Organization Active NPI

Teammd Physicians PC

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1124685532
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEAMMD PHYSICIANS PC
Practice address
1805 N Scottsdale Rd Ste 120
Tempe, AZ 85281-1556
Phone
(480) 877-3800
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Ray Keller
Title
Managing Individual
Phone
(651) 324-0266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1805 N Scottsdale Rd Ste 120
Tempe, AZ 85281-1556

Mailing address

3433 Broadway St NE Ste 305
Minneapolis, MN 55413-1795

National Provider Directory

National Provider Directory

Locations

1805 N Scottsdale Rd
Ste 120
Tempe, AZ 85288
Phone (480) 877-3791

3433 Broadway St NE
Ste 305
Minneapolis, MN 55413

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1124685532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N SCOTTSDALE RD STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852811556",
            "telephone_number": "480-877-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMMD PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MANAGING INDIVIDUAL",
        "authorized_official_telephone_number": "651-324-0266"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 20, 2019; 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.