Organization Active NPI

Vicki D Copeland MD PC

Doing business as Desert Sky Family Physicians

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1407073737
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25587 Issued in AZ
Legal business name
VICKI D COPELAND MD PC
Doing business as
Desert Sky Family Physicians
Practice address
9305 W Thomas Rd
Ste 350
Phoenix, AZ 85037-3328
Phone
(623) 873-8236
Fax
(623) 873-8293
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Vicki D Copeland, M.D.NPI 1114917259
Title
President
Phone
(623) 873-8236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25587 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Ste 350
Phoenix, AZ 85037-3328

Mailing address

9305 W Thomas Rd
Ste 350
Phoenix, AZ 85037-3328
Phone (623) 873-8236

Other identifiers 1

IdentifierTypeStateIssuer
427204MedicaidAZ

Other names 1

  • Desert Sky Family Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

9305 W Thomas Rd
Ste 350
Phoenix, AZ 85037
Phone (623) 327-7500

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1407073737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-873-8236",
            "fax_number": "623-873-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-873-8236",
            "fax_number": "623-873-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI D COPELAND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-873-8236",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427204",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Sky Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.