Provider Demographics
NPI: | 1437182052 |
---|---|
Name: | HOSPITALISTS OF ARIZONA, LLC |
Entity Type: | Organization |
Organization Name: | HOSPITALISTS OF ARIZONA, LLC |
Other - Org Name: | IPC- THE HOSPITALIST COMPANY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ADAM |
Authorized Official - Middle Name: | D |
Authorized Official - Last Name: | SINGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 818-766-3502 |
Mailing Address - Street 1: | 3945 E PARADISE FALLS DR |
Mailing Address - Street 2: | SUITE 201 |
Mailing Address - City: | TUCSON |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85712-6687 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 520-290-5888 |
Mailing Address - Fax: | 520-290-5551 |
Practice Address - Street 1: | 3945 E PARADISE FALLS DR |
Practice Address - Street 2: | SUITE 201 |
Practice Address - City: | TUCSON |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85712-6687 |
Practice Address - Country: | US |
Practice Address - Phone: | 520-290-5888 |
Practice Address - Fax: | 520-290-5551 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-07-08 |
Last Update Date: | 2024-03-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
207PH0002X, 207QG0300X, 207RC0200X, 207RG0300X, 207RH0002X, 208M00000X, 363LA2100X, 363LA2200X, 363LF0000X, 364SG0600X | ||
N/A | 207Q00000X, 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
No | 207PH0002X | Allopathic & Osteopathic Physicians | Emergency Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | Group - Multi-Specialty |
No | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | Group - Multi-Specialty |
No | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | Group - Multi-Specialty |
No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
No | 364SG0600X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Gerontology | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AZ | 258105 | Medicaid | |
AZ | Z22959 | Medicare PIN |