Desert Canyon Family & Sports Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESERT CANYON FAMILY & SPORTS MEDICINE PLLC

Practice address

6200 S McClintock Dr
Suite 9
Tempe, AZ 85283-3268

Phone

(480) 820-4305

Fax

(480) 820-5540

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mary-Louise Mulcahy, RN, MBA, BSN

Title

Administrator

Phone

(480) 357-3904

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.

• John P Julius, DO

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1740247675
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174650295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR",
            "address_2": "SUITE 9",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833268",
            "telephone_number": "480-820-4305",
            "fax_number": "480-820-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR",
            "address_2": "SUITE 9",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833268",
            "telephone_number": "480-820-4305",
            "fax_number": "480-820-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CANYON FAMILY & SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "MARY-LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-357-3904",
        "authorized_official_credential": "RN, MBA, BSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Joan Derusso, D.O.
• Breda Dervisevic, PHARM. D.
• Christopher Derycke, RPH
• Desert Angels Behavioral Health Services
• Desert Breeze Healthcare LLC
• Desert Caretransportation LLC
• Desert Eye PC
• Desert Eye PC
• Desert Eye, PC
• Desert Family Dentistry PLLC

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, 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 Aug 22, 2020; 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.