Athena Medical Group

LBN: Athena Medical Group
Athena Medical Group is an health care organization with primary practice located at 16515 S 40Th St Ste 143 , Phoenix AZ 85048-0560. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Athena Medical Group can be contacted via phone (480) 712-8319, or through Gaither, Yancey Scott via phone (480) 712-8319.

Contact Information

Primary practice address
16515 S 40Th St Ste 143 Phoenix AZ 85048-0560
Phone: (480) 712-8319
Fax: (480) 712-1305
Website:
Map and Directions
Authorized official contact:
Name: Gaither, Yancey Scott CEO
Phone: (480) 712-8319

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1164918124
LBN Legal business name Athena Medical Group
DBA Doing business as
Authorized official Gaither, Yancey Scott CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2018
Last updated Oct 31st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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