Active NPI
Arizona Family Wellness Center PLLC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1730337213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3189
- Legal business name
- ARIZONA FAMILY WELLNESS CENTER PLLC
- Practice address
- 9515 W Camelback Rd
Suite 126
Phoenix, AZ 85037 - Phone
- (623) 772-5700
- NPI assigned
- Sep 8, 2008
- Last updated
- Apr 8, 2009
- 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. Alan Brook Coon, DO
- Title
- Owner
- Phone
- (623) 772-5700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3189 | AZ | Primary |
Addresses
Primary practice location
9515 W Camelback Rd
Suite 126
Phoenix, AZ 85037
Mailing address
9515 W Camelback Rd
Suite 126
Phoenix, AZ 85037
Phone (623) 772-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464818 | 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1649224981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1730337213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 126",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "623-772-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 126",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "623-772-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA FAMILY WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "COON",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "BROOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-772-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464818",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Arizona Family Clinics Corp
- Arizona Family Health Services LLC
- Arizona Family Research Counseling Center (Arizona Family Resource Counseling Center)
- Arizona Family Therapy & Wellness Center Inc.
- Arizona Family Vision Center, P.C.
- Arizona Foot & Ankle Care, P.C.
- Arizona Foot Health, P.C.
- Arizona Footcare, PC
- Arizona Foundation for the Changing Eye
- Arizona Foundation for the Changing Eye, Inc. (Arizona Foundation for Eye Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.