Ingenuity Medical Group Llc

LBN: Ingenuity Medical Group Llc
Ingenuity Medical Group Llc is an health care organization with primary practice located at 1930 E Thomas Rd , Phoenix AZ 85016-7711. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Ingenuity Medical Group Llc can be contacted via phone (480) 296-6549, or through Smith, Mark A. via phone (480) 296-6549.

Contact Information

Primary practice address
1930 E Thomas Rd Phoenix AZ 85016-7711
Phone: (480) 296-6549
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Mark A.
Phone: (480) 296-6549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X

Profile Details

NPI number 1417986118
LBN Legal business name Ingenuity Medical Group Llc
DBA Doing business as
Authorized official Smith, Mark A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 20th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417986118 NPPES
Arizona MEDICAID 763484

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