Agile Healthcare, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

AGILE HEALTHCARE, LLC

Practice address

6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143

Phone

(623) 738-0193

NPI assigned

Aug 7, 2019

Organization subpart

No

Name

MHD Kussay Samkari

Title

MD

Phone

(602) 741-5504

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2019.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1992350813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "623-738-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "623-738-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "SAMKARI",
        "authorized_official_first_name": "MHD KUSSAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-741-5504"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Phoenix, AZ
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.