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PHOENIX HEALTHCARE SYSTEMS
NPI 1164317798
Nurse Practitioner - Family in Randallstown, MD

Active since June 12, 2025
9405 LIBERTY RD STE E, RANDALLSTOWN, MD 21133(443) 848-6974 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Healthcare Systems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HEALTHCARE SYSTEMS (NPI 1164317798) is a healthcare organization registered as a family in Randallstown, Maryland and active in the NPI registry since June 2025. The organization lists Konu Bell, Owner, as its authorized official.

NPPES Registry Identity

NPI1164317798
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePHOENIX HEALTHCARE SYSTEMS
Location Address9405 LIBERTY RD STE ERandallstown, MD 21133-2712
Mailing Address9405 Liberty Rd Ste ERandallstown, MD 21133-2712 · (443) 848-6974
Phone(443) 848-6974
Organization SubpartNo
Authorized OfficialKonu BellOwner · (443) 848-6974
Enumeration DateJune 12, 2025
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1164317798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
9405 LIBERTY RD STE E, Randallstown, MD 21133
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX HEALTHCARE SYSTEMS
Clinic/Center (Mental Health (Including Community Mental Health Center))
9405 LIBERTY RD STE E
RANDALLSTOWN, MD 21133
Baltimore County (443) 848-7326
PHOENIX BEHAVIORAL HEALTH OF MARYLAND INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9405 LIBERTY RD STE E
RANDALLSTOWN, MD 21133
Baltimore County (443) 848-6974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Healthcare Systems's NPI number?

The NPI number for Phoenix Healthcare Systems is 1164317798. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Phoenix Healthcare Systems located?

Phoenix Healthcare Systems is located at 9405 Liberty Rd Ste E, Randallstown, MD 21133. The listed phone number is (443) 848-6974.

What is Phoenix Healthcare Systems's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Phoenix Healthcare Systems was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.