Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ingenuity Medical Group LLC

Organization Emergency Medicine Physician · NPI 1417986118

Ingenuity Medical Group LLC is an Emergency Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone: (480) 296-6549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Taxonomy 207PE0005X

Record details

NPI number1417986118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Smith — Business Manager · (480) 296-6549
NPI enumeratedJuly 3, 2006
Last updated in NPPESApril 20, 2008
Mailing address80 E Rio Salado Pkwy Ste 703, Tempe, AZ 85281-9110

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