Main Street Family Medical, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAIN STREET FAMILY MEDICAL, INC.

Practice address

500 W Main St
Safford, AZ 85546-2727

Phone

(192) 834-8710

Fax

(928) 348-7813

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy W Scott

Title

Office Manager

Phone

(928) 348-7100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26076/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark R Scott, PA-C

  • Physician Assistant
  • Safford, AZ
  • NPI 1922028992
  Medicare reassignment
• Mark D Lockett, MD

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1114913563
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1386837763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462727",
            "telephone_number": "192-834-8710",
            "fax_number": "928-348-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462727",
            "telephone_number": "192-834-8710",
            "fax_number": "928-348-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-348-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Health MD, PLLC
• Mariah Loya, PMHNP
• Philip Lucas
• Karri Rachelle Macri, LCSW
• Brandon Magill
• Christina Sue Marble, RN
• Chrisitne Ann Marciniak, OTRL
• Ali Marie Martinez, PTA
• Kelly Jo Masten, APRN-RNP
• Ronald L McAdam, DO

• Primary Care Clinic/Center in Safford, AZ
• Providers in Safford, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.