Gold Canyon Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GOLD CANYON FAMILY PRACTICE

Practice address

6820 S Kings Ranch Rd Ste 130
Gold Canyon, AZ 85118-2959

Phone

(480) 347-1321

Fax

(480) 982-3692

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Daiton Rutkowski

Title

Ceo

Phone

(480) 982-3691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1225337207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 S KINGS RANCH RD STE 130",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182959",
            "telephone_number": "480-347-1321",
            "fax_number": "480-982-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 S KINGS RANCH RD STE 130",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182959",
            "telephone_number": "480-347-1321",
            "fax_number": "480-982-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CANYON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "DAITON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-982-3691"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geomancie Promise LLC With Hellinger Systemic Constellations
• Gold Canyon Contemporary Dentistry
• Gold Canyon Counseling
• Gold Canyon Dentistry
• Gold Canyon Eye Center, PLLC
• Gold Canyon Hearing, PLLC
• Gold Canyon Internal Medicine
• Gold Canyon Urgent Care
• Gold Canyon Urgent Care and Family Medicine
• Donna Marie Gordy, FNP-C

• Primary Care Clinic/Center in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.