EXCEPTIONAL PHYSICIAN GROUP ARIZONA, PLLC
NPI 1447910229
Emergency Medicine - Emergency Medical Services in Maricopa, AZ
NPI Status: Active since December 21, 2021
Contact Information
19060 N JOHN WAYNE PARKWAY
MARICOPA, AZ
ZIP 85139
Phone: (480) 631-0678
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 03D2231217
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-10-2026
About EXCEPTIONAL PHYSICIAN GROUP ARIZONA, PLLC
This page provides the complete NPI Profile along with additional information for Exceptional Physician Group Arizona, Pllc, a provider established in Maricopa, Arizona operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1447910229 assigned on December 2021. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Exceptional Physician Group Arizona, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Saeed S Mahboubi (Ceo)
- NPI
- 1447910229
- Provider Name
- EXCEPTIONAL PHYSICIAN GROUP ARIZONA, PLLC
- Entity Type
- Organization
- Location Address
- 19060 N JOHN WAYNE PARKWAY MARICOPA, AZ 85139
- Location Phone
- (480) 631-0678
- Mailing Address
- 3514 CEDAR SPRINGS RD DALLAS, TX 75219
- Mailing Phone
- (469) 341-7800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2021
- Last Update Date
- 10-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2231217
- Facility Type
- Hospital
- Certificate Effective Date
- October 11, 2024
- Certificate Expiration Date
- October 10, 2026
- Laboratory Director
- DR. DONALD G. HUBBARD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Exceptional Physician Group Arizona, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1447910229, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447910229, enumerated as an "organization" on December 21, 2021.
The provider is located at 19060 N JOHN WAYNE PARKWAY MARICOPA, AZ 85139 and the phone number is (480) 631-0678.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
