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MATRIX MEDICAL NETWORK OF IDAHO, L.L.C
NPI 1659687812
Nurse Practitioner - Family in Phoenix, AZ

Active since August 26, 2010
4545 E SHEA BLVD, SUITE 175, PHOENIX, AZ 85028(602) 464-5200(480) 907-2108 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matrix Medical Network Of Idaho, L.l.c NPPES

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

MATRIX MEDICAL NETWORK OF IDAHO, L.L.C (NPI 1659687812) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since August 2010. The organization lists Thomas R Young, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1659687812
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMATRIX MEDICAL NETWORK OF IDAHO, L.L.C
Location Address4545 E SHEA BLVD, SUITE 175Phoenix, AZ 85028-3074
Mailing Address4545 E Shea Blvd, Suite 175Phoenix, AZ 85028-3074 · (602) 464-5200
Phone(602) 464-5200
Fax(480) 907-2108
Organization SubpartNo
Authorized OfficialThomas R YoungPractice Owner · (602) 464-5200
Enumeration DateAugust 26, 2010
✔ NPI 1659687812 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
4545 E SHEA BLVD, Phoenix, AZ 85028
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KATIE MARIE WILLIAMS CRNP
Nurse Practitioner
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Maricopa County (866) 662-4560
LORI MAE METZGER
Nurse Practitioner (Adult Health)
4545 E SHEA BLVD, SUITE 175
PHOENIX, AZ 85028
Maricopa County (602) 464-5200
ANITA ROSE BRENNAN NP
Nurse Practitioner (Family)
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Maricopa County (602) 464-5200
YOLANDA LUCIAN GEORGE NP
Nurse Practitioner (Family)
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Maricopa County (602) 464-5200
MR. BEN HEDBERG LPC
Counselor (Mental Health)
4545 E SHEA BLVD, SUITE 240
PHOENIX, AZ 85028
Maricopa County (602) 347-8100
STEPHANIE SARISKY-MELOY DO
Family Medicine
4545 E SHEA BLVD, STE. 175
PHOENIX, AZ 85028
Maricopa County (602) 314-6780
WOMEN'S CENTER FOR WELLNESS AND REHABILIATION
Physical Therapist
4545 E SHEA BLVD, SUITE 168
PHOENIX, AZ 85028
Maricopa County (602) 264-3369
RACHEL B CARPENTER NP
Nurse Practitioner
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Maricopa County (412) 330-8533

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 Matrix Medical Network Of Idaho, L.L.C's NPI number?

The NPI number for Matrix Medical Network Of Idaho, L.L.C is 1659687812. It was assigned to this organization in the NPPES registry on August 26, 2010.

Where is Matrix Medical Network Of Idaho, L.L.C located?

Matrix Medical Network Of Idaho, L.L.C is located at 4545 E Shea Blvd Suite 175, Phoenix, AZ 85028. The listed phone number is (602) 464-5200.

What is Matrix Medical Network Of Idaho, L.L.C'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 Matrix Medical Network Of Idaho, L.L.C was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.