Desert Hills Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13497 Issued in AZ

Legal business name

DESERT HILLS FAMILY MEDICINE PC

Practice address

20325 N. 51St Avenue
BLDG 9, #170
Glendale, AZ 85308-5674

Phone

(602) 296-4231

NPI assigned

Jun 20, 2007

Last updated

Jul 24, 2007By 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

Dr. Joseph F Raynak, M.D.NPI 1386643641

Title

Owner

Phone

(602) 547-8184

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Joseph Frank Raynak, MD

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1386643641
  NPD (past) Authorized official
• Joni Suzanne Lydic, F.N.P.

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1518964782
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1366647158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST AVENUE",
            "address_2": "BLDG 9, #170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "602-296-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST AVENUE",
            "address_2": "BLDG 9, #170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "602-296-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HILLS FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "RAYNAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-547-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "13497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Crown Hospice Care LLC
• Desert Dreams Anesthesia, PLLC
• Desert Foot & Ankle P C
• Desert Hand Therapy LLC (Desert Hand Therapy)
• Desert Harbor Internal Medicine
• Desert Horizon Anesthesia, LLC
• Desert Orthopedics Center PLLC
• Desert Precision First Assist LLC
• Desert Rain Healthcare LLC
• Desert Recovery Centers LLC

• 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 Jul 24, 2007; 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.