Organization Active NPI

Afc Physical Medicine of Fountain Hills, PLLC

  • Non-Pharmacy Dispensing Site
  • Fountain Hills, AZ
National Provider Identifier
1235471095
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
AFC PHYSICAL MEDICINE OF FOUNTAIN HILLS, PLLC
Practice address
17100 E Shea Blvd
Suite 320
Fountain Hills, AZ 85268-6625
Phone
(480) 816-8300
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AFC PHYSICAL MEDICINE OF FOUNTAIN HILLS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Linda M. Milam, NP
Title
Medical Director
Phone
(480) 816-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

17100 E Shea Blvd
Suite 320
Fountain Hills, AZ 85268-6625

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Afc Physical Medicine of Fountain Hills PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1235471095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD",
            "address_2": "SUITE 320",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686625",
            "telephone_number": "480-816-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC PHYSICAL MEDICINE OF FOUNTAIN HILLS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC PHYSICAL MEDICINE OF FOUNTAIN HILLS, PLLC",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-816-8300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.