The Fix Med Spa, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE FIX MED SPA, PLLC

Practice address

1491 W Thatcher Blvd Ste 102
Safford, AZ 85546-3431

Phone

(928) 965-0974

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Marisa Goodman

Title

Office Manager

Phone

(928) 965-0974

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camilee Hayes, NP

  • Family Nurse Practitioner
  • Peridot, AZ
  • NPI 1801505425
  NPD (past)
• Jared L Rasmussen

  • Family Nurse Practitioner
  • Peridot, AZ
  • NPI 1437651999
  NPD (past)

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1043922131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 W THATCHER BLVD STE 102",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463431",
            "telephone_number": "928-965-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 W THATCHER BLVD STE 102",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463431",
            "telephone_number": "928-965-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIX MED SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-965-0974"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallin Stevens, MD
• Jonathan D Stevens, D.C.
• Sunset Hills Care and Rehab, Inc
• Synergy Surgical Assisting LLC
• Salina Szady
• The Pain Institute of Southern Arizona Pisa PC
• Tracy Therrien, PT
• Donald P Thomas, LPC
• Thriftee Food and Drug
• Tracy J Montierth

• Family Medicine Physician in Safford, AZ
• Providers in Safford, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.