Your Family Physician PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13789 Issued in AZ

Legal business name

YOUR FAMILY PHYSICIAN PC

Practice address

20860 N Tatum Blvd Ste 300
Phoenix, AZ 85050-4283

Phone

(602) 833-4686

Fax

(602) 666-4686

NPI assigned

Nov 2, 2005

Last updated

Nov 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karla L Birkholz, MD

Title

President

Phone

(602) 833-4686

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosa Maria Banuelos, M.D.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1528020856
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1174514756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E BELL RD UNIT 1156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226290",
            "telephone_number": "602-833-4686",
            "fax_number": "602-666-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20860 N TATUM BLVD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504283",
            "telephone_number": "602-833-4686",
            "fax_number": "602-666-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "BIRKHOLZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-833-4686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "13789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Younkins
• Susan Marie Yount, PHD, CNM, RN
• Your Angel on Duty, LLC
• Your Care LLC
• Your Casa Homecare
• Your Health and Wellness PLLC
• Your Health Connection, LLC
• Your Health District, LLC
• Your Inner Pathways Counseling
• Your Neighborhood Dental Care LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Nov 21, 2017; 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.