phone

(602) 261-8414

Fax

(602) 534-4827

NPI assigned

Nov 1, 2006

Last updated

Jun 20, 2014By 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

Mrs. Pamela Wayne

Title

Medical Billing Supervisor

Phone

(602) 534-4627

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• City of Phoenix ETS Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations (25 of 35)

Practitioners 2

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.

• Kimberly M Donaldson, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1275937765
  NPD (past)
• Patrick L Kelley, PAC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1902846504
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1982781571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389102",
            "telephone_number": "602-261-8414",
            "fax_number": "602-534-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342301",
            "telephone_number": "602-261-8414",
            "fax_number": "602-534-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PHOENIX ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MEDICAL BILLING SUPERVISOR",
        "authorized_official_telephone_number": "602-534-4627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AZ",
            "license": "EMS2836",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "EMS2836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "RR9786",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B10858",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Phoenix ETS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citi Care LLC
• Citrus Primary and Wellness LLC
• City Center Chiropractic
• City Help, Inc. (Phoenix Dream Center)
• City of Hope Medical Group of Arizona LLC
• Corinne C Ciuris, R.D.
• Brian Ciurlino, MD
• Civara Behavioral Health LLC
• Courtney Civelli, MD
• David Civic, MD

• Paramedic in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Paramedic in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.