Stetson Hills Family Medicine PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5368 Issued in AZ

Legal business name

STETSON HILLS FAMILY MEDICINE PLC

Doing business as

Stetson Hills Family Medicine-Anthem

Practice address

41125 N Daisy Mountain Dr
Ste. 109
Anthem, AZ 85086-4954

Phone

(623) 594-6866

Fax

(623) 249-4982

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By 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

Eric S Limkemann, D.O.

Title

Owner

Phone

(623) 825-3700

Specialties & licenses 2

Addresses

Other names 1

• Stetson Hills Family Medicine-Anthem Doing business as

Locations

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.

• Tina M Knezevic, PAC

  • Medical Physician Assistant
  • Surprise, AZ
  • NPI 1457724072
  NPD
• Brianna M McGerty, PA

  • Physician Assistant
  • Spokane Valley, WA
  • NPI 1417387820
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1376996868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "STE. B-103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-825-3700",
            "fax_number": "623-825-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR",
            "address_2": "STE. 109",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864954",
            "telephone_number": "623-594-6866",
            "fax_number": "623-249-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON HILLS FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "LIMKEMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-825-3700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5368",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stetson Hills Family Medicine-Anthem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Speciality Custom Care, LLC
• Spooner Physical Therapy & Hand Rehab, PC
• Darius Stacu, PHARMD
• Scott Robert Stamp, D.C.
• Lawrence R Stern, OD
• Connor Robert Stevenson, DMD
• Richard V Stillo, L.AC.
• Tara Storjohann, PHARM.D
• Kristen Lynn Stout, MSN, FNP-C
• Courtney Suarez, DC

• Family Medicine Physician in Anthem, AZ
• Providers in Anthem, 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 20, 2016; 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.