PRIORITY FAMILY MEDICAL CLINIC LLC (NPI# 1205309812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205309812 |
| Entity Type | Organization |
| Organization Name | PRIORITY FAMILY MEDICAL CLINIC LLC |
| Practice Address |
3625 Crossings Dr Ste B Prescott AZ 86305-7159 |
| Practice Telephone | 9282770875 |
| Practice Fax Number | 9283795177 |
| Mailing Telephone | 9282770875 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | THOMAS JUDAH GANN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9282770875 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3625 CROSSINGS DR STE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1740462779 | Lawrence H Borish | Family Medicine | 4100 W Marlow Rd, Prescott, AZ 86305-5511 | 2007-11-30 |
| 1295940351 | Kevin S Doyle Md Pllc | Family Medicine | 905 Angelita Dr, Prescott, AZ 86303-5019 | 2007-05-11 |
| 1811029804 | Keith Marion Keating | Family Medicine | 3607 Crossings Dr Ste B, Prescott, AZ 86305-7149 | 2007-03-12 |
| 1124156997 | Irene Anna Royko | Family Medicine | 1654 Coyote Rd, Prescott, AZ 86303-5339 | 2007-03-01 |
| 1144398355 | Mark Everett Kiffer | Family Medicine | 6200 W Indian Pony Ct, Prescott, AZ 86305-1542 | 2006-12-04 |
| 1023181583 | Robert Jeffrey Zieve | Family Medicine | 343 S Montezuma St, Prescott, AZ 86303-7022 | 2006-11-15 |
| 1154413789 | Kenneth Purdy Archer | Family Medicine | 1003 Division Street, Suite # 3, Prescott, AZ 86301-1657 | 2006-09-29 |
| 1730289380 | Ellen F. Bunch | Family Medicine | 1530 W Cliff Rose Rd, Prescott, AZ 86305-7434 | 2006-09-24 |
| 1649376831 | Peter L Powers | Family Medicine | 1000 Willow Creek Rd., Suite B, Prescott, AZ 86301 | 2006-09-15 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.