PHOENIX ID LLC – NPI #1205027646
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Health Care Provider Taxonomy Code for Internal Medicine

PHOENIX ID LLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1205027646 to PHOENIX ID LLC on August 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 18 years ago on Oct 09, 2008. 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 PHOENIX ID LLC below.

NPI Profile for
PHOENIX ID LLC

NPI Number
1205027646
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
PHOENIX ID LLC
Primary location
340 E PALM LN STE 100
PHOENIX, AZ 85004-4528
Phone: (602) 254-1136 Fax: (602) 272-1720
Mailing address
3303 S LINDSAY RD STE 123
GILBERT, AZ 85297-2100
Phone: (480) 821-9339 Fax: (480) 821-9555
Organization Subpart
No
Authorized Official
JACOB OOMMEN
OWNER
Phone: (480) 907-7786
Updated
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
207RI0200X
- Internal Medicine / Infectious Disease (Primary)		 AZ 37316

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.