ABRAZO MARYVALE CAMPUS – NPI #1235322819
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 MARYVALE CAMPUS is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1235322819 to ABRAZO MARYVALE CAMPUS on August 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABRAZO MARYVALE 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 MARYVALE CAMPUS below.

NPI Profile for
HOSPITAL DEVELOPMENT OF WEST PHOENIX, INC.

NPI Number
1235322819
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 MARYVALE CAMPUS
Primary location
5102 W CAMPBELL AVE
PHOENIX, AZ 85031-1703
Phone: (623) 848-5107 Fax: (623) 848-5553
Mailing address
20 BURTON HILLS BLVD
SUITE 100
NASHVILLE, TN 37215-6154
Phone: (615) 665-6000 Fax: (615) 665-6197
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 MARYVALE 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
MEDICAIDAZ300676
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.