Phoenician Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006374 Issued in AZ

Legal business name

PHOENICIAN FAMILY MEDICINE

Practice address

5114 W Peoria Ave
Glendale, AZ 85302-1618

Phone

(623) 979-0309

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By 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

Scott Marquard, MD

Title

Owner/MD

Phone

(623) 979-0309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1780054759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021618",
            "telephone_number": "623-979-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021618",
            "telephone_number": "623-979-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "MARQUARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "623-979-0309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorinda J Phillips, MPT, CWS
• Heather Michele Phillips, RN, CLC
• Robert W Phillips, MD
• Amir Maher Assaad Philobos, MD
• Phoenician Dental Group Inc (Associated Family Dentistry)
• Phoenician Medical Center Inc (Phoenician Primary Care)
• Phoenix Children's Hospital, Inc.
• Phoenix Children's Medical Group
• Phoenix Childrens Dentistry (Smile Explorers)
• Phoenix Diagnostic Imaging Inc

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, 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 Oct 2, 2015; 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.