NPIMap

Organization Active NPI

Phoenix Family Physicians, LTD.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1821272683
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08862 Issued in AZ
Legal business name
PHOENIX FAMILY PHYSICIANS, LTD.
Practice address
1190 E Missouri Ave
Suite 160
Phoenix, AZ 85014-2734
Phone
(602) 246-7251
Fax
(602) 264-2462
NPI assigned
Dec 28, 2007
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jay Richard Long, M.D.NPI 1447364963
Title
President
Phone
(602) 246-7251

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 08862 AZ Primary

Addresses

Primary practice location

1190 E Missouri Ave
Suite 160
Phoenix, AZ 85014-2734

Mailing address

1190 E Missouri Ave
Suite 160
Phoenix, AZ 85014-2734
Phone (602) 246-7251

National Provider Directory

National Provider Directory

Locations

1190 E Missouri Ave
Ste 160
Phoenix, AZ 85014
Phone (602) 246-7211

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1821272683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E MISSOURI AVE",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142734",
            "telephone_number": "602-246-7251",
            "fax_number": "602-264-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E MISSOURI AVE",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142734",
            "telephone_number": "602-246-7251",
            "fax_number": "602-264-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FAMILY PHYSICIANS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-246-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "08862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.