Active NPI
New Millennium Family Medicine P C
- Family Medicine Physician
- Chandler, AZ
National Provider Identifier
1689842460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEW MILLENNIUM FAMILY MEDICINE P C
- Practice address
- 655 S Dobson Rd
Ste. B216
Chandler, AZ 85224-5667 - Phone
- (480) 899-5530
- Fax
- (480) 899-4295
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 27, 2012
- 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
- Dr. Angela Renate Merzenich, M.D.
- Title
- Physician/Owner
- Phone
- (480) 899-5530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
655 S Dobson Rd
Ste. B216
Chandler, AZ 85224-5667
Mailing address
655 S Dobson Rd
Ste. B216
Chandler, AZ 85224-5667
Phone (480) 899-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 555477 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Nurse Practitioner
- Fargo, ND
- NPI 1558362038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1689842460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "STE. B216",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-899-5530",
"fax_number": "480-899-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "STE. B216",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-899-5530",
"fax_number": "480-899-4295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MILLENNIUM FAMILY MEDICINE P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "MERZENICH",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "RENATE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "480-899-5530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "555477",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- New Horizon Youth Homes, Inc (New Horizon Community Care)
- New Horizon Youth Homes, Inc. (New Horizon Community Care)
- New Horizon Youth Homse, Inc.
- New Life Health Care
- New Life Urgent Care
- New Viva Weight Loss MD PLLC
- New Way Assisted Living, LLC
- New Way Assisted Living, LLC
- New Way Recovery, LLC
- Newco Hatfield Medical Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.