Chandler Family Practice, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13278 Issued in AZ

Legal business name

CHANDLER FAMILY PRACTICE, PC

Practice address

1076 W Chandler Blvd
Suite 113
Chandler, AZ 85224-5225

Phone

(480) 963-9334

Fax

(480) 963-0444

NPI assigned

Feb 7, 2007

Last updated

May 27, 2008By 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

Mrs. Mary L Wilson

Title

Practice Admin.

Phone

(480) 963-9334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Angela Channelle Kiselyk

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1912058694
  NPD (past)
• Philo A Rogers

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1841371572
  NPD (past)
• Cathaline L Pearson, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1508821281
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1427198449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "SUITE 113",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-963-9334",
            "fax_number": "480-963-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "SUITE 113",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-963-9334",
            "fax_number": "480-963-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMIN.",
        "authorized_official_telephone_number": "480-963-9334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "13278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler Endoscopy Center, L.L.C.
• Chandler Eye Center
• Chandler Eyecare LLC
• Chandler Fairview Partners LLC (Copper Creek Inn Memory Care)
• Chandler Family Chiropractic & Rehab, PLLC
• Chandler Health Associates LLC
• Chandler Health Coach
• Chandler Health Systems LLC
• Chandler Implants & Periodontics, LLC
• Chandler Kidiatric Dental

• Primary Care Clinic/Center in Chandler, AZ
• Providers in Chandler, 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 May 27, 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.