Provider Demographics
NPI:1780921064
Name:ESSENCE MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:ESSENCE MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-819-8004
Mailing Address - Street 1:6109 E DESERT VISTA TRL
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-3477
Mailing Address - Country:US
Mailing Address - Phone:602-819-8004
Mailing Address - Fax:480-240-9331
Practice Address - Street 1:9155 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2410
Practice Address - Country:US
Practice Address - Phone:602-218-9483
Practice Address - Fax:602-412-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29136207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty