MEDICARE: HONORHEALTH AMBULATORY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208800000X	Urology Physician
2	231H00000X	Audiologist
3	2088P0231X	Pediatric Urology Physician
4	235Z00000X	Speech-Language Pathologist
5	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1891518130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORHEALTH AMBULATORY

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4171
Country	:	US
Telephone Number	:	623-683-7673
Fax Number	:

Provider Business Practice Location Address
First Line	:	5750 E BASELINE RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4806
Country	:	US
Telephone Number	:	602-833-6900
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	JOHN NEIL
Credential	:
Telephone Number	:	480-587-5123

Provider Enumeration Date	:	11/05/2024
Last Update Date	:	03/13/2026

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Directions to “HONORHEALTH AMBULATORY ” Practice Location

Language	Start Address	Practice Location

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