Craig Matthew Phelps, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2158 Issued in AZ

Practice address

4344 W Bell Rd
Ste 102
Glendale, AZ 85308

Phone

(602) 588-4040

Fax

(602) 588-4034

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Craig M. Phelps, D.O., Faoasm,PC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1740478890
  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1366413221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-588-4040",
            "fax_number": "602-588-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eirene Hoang Uyen Phan
• Mydung T Phan, NUTRITIONIST
• Truce Phan, PHARM. D
• Phandinh Clinic-Urgent Care & Wellness Center PC
• Phandinh Clinic-Urgent Care and Wellness Center PC
• Samantha Philbrook, RBT
• Philip J Zair DC PLLC Zair Chiropractic & Acupuncture
• Sofia Elvira Philips, MSW, LMSW
• Alicia Phillips
• Dorinda J Phillips, MPT, CWS

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, 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 Mar 22, 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.