Kingfisher Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KINGFISHER FAMILY MEDICINE, PLLC

Practice address

14506 W Granite Valley Dr Ste 123
Sun City West, AZ 85375-6012

Phone

(623) 250-2150

Fax

(623) 250-2450

NPI assigned

Jul 17, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Schulke, MDNPI 1922211341

Title

Physician/Owner

Phone

(623) 250-2150

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Schulke, MD

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1922211341
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1366121287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 123",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756012",
            "telephone_number": "623-250-2150",
            "fax_number": "623-250-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 123",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756012",
            "telephone_number": "623-250-2150",
            "fax_number": "623-250-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGFISHER FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SCHULKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "623-250-2150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kim, OTA
• Joon Soo Kim, DO
• Seung Kim, NP
• Kara King, RN
• Kaylee Jo King, MA, BCBA, LBA
• Borislav T Kirov, M.D.
• KLM Enterprise, PLLC (TMJ & Sleep Therapy Centre of Phoenix West)
• Jacob Tanner Kobernick, PA-C
• Bonnie De Lane Koch, OTR/L
• Amoa Tamara Kolbeck, MS, BCBA, LBA

• Family Medicine Physician in Sun City West, AZ
• Providers in Sun City West, 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 Aug 9, 2023; 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.