East Valley Medical Partners, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST VALLEY MEDICAL PARTNERS, LLC

Practice address

4747 E Elliot Rd
#32
Phoenix, AZ 85044-1627

Phone

(480) 444-8043

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Nathan Payne, PA-C

Title

Co-Owner

Phone

(480) 444-8043

Specialties & licenses 1

Addresses

Other names 1

• Ridgeline Family Medicine Doing business as

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1316486996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD",
            "address_2": "#32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD",
            "address_2": "#32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441627",
            "telephone_number": "480-444-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY MEDICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-444-8043",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeline Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalissa Marie Easley, FNP-C
• David Eason, RPH
• Isabella Marlene Eason
• East Campbell Dental LLC
• East Thomas Chiropractic Center PC
• East Valley Urgent Care, LLC
• East Valley Urgent Care,LLC
• Melissa Marie Eastep, LCSW
• Easter Seals Blake Foundation
• Mason T. Easterling, CRNA

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Apr 14, 2017; 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.