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Versatile Medicine Pllc

Versatile Medicine Pllc is a healthcare organization registered as Internal Medicine Physician in Avondale, AZ, holding Type 2 (organization) NPI 1326145608 since 2006. The authorized official on file is Kathleen Nichols, Physician/General Manager.

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NPI 1326145608
Entity type Organization (Type 2)
Legal business name Versatile Medicine Pllc
Practice address 13055 W MCDOWELL RD, SUITE E-106, Avondale, AZ, 85392
Phone 6239758400
Fax 6239352975
Enumeration date 2006-09-20
Last updated in NPPES 2015-06-08

Authorized official

Name Kathleen Nichols
Title Physician/General Manager
Phone 6239758400

Taxonomy & classification

Taxonomy code Specialty Primary License State
207R00000X Internal Medicine Physician Primary AZ26993 AZ

Other identifiers

Identifier Type State Issuer
AZ0761300 Other AZ BLUE CROSS BLUE SHIELD
AZ0765500 Other AZ BLUE CROSS BLUE SHIELD
517675 Medicaid AZ
486581001 Medicaid AZ
Copy-ready billing details
Provider: Versatile Medicine Pllc
NPI: 1326145608
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 13055 W MCDOWELL RD, SUITE E-106, Avondale, AZ, 85392

Providers at this address

NPI Name Type Specialty Location
1497741821 Ralph Rabin Individual Podiatrist Avondale, AZ
1427064419 Brian Phan Individual Pharmacist Avondale, AZ
1245241215 Kathleen Nichols Individual Internal Medicine Physician Avondale, AZ
1891706875 Terry Woodbeck Individual Internal Medicine Physician Avondale, AZ
1679662381 Akhilesh Sharma Individual Infectious Disease Physician Avondale, AZ
1912078155 Jennifer Silver Individual Physical Therapist Avondale, AZ
1144391392 Mark Langenbach Individual Physical Therapist Avondale, AZ
1548392137 Ralph B. Rabin Dpm LLC Organization Foot & Ankle Surgery Podiatrist Avondale, AZ

Verify this record

Cross-check NPI 1326145608 against the authoritative CMS record: view Versatile Medicine Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Versatile Medicine Pllc located?
The practice location on file with NPPES is in Avondale, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-08.