Deseret Family Medicine at Gold Canyon Arizona PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC

Practice address

6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352

Phone

(480) 981-3000

Fax

(480) 288-2879

NPI assigned

Aug 4, 2022

Last updated

Aug 8, 2022By 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

Robert Allen, MDNPI 1639195977

Title

Owner

Phone

(480) 981-3000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACABDD

Practitioners 1

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.

• Robert C Allen, M.D.

  • Family Medicine Physician
  • Gold Canyon, AZ
  • NPI 1639195977
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1487381992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 S KINGS RANCH RD STE 1",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187352",
            "telephone_number": "480-981-3000",
            "fax_number": "480-288-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 S KINGS RANCH RD STE 1",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187352",
            "telephone_number": "480-981-3000",
            "fax_number": "480-288-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-981-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CW Nutrition & Wellness Consulting LLC
• Kimberly Dang, DPT
• Candace Darling, FNP-C
• Angela Elisa Davis
• Pamela Carol Dean, LCSW
• Deseret Medical Associates PLC
• Katherine Weidner Donald, RN
• Doug S Clouse MD PLC
• E. James Bodmer, D.P.M., PC
• Empowered Medicine

• Family Medicine Physician in Gold Canyon, AZ
• Providers in Gold Canyon, 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 Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.