Arizona Family Care Associates, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARIZONA FAMILY CARE ASSOCIATES, INC.

Practice address

302 El Camino Real
#5
Sierra Vista, AZ 85635-2860

Phone

(520) 458-4335

Fax

(520) 452-2232

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Fred B Williams, ED. D

Title

Ceo

Phone

(520) 458-4335

Specialties & licenses 15

Addresses

Other identifiers 3

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Banner -- University Medical Center Tucson Campus LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1306908355

  Member Of

  NPD member
• Sierra Vista Regional Health Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Sierra Vista, AZ
  • NPI 1508893793

  Member Of

  NPD member

Locations

Practitioners 8

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

• Eduardo N Brown, M.D.

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1376584359

  Family Medicine

  NPD
• Cynthia G. Funckes, M.D.

  • Obstetrics & Gynecology Physician
  • Sierra Vista, AZ
  • NPI 1033140512
  NPD
• William McCormick, DO

  • Orthopaedic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1720008105

  Family Medicine

  NPD
• Santsaran C Patel, MD

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1316960016
  NPD
• Blair T Goodsell, DO

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1811917297
  NPD (past)
• Michael Ramsey Jerman, MD

  • Cardiovascular Disease Physician
  • Safford, AZ
  • NPI 1588667596

  Internal Medicine

  NPD (past)
• Stephen E Lindstrom, MD

  • Pediatrics Physician
  • Bisbee, AZ
  • NPI 1083600274

  Family Medicine

  NPD (past)
• Susan Walls-Bortman, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1679514830
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1265462006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "STE 5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-458-4335",
            "fax_number": "520-452-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "#5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-458-4335",
            "fax_number": "520-452-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-458-4335",
        "authorized_official_credential": "ED. D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "0414710002",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "0414710004",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "0414710003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB9495",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C40354",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CF8118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona CVS Stores LLC
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• Arizona Family Care Associates Urgent Care Clinic, LLC
• Arizona in-Home Partner-III, LLC
• Arizona Tongue Tie Center
• Arizona Urology Center, PLLC
• Arizona World
• Jamie Armenta

• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Oct 5, 2010; 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.