| NPI | 1417222969 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-03-16 |
| Last Updated | 2012-11-05 |
| Authorized Official | Darryl Montgomery Member Phone: 6238785800 |
| Mailing Address | Po Box 4196 Belfast, ME 04915-4100 United States Phone: (623) 878-5800 | Fax: (623) 878-5807 📍 View Map |
| Primary Practice Address | 7615 W Thunderbird Rd, Ste 106 Peoria, AZ 85381-6083 United States Phone: (623) 878-5800 | Fax: (623) 878-5807 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 696933 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1417222969
Palo Verde Family Medicine Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417222969. The primary specialty listed is Family Medicine. The organization is located in Peoria, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417222969?
NPI 1417222969 belongs to Palo Verde Family Medicine Pllc, a Family Medicine in Peoria, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417222969 active?
The current status of NPI 1417222969 in the NPPES registry is Active. The record was last updated on 2012-11-05.
What specialty is NPI 1417222969?
NPI 1417222969 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417222969?
You can verify NPI 1417222969 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417222969?
The primary practice address on file for NPI 1417222969 is 7615 W Thunderbird Rd, Peoria, AZ 85381-6083. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417222969 issued?
NPI 1417222969 was first issued (enumerated) on 2012-03-16. The NPPES record was last updated on 2012-11-05.
Practice Location Map
Palo Verde Family Medicine Pllc is located at 7615 W Thunderbird Rd, Peoria, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Palo Verde Family Medicine Pllc. All records sourced from the CMS NPPES registry.