McKellips Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37616 Issued in AZ

Legal business name

MCKELLIPS INTERNAL MEDICINE PLLC

Practice address

3049 E McKellips Rd Ste 5
Mesa, AZ 85213-3144

Phone

(480) 830-1553

Fax

(480) 981-2442

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles B Evans II, MD

Title

Medical Director

Phone

(602) 791-9112

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1477095735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 N NORTHSIGHT BLVD STE 121",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603665",
            "telephone_number": "480-588-6924",
            "fax_number": "480-634-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 E MCKELLIPS RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133144",
            "telephone_number": "480-830-1553",
            "fax_number": "480-981-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKELLIPS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-791-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37616",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ellen McKee, NP
• Yuri F McKee, M.D.
• Paul H McKellar, PMHNP
• McKellips Family Medical Clinic
• McKellips Family Medical Clinic, PLLC
• McKenna Morgan PA-C, PLLC
• Alexis Morgan McKenna, NMD
• Sarah McKenna, D.O.
• Jesika McKenzie
• Princess Estocia Sierra McKinney

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.