MAIN STREET FAMILY PRACTICE, P.C. (NPI# 1356410146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356410146 |
| Entity Type | Organization |
| Organization Name | MAIN STREET FAMILY PRACTICE, P.C. |
| Practice Address |
660 South Main Street Florence AZ 85232 |
| Mailing Address |
Po Box 2818 Florence AZ 85132-3052 |
| Practice Telephone | 9497133998 |
| Mailing Telephone | 5208681400 |
| Mailing Fax Number | 5208681500 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | BETH M LIZARRAGA (OWNER) |
| Authorized Official Telephone | 5208681400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
660 SOUTH MAIN STREET |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| 1649349440 | Dario Lizarraga | Family Medicine | 660 South Main Street, Florence, AZ 85132 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508172198 | Hayley Benson | Physical Therapist | 448 E Butte Ave, Ste 3, Florence, AZ 85232 | 2010-08-20 |
| 1942537154 | Florence Ltc, LLC | Skilled Nursing Facility | 450 West Adamsville Road, Florence, AZ 85232 | 2009-11-09 |
| 1255566477 | State of Arizona Department of Corrections | Clinic/Center | 1305 E Butte Ave, Florence, AZ 85232 | 2009-05-18 |
| 1275780439 | Jason K Whetten | Dentist | 46 E 11th St, Florence, AZ 85232 | 2008-08-19 |
| 1578741351 | John A. Riley, PC | Optometrist | 360 N. Main Street, Florence, AZ 85232 | 2008-02-05 |
| 1093990160 | Core Chiropractic, LLC | Chiropractor | 6716 East Heritage Road, Florence, AZ 85232 | 2008-01-08 |
| 1881888790 | Jacqueline Lee Miller | Speech-Language Pathologist | 2700 N. Anthem Way, Florence, AZ 85232 | 2007-09-04 |
| 1487869673 | Noelle Kay White | Occupational Therapist | 255 S Orlando St, Florence, AZ 85232 | 2007-05-11 |
| 1790901106 | Pinal County Public Health Department | Public Health or Welfare | 500 S. Central, Florence, AZ 85232 | 2007-04-17 |
| 1366594350 | Dorinda S. Kroymann-moens | Physical Therapist | 225 South Orlando, Room 26, Florence, AZ 85232 | 2007-01-18 |
| Find all providers in zip 85232 | ||||
| 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 |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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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.