ABRAZO WEST CAMPUS – NPI #1013100692
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ABRAZO WEST CAMPUS is a provider located in GOODYEAR, AZ. NPPES has assigned the NPI number 1013100692 to ABRAZO WEST CAMPUS on August 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABRAZO WEST CAMPUS” is a dba name, the actual legal business name for this organization is HOSPITAL DEVELOPMENT OF WEST PHOENIX INC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Mar 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABRAZO WEST CAMPUS below.

NPI Profile for
HOSPITAL DEVELOPMENT OF WEST PHOENIX INC

NPI Number
1013100692
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOSPITAL DEVELOPMENT OF WEST PHOENIX INC
Doing Business As (dba): ABRAZO WEST CAMPUS
Primary location
13677 W MCDOWELL RD
GOODYEAR, AZ 85395-2635
Phone: (623) 882-1500 Fax: (623) 882-1505
Mailing address
20 BURTON HILLS BLVD
SUITE 100
NASHVILLE, TN 37215-6154
Phone: (615) 665-6000 Fax: (615) 665-6184
Organization Subpart
No
Authorized Official
JENNIFER ORONA
CFO
Phone: (623) 882-1717
Updated
Certification Date
Mar 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ABRAZO WEST CAMPUS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ313030
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.