Stagezero Physician Holdings Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

STAGEZERO PHYSICIAN HOLDINGS INC

Practice address

8825 N 23Rd Ave Ste 100
Phoenix, AZ 85021-4148

Phone

(804) 762-0666

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jahrrell James

Title

Controller

Phone

(804) 762-0666

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1992378012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 PARK CENTRAL DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271162",
            "telephone_number": "804-762-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N 23RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214148",
            "telephone_number": "804-762-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGEZERO PHYSICIAN HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JAHRRELL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "804-762-0666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE AGENCIES",
            "identifier": "NA",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Copia",
            "affiliation": "N",
            "endpointDescription": "LIMS",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "8825 N 23rd Ave Ste 100",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850214148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.