Kachina Family Practice Pa in Phoenix - Family Medicine
Kachina Family Practice Pa - NPI 1467508432
Kachina Family Practice Pa is a Family Medicine in Phoenix, Arizona. Kachina Family Practice Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kachina Family Practice Pa is 1467508432. The last update date is 2020-04-30.
Kachina Family Practice Pa's current location address is 16611 S 40th St, Phoenix, Arizona. You can contact this provider via phone number 4807064100 and fax number 4807062600. The mailing address for Kachina Family Practice Pa is 16611 S 40th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kachina Family Practice Pa |
|---|---|
| Address | 16611 S 40th St, Phoenix, Arizona |
| Phone Number | 4807064100 |
| Fax Number | 4807062600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fischbeck Joseph Jaron |
| Credentials | MD |
| Telephone Number | 4807064100 |
NPI Number Detail
| NPI Number | 1467508432 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-04-30 |
Provider Mailing Address Detail
| Address | 16611 S 40th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85048 |
| Phone Number | 4807064100 |
| Fax Number | 4807062600 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: 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 i |
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What is the unique 10-digit identifier code issued to Kachina Family Practice Pa by the Centers for Medicare & Medicaid Services?
The Kachina Family Practice Pa has been assigned the NPI (National Provider Identifier) 1467508432 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kachina Family Practice Pa's facilities are situated?
The facilities of Kachina Family Practice Pa are physically located at the following address: 16611 S 40Th St, Phoenix, AZ, 85048.
What is Kachina Family Practice Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kachina Family Practice Pa's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Kachina Family Practice Pa receive its 1467508432 assignment from the Centers for Medicare & Medicaid Services?
The Kachina Family Practice Pa was assigned its 1467508432 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the Kachina Family Practice Pa's details last updated?
The information pertaining to the Kachina Family Practice Pa, including its address, specialty, and other details, was most recently updated on 2020-04-30.