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

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

Other identifiers 1

Locations

Practitioners 1

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

• Rosa Maria Banuelos, M.D.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1528020856

  Family Medicine

  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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "13789",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Yount, PHD, CNM, RN
• Your Angel on Duty, LLC
• Your Care LLC
• Your Care Medical 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

• All providers in Phoenix, AZ
• 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.