PROXY MEDICAL GROUP PC – NPI #1649112517
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

PROXY MEDICAL GROUP PC is a provider located in PHOENIX, AZ. NPPES recently assigned the NPI number 1649112517 to PROXY MEDICAL GROUP PC on April 08, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 PROXY MEDICAL GROUP PC below.

NPI Profile for
PROXY MEDICAL GROUP PC

NPI Number
1649112517
Enumeration Date

(about 2 months 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
PROXY MEDICAL GROUP PC
Primary location
101 E WASHINGTON ST
PHOENIX, AZ 85004-2960
Phone: (734) 707-7893 Fax:
Mailing address
4539 N 22ND ST STE R
PHOENIX, AZ 85016-4639
Phone: Fax:
Organization Subpart
No
Authorized Official
IGOR SHKOLNIK
OWNER
Phone: (734) 707-7893
Updated
Certification Date
Apr 08, 2026

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.

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
208D00000X
- General Practice (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.