Provider Demographics
| NPI: | 1437182052 |
|---|---|
| Name: | HOSPITALISTS OF ARIZONA, LLC |
| Entity type: | Organization |
| Organization Name: | HOSPITALISTS OF ARIZONA, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| 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, 363LA2100X, 363LA2200X, 363LF0000X, 364SG0600X, 208M00000X | ||
| 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 |
