Auc Surprise Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3147 Issued in AZ

Legal business name

AUC SURPRISE FAMILY CARE LLC

Practice address

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-4795

Phone

(623) 889-7199

Fax

(623) 889-7198

NPI assigned

Jul 7, 2005

Organization subpart

No

Name

Mr. Bill Edwards, MAOM

Title

Ceo

Phone

(602) 530-6189

Locations

• Surprise Family Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043218787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 W THUNDERBIRD RD",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064711",
            "telephone_number": "602-530-6189",
            "fax_number": "602-548-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD",
            "address_2": "SUITE 190",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744795",
            "telephone_number": "623-889-7199",
            "fax_number": "623-889-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUC SURPRISE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-530-6189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.