ESSENTIAL FAMILY HEALTH & WELLNESS
NPI 1649776105
Family Medicine in Phoenix, AZ
NPI Status: Active since April 03, 2018
Contact Information
11209 N TATUM BLVD STE 160
PHOENIX, AZ
ZIP 85028
Phone: (480) 285-2180
Fax: (480) 285-2182
- Organization
- Family Medicine
- CLIA Number: 03D2083361
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 09-02-2024
About ESSENTIAL FAMILY HEALTH & WELLNESS
Essential Family Health & Wellness is a primary care provider established in Phoenix, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649776105 assigned on April 2018. The practitioner's primary taxonomy code is 207Q00000X with license number 4490 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Essential Family Health & Wellness. The authorized official of this NPI record is Dr. Susan Del Sordi Staats Do (Owner/physician)
- NPI
- 1649776105
- Provider Legal Name
- SUSAN DEL SORDI STAATS, DO PLLC
- Other Organization Name
- ESSENTIAL FAMILY HEALTH & WELLNESS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11209 N TATUM BLVD STE 160 PHOENIX, AZ 85028
- Location Phone
- (480) 285-2180
- Location Fax
- (480) 285-2182
- Mailing Address
- 11209 N TATUM BLVD STE 160 PHOENIX, AZ 85028
- Mailing Phone
- (480) 285-2180
- Mailing Fax
- (480) 285-2182
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 04-03-2018
- Last Update Date
- 07-14-2022
- Code Navigator
A primary care provider (PCP) like Essential Family Health & Wellness sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4490
- License State
- AZ
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 03D2083361
- Facility Type
- Physician Office
- Certificate Effective Date
- September 03, 2022
- Certificate Expiration Date
- September 02, 2024
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Essential Family Health & Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 7 | 7 | 6 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 14 | 7 | 12 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 4 + 7 + 1 + 2 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1649776105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922003250 | DR. KATHLEEN B RICKARD DNP, FNP-C Individual | Nurse Practitioner | 11209 N TATUM BLVD STE 160 PHOENIX, AZ 85028 (480) 285-2180 |
| 1508887670 | SARA HUSCHKE EMERY R.N., A.N.P. Individual | Nurse Practitioner (Adult Health) | 11209 N TATUM BLVD STE 160 PHOENIX, AZ 85028 (480) 285-2180 |
| 1902096092 | SUSAN DEL SORDI-STAATS D.O. Individual | Family Medicine | 11209 N TATUM BLVD STE 160 PHOENIX, AZ 85028 (480) 285-2180 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649776105, enumerated in the NPI registry as an "organization" on April 03, 2018
The provider is located at 11209 N Tatum Blvd Ste 160 Phoenix, Az 85028 and the phone number is (480) 285-2180
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 03D2083361 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 03, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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