MLM FAMILY LLC (NPI# 1245648088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245648088 |
| Entity Type | Organization |
| Organization Name | MLM FAMILY LLC |
| Practice Address |
15410 S Mountain Pkwy Suite 105 Phoenix AZ 85044-6691 |
| Mailing Address |
2031 E Glenhaven Dr Phoenix AZ 85048-8122 |
| Practice Telephone | 6023393669 |
| Mailing Telephone | 6023393669 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | LANA KHATIB (PROVIDER) |
| Authorized Official Telephone | 6023393669 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5212 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 42064 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
15410 S MOUNTAIN PKWY SUITE 105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-6691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570931 | Lynsey Schmidt | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2005-07-01 |
| 1730557620 | Benjamin Kagen | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2015-09-09 |
| 1538508171 | Jordan Robert Brocker | Physical Therapist | 15410 S Mountain Pkwy, #112, Phoenix, AZ 85044-6691 | 2013-06-17 |
| 1154671238 | Lana Hussein Khatib | Physician Assistant | 15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 | 2012-09-14 |
| 1265787634 | Michael K Heinrich | Physical Therapist | 15410 S Mountain Pkwy, 112, Phoenix, AZ 85044-6691 | 2012-07-20 |
| 1750666426 | Kaitlin T Clark | Physical Therapist | 15410 S Mountain Pkwy, Ste: 112, Phoenix, AZ 85044-6691 | 2011-10-13 |
| 1841513124 | Veronica Jo Shaw | Specialist/Technologist | 15410 S Mountain Pkwy, Ste 112, Phoenix, AZ 85044-6691 | 2010-03-01 |
| 1578891800 | Richard Edmond Kates | Emergency Medical Technician, Basic | 15410 S Mountain Pkwy, Phoenix, AZ 85044-6691 | 2009-11-24 |
| 1710064118 | Tess G Bowden | Physical Therapy Assistant | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
| 1013094473 | Robert J. Henert | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.