PASSPORT HEALTH HOLDINGS, LLC


Address: 8324 E Hartford Dr, Ste 103, Scottsdale, AZ 85255-7801
Phone: 8773588648

PASSPORT HEALTH HOLDINGS, LLC (NPI# 1326579376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326579376
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC
Other Organization Name PPH FRANCHISE HOLDINGS, LLC
Practice Address 8324 E Hartford Dr
Ste 103
Scottsdale
AZ 85255-7801
Mailing Address 8324 E Hartford Dr
Ste 200
Scottsdale
AZ 85255-7801
Practice Telephone 8773588648
Practice Fax Number 8778776875
Mailing Telephone 8773588648
Mailing Fax Number 8778776875
Enumeration Date 2017-03-22
Last Update Date 2017-03-22
Authorized Official Name MR. DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPH Franchise Holdings, LLC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659912533 Passport Health Holdings, LLC Preventive Medicine 111 Williard Street, Suite Gc, Quincy, MA 02169-1200 2019-10-02
1336793843 Passport Health Holdings, LLC Community Health Worker 545 Mainstream Drvie, Suite 401, Nashville, TN 37228-1231 2019-08-01
1093369597 Passport Health Holdings, LLC Community Health Worker 901 E Saint Louis Street, Suite 107, Springfield, MO 65806-2574 2019-08-01
1801440318 Passport Health Holdings, LLC Community Health Worker 5330 North Oak Trafficway, Suite 105, Kansas City, MO 64118-4600 2019-08-01
1902450406 Passport Health Holdings, LLC Community Health Worker 345 Boylston Street Floor 2, Suite 202, Newton, MA 02459-2863 2019-08-01
1346701075 Passport Health Holdings, LLC Preventive Medicine 563 W 500 South, Suite 215, Bountiful, UT 84010-8172 2019-03-26
1972085587 Passport Health Holdings, LLC Clinic/Center 3375 E. Capital Circle Ne Bldg E, Suite 3, Tallahassee, FL 32308-3778 2018-08-30
1619488103 Passport Health Holdings, LLC Community Health Worker 14985 W Bell Rd Bldg 12-a, Surprise, AZ 85374-3231 2017-10-24
1528593761 Passport Health Holdings, LLC Preventive Medicine 18 Tremont Street, Suite 404, Boston, MA 02108-2304 2017-04-25
1578004008 Passport Health Holdings, LLC Preventive Medicine 1116 E Route 66, Flagstaff, AZ 86001-4706 2017-03-16

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 8324 E HARTFORD DR
STE 103
City SCOTTSDALE
State AZ
Zip Code 85255-7801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831501980 Community Health and Immunization Services, LLC Community Health Worker 8324 E Hartford Dr, Ste 200, Scottsdale, AZ 85255-5466 2014-05-23
1326579194 Community Heath and Immunization Services, LLC Prevention Professional 8324 E Hartford Dr, Scottsdale, AZ 85255-5466 2017-03-23
1871996264 Passport Health Holdings LLC Community Health Worker 8324 E Hartford Dr, Suite 200, Scottsdale, AZ 85255-5466 2014-09-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417427865 Inpatient Health LLC Internal Medicine 17470 Pacesetter Way, Scottsdale, AZ 85255 2018-11-28
1003391764 Daniel Andrew Wool Family Medicine 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 2018-09-28
1225533953 Nona Lynel Dasenbrock Dietitian, Registered 10912 E Butherus Dr, Scottsdale, AZ 85255 2018-03-26
1376044248 Brandon A Hunter Physician Assistant 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2018-02-26
1235644048 Harmony Dental Partners, LLC Dentist 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 2017-12-04
1093226698 Brenda Renee Junior Family Medicine 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 2017-10-23
1740790393 Sanus Dme LLC Durable Medical Equipment & Medical Supplies 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2017-10-10
1235651894 Jill Walker Physical Therapist 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 2017-07-14
1780123000 Mcdowell Smile Life Dentistry LLC Dentist 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 2017-02-20
1942691779 Gregory Edin Dentist 11550 E Paradise Lane, Scottsdale, AZ 85255 2015-02-16
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295119022 Arizona Wellness Medicine LLC Preventive Medicine 8776 E Shea Blvd Ste 106-196, Scottsdale, AZ 85260-6629 2015-07-10
1336327212 Aparna Sundaram Preventive Medicine 14747 N Northsight Blvd, Suite 111-427, Scottsdale, AZ 85260-2631 2008-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982227906 Stchealth LLC Preventive Medicine 411 S 1st St, Phoenix, AZ 85004-2754 2020-05-26
1376033233 Passport Health Holdings LLC Preventive Medicine 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 2018-05-16
1578004008 Passport Health Holdings, LLC Preventive Medicine 1116 E Route 66, Flagstaff, AZ 86001-4706 2017-03-16
1558802082 Passport Health Holdings, LLC Preventive Medicine 2601 N. 3rd Street, Ste 102, Phoenix, AZ 85004-1145 2017-03-16
1366983801 Passport Health Holdings, LLC Preventive Medicine 2034 E Southern Ave Ste L, Tempe, AZ 85282-7511 2017-03-16
1285041822 Jason Theodosakis Preventive Medicine 5257 N Via Sempreverde, Tucson, AZ 85750-5967 2014-07-15
1528369774 Suzanne Lynn Valente Preventive Medicine 4775 S Butterfield Dr, Tucson, AZ 85714-3449 2010-11-04
1558690602 Carlton Koons Meschievitz Preventive Medicine 222 Jacob Ln, Prescott, AZ 86303-8806 2009-12-21
1417181660 James W. Justice Preventive Medicine 3663 E Kingler Spring Pl, Tucson, AZ 85718-2324 2009-05-03
1194961946 Janine Roumain Preventive Medicine 1353 E Brentrup Dr, Tempe, AZ 85283-5018 2008-12-29
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Competitor

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City SCOTTSDALE
Zip Code 85255

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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