Organization Active NPI

Friendly Medical Group

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1851996102
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRIENDLY MEDICAL GROUP
Practice address
727 E Bethany Home Rd Ste A101
Phoenix, AZ 85014-2192
Phone
(706) 961-4298
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Tan Vu, MD
Title
Manager
Phone
(706) 961-4298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

727 E Bethany Home Rd Ste A101
Phoenix, AZ 85014-2192

Mailing address

3424 W Long Rifle Rd
Phoenix, AZ 85086-4301
Phone (706) 961-4298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1851996102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 W LONG RIFLE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864301",
            "telephone_number": "706-961-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E BETHANY HOME RD STE A101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142192",
            "telephone_number": "706-961-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-961-4298",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Dec 3, 2020; 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.