Active NPI
Mount Graham Family Medicine Practice,P.C.
- Family Medicine Physician
- Safford, AZ
National Provider Identifier
1508072844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.
- Doing business as
- dba Mount Graham Family Practice, P.C.
- Practice address
- 1300 S. 20TH Avenue
Safford, AZ 85546 - Phone
- (928) 428-3122
- Fax
- (928) 428-7917
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian J Kartchner, MD
- Title
- President
- Phone
- (928) 428-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1300 S. 20TH Avenue
Safford, AZ 85546
Mailing address
1300 S. 20TH Avenue
Safford, AZ 85546
Phone (928) 428-3122
Other names 1
- dba Mount Graham Family Practice, P.C.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222905600000",
"number": "1508072844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S. 20TH AVENUE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "85546",
"telephone_number": "928-428-3122",
"fax_number": "928-428-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S. 20TH AVENUE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "85546",
"telephone_number": "928-428-3122",
"fax_number": "928-428-7917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-10-02",
"status": "A",
"authorized_official_last_name": "KARTCHNER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-428-3122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Mount Graham Family Practice, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Safford, AZ
- Jeanette Marcroft Montierth, LAC
- Tracy Jon Montierth, O.D.
- Nicole Kindness Mortensen, CNM, WHNP
- Karen Lynn Moskal
- Mount Graham Dental Associates PLC
- Mountain View Anesthesia, PC
- Mountain View Counseling
- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.