Organization Active NPI

Arizona Family Physicians

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1003955832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12426 Issued in AZ
Legal business name
ARIZONA FAMILY PHYSICIANS
Practice address
2127 E Baseline Rd
104
Tempe, AZ 85283-1537
Phone
(480) 897-7070
Fax
(480) 897-2597
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory Lee Ellison, M.D.NPI 1669567434
Title
Owner
Phone
(480) 897-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD12426 AZ Primary

Addresses

Primary practice location

2127 E Baseline Rd
104
Tempe, AZ 85283-1537

Mailing address

2127 E Baseline Rd
104
Tempe, AZ 85283-1537
Phone (480) 897-7070

National Provider Directory

National Provider Directory

Locations

1731 W Baseline Rd
Ste 101
Mesa, AZ 85202
Phone (480) 897-7070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17044/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003955832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 E BASELINE RD",
            "address_2": "104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831537",
            "telephone_number": "480-897-7070",
            "fax_number": "480-897-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 E BASELINE RD",
            "address_2": "104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831537",
            "telephone_number": "480-897-7070",
            "fax_number": "480-897-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-897-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "MD12426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.