Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Passport Health Holdings LLC

Public Health & General Preventive Medicine Physician in Phoenix, AZ · enumerated 2018 · authorized official Doug Shackell, Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376033233

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Registry record

Entity type Organization (Type 2)

Legal business name Passport Health Holdings LLC

Other name <Unavail>

Practice address 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ, 85018

Phone (877) 358-8648

Fax (877) 877-6875

Enumeration date May 16, 2018

Last updated in NPPES May 16, 2018

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Doug Shackell

Title Director of Finance

Phone (480) 646-9024

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-05-16. Verify at npiregistry.cms.hhs.gov.

Where is Passport Health Holdings LLC located?

The practice location on file with NPPES is in Phoenix, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-16.