Arizona Adult and Pediatric Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARIZONA ADULT AND PEDIATRIC MEDICINE PC

Practice address

743 Miller Valley Road
Prescott, AZ 86301-1813

Phone

(928) 443-1000

Fax

(928) 443-1001

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Brenda Lue Sipes, MD

Title

Treasurer

Phone

(928) 443-1000

Specialties & licenses 2

Addresses

Practitioners 1

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

• Bruce Paul Packer, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1356348338
  NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1225212905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY ROAD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-443-1000",
            "fax_number": "928-443-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY ROAD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-443-1000",
            "fax_number": "928-443-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADULT AND PEDIATRIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LUE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "928-443-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Grace Archer, PT, DPT
• Zachary Archer, CCP
• Arches Legacy, LLC
• Arches PPT, LLC
• Thomas Joseph Frederick Arietta, DMD
• Arizona Arthritis & Rheumatology Associates P C
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC
• Arizona Bodyworks & Fitness LLC
• Arizona CVS Stores LLC
• Arizona Diagnostic Labs,LLC

• Internal Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.