Family Medical and Wellness Care, PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26147 Issued in AZ

Legal business name

FAMILY MEDICAL AND WELLNESS CARE, PLC

Practice address

2525 W Beryl Ave
Phoenix, AZ 85021-1606

Phone

(602) 424-7967

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 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

Rebecca Goldman, MDNPI 1588641302

Title

Owner/MD

Phone

(480) 861-8229

Specialties & licenses 1

Addresses

Locations

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.

• Rebecca L Goldman, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1588641302
  Authorized official Same address or phone

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1821464082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-494-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211606",
            "telephone_number": "602-424-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL AND WELLNESS CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "480-861-8229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Vision Care Arizona PLLC
• Family Institute for Health and Recovery
• Family Involvement Center
• Family Kare Walk-in Klinic LLC
• Family Matters Community Care, LLC
• Family Practice Clinic LTD
• Family Practice Specialists LTD.
• Family Resource Center 0384 (Psychological & Family Health (Asso.))
• Family Service Agency
• Family Service Agency (Addiction Resources Inc.)

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.