Allied Family Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OTC 3572 Issued in AZ

Legal business name

ALLIED FAMILY CARE

Practice address

500 W 10TH PL
Mesa, AZ 85201-3298

Phone

(480) 461-2575

Fax

(480) 649-0994

NPI assigned

May 11, 2006

Last updated

Oct 12, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Ronald R Bunnell

Title

Chief Financial Officer

Phone

(602) 495-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Custer Comm Hosp Rad

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1053361782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 10TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013298",
            "telephone_number": "480-461-2575",
            "fax_number": "480-649-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED FAMILY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BUNNELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-495-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "OTC 3572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965436",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Allenstein, M.S OTR/L
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• Allergyrx
• Daniella Allevato, MD, PHD
• Alliance Behavioral Care LLC
• Allied Integrated Clinic LLC
• Allied Internal Medicine PLLC
• Allied Internal Medicine PLLC
• Allied Medical Associates PLC
• Kellie Marie Allison, MC, LPC

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, 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 Oct 12, 2007; 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.