Active NPI
Stetson Hills Family Medicine PLC
- Family Medicine Physician
- Glendale, AZ
National Provider Identifier
1134437205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 557355 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Peoria, AZ
- NPI 1568669430
-
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1174973523
-
- Physician Assistant
- Spokane Valley, WA
- NPI 1417387820
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.