Provider Demographics
NPI:1760701700
Name:MHPV HOLDINGS PLC
Entity Type:Organization
Organization Name:MHPV HOLDINGS PLC
Other - Org Name:DOCTOR HOUSECALLS OF PARADISE VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-948-0102
Mailing Address - Street 1:6721 N 62ND ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4309
Mailing Address - Country:US
Mailing Address - Phone:480-948-0102
Mailing Address - Fax:480-948-0964
Practice Address - Street 1:6721 N 62ND ST
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-4309
Practice Address - Country:US
Practice Address - Phone:480-948-0102
Practice Address - Fax:480-948-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8861207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ139775Medicare PIN