Organization Active NPI

Stetson Hills Family Medicine PLC

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1134437205
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STETSON HILLS FAMILY MEDICINE PLC
Practice address
6520 W Happy Valley Rd
Ste B-103
Glendale, AZ 85310-2615
Phone
(623) 825-3700
Fax
(623) 825-7601
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Edward Aranas, DO
Title
Managing Member
Phone
(623) 825-3700

Specialties & licenses 1

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

Addresses

Primary practice location

6520 W Happy Valley Rd
Ste B-103
Glendale, AZ 85310-2615

Mailing address

6520 W Happy Valley Rd
Suite B103
Glendale, AZ 85310-2615
Phone (623) 825-3700

Other identifiers 1

IdentifierTypeStateIssuer
557355MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1134437205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "SUITE B103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-825-3700",
            "fax_number": "623-825-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "STE B-103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-825-3700",
            "fax_number": "623-825-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON HILLS FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "ARANAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-825-3700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557355",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.